The Change Cycle Intervention for Improving Quality of Life in Breast Cancer Survivors (CCIP)

Texas Tech University Health Sciences Center

Status: Completed

Conditions: Breast Cancer

Treatments: Behavioral: Standard of Care; Behavioral: FACT-B Quality of Life; Behavioral: Coping Class

Study type: Interventional

Funder types: Other

Identifiers

NCT01734499

A12-3719

Details and patient eligibility

About

This study is proposed to assess long-term Quality of Life issues in breast cancer survivors by measuring the impact on the quality of life made by the structured "Change Cycle Work Shop" coping class as compared to current local standard of care programs. It has been shown that breast cancer treatment can have long-term bio-psychosocial consequences. Specific evidence-based interventions are needed to address Quality of Life concerns in order to improve the overall outcome of breast cancer and its treatment beyond the focus on mortality rate.

Full description

Breast cancer is the most common cancer among North American women. A combination of screening mammography and improvements in treatment has resulted in a substantial decrease in mortality which explains why more women diagnosed at a younger age are becoming long-term survivors.Consequently, quality of life (QL) issues have become increasingly important in the contemporary multidisciplinary management of breast cancer. Standard of car survivorship program has evolved over several years to include 3 facets: (1)clinical surveillance program to include routine follow up exams; (2) local support group programs; and (3) rehabilitation program offering physical and occupational rehab, along with lymphedema prevention and treatment.

Many studies have reported on successful interventions (listed in our references) with improvements in quality of life; however the effects did not last long after intervention. This has brought into question the real value of such interventions. The proposed class will focus on teaching life skills that have shown long-lasting effect in the corporate world of change. Thus, our goal is to determine if the impact of the class will be similar in the healthcare arena, specifically cancer survivorship. Our last study on assessing quality of life revealed that patients were suffering deficits in quality of life, specifically with regard to the emotional scale despite the standard of care approach available. We therefore propose this intervention to be studied as proof of concept so that depending on the results of the proposed trial, this class can become a routine part of the survivorship program.

Enrollment: 120 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• female
• 18 years old or older
• established diagnosis of breast cancer
• diagnosis from January 2010 onward
• must be patient of Texas Tech University Health Sciences Center-Breast Center of Excellence
• must agree to participate in study structure of randomization

Exclusion criteria

• those who do not accept randomization
• women with medical conditions that preclude them from attending the coping class
• women with personal issues that preclude them from attending the coping class

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

Coping Class

Experimental group

Description:

A 4-hour structured program which will be offered once a month as the "Coping Class" by a certified facilitator of "The Change Cycle." Quality of Life survey completed at 5 time points after informed consent.

Treatment:

Behavioral: Coping Class

Behavioral: FACT-B Quality of Life

Standard of Care

Active Comparator group

Description:

Standard of Care. Three components of this: (1)Surveillance Program, (2)Local support groups centered at community cancer centers, (3)Comprehensive Postoperative Rehabilitation which offers physical and occupational rehabilitation.Quality of Life surveys completed at 5 time points after informed consent.

Treatment:

Behavioral: Standard of Care

Behavioral: FACT-B Quality of Life