Participation Restrictions in Breast Cancer Survivors
| Status: | Completed |
|---|---|
| Conditions: | Breast Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 18 - 59 |
| Updated: | 3/1/2014 |
| Start Date: | October 2010 |
| End Date: | April 2014 |
| Contact: | Daphne Ellis |
| Email: | Daphne.Ellis@dartmouth.edu |
| Phone: | 603-653-3657 |
Participation Restrictions in Young-Middle Adult Rural Breast Cancer Survivors
This project will develop and preliminarily evaluate an intervention to assist young-middle
adult rural breast cancer survivors to overcome functional impairments related to their
cancer treatment. Younger breast cancer survivors (below age 60) have ongoing family, social
and vocational responsibilities and recreational interests and are at increased risk of
developing long-term difficulties performing these valued activities (participation
restrictions). Rural cancer survivors are medically underserved and due to distance and
geographic isolation face significant barriers to accessing traditional rehabilitation
services. Alternative rehabilitation approaches are sorely needed for this population. Based
on previous research with cancer and other medical populations a working draft of a
treatment manual using a telephone-delivered Behavioral Activation and Problem Solving
(BA/PS) intervention has been designed. Prior to testing the intervention in a randomized
clinical trial, additional work must be completed. The specific aims of this study are to a.
refine the BA/PS treatment manual, b. develop and apply treatment integrity measures for the
BA/PS manual, c. assess participation restrictions and associated outcomes, d. preliminarily
assess the immediate and maintenance effects of BA/PS, and e. examine mediators and
moderators of BA/PS effects based on our "Self Regulation" model of functional recovery. 188
young-middle adult breast cancer survivors will be screened for participation restrictions
following cancer treatment and 40 survivors with participation restrictions will receive
BA/PS delivered by phone. BA/PS participants will be assessed for treatment effectiveness
and interviewed regarding their experiences during treatment to provide information for
refining the manual. The long-term objective of this line of research is to develop
effective and feasible treatments for the medical and psychosocial consequences of cancer
and its treatment in medically underserved cancer survivors (e.g., rural populations).
adult rural breast cancer survivors to overcome functional impairments related to their
cancer treatment. Younger breast cancer survivors (below age 60) have ongoing family, social
and vocational responsibilities and recreational interests and are at increased risk of
developing long-term difficulties performing these valued activities (participation
restrictions). Rural cancer survivors are medically underserved and due to distance and
geographic isolation face significant barriers to accessing traditional rehabilitation
services. Alternative rehabilitation approaches are sorely needed for this population. Based
on previous research with cancer and other medical populations a working draft of a
treatment manual using a telephone-delivered Behavioral Activation and Problem Solving
(BA/PS) intervention has been designed. Prior to testing the intervention in a randomized
clinical trial, additional work must be completed. The specific aims of this study are to a.
refine the BA/PS treatment manual, b. develop and apply treatment integrity measures for the
BA/PS manual, c. assess participation restrictions and associated outcomes, d. preliminarily
assess the immediate and maintenance effects of BA/PS, and e. examine mediators and
moderators of BA/PS effects based on our "Self Regulation" model of functional recovery. 188
young-middle adult breast cancer survivors will be screened for participation restrictions
following cancer treatment and 40 survivors with participation restrictions will receive
BA/PS delivered by phone. BA/PS participants will be assessed for treatment effectiveness
and interviewed regarding their experiences during treatment to provide information for
refining the manual. The long-term objective of this line of research is to develop
effective and feasible treatments for the medical and psychosocial consequences of cancer
and its treatment in medically underserved cancer survivors (e.g., rural populations).
Inclusion Criteria:
1. Female breast cancer patient stages I-III.
2. Age 18-59.
3. Completion of definitive breast cancer treatment (i.e., subsequent to loco-regional
surgical treatment and completion of adjuvant or neo-adjuvant chemotherapy with or
without radiation) within the past 3-6 months.
4. Screen positive for a moderate or worse level of participation restriction (Work and
Social Adjustment Scale score > 10) within 6 months following cancer treatment.
5. English speaking.
6. Have a land-based phone or reliable cell phone reception.
Exclusion Criteria:
1. Non-correctable hearing loss.
2. Moderate-severe cognitive impairment indicated by a score < 3 on a 6-item cognitive
screener.
3. Medical record documentation of severe mental illness (i.e., schizophrenia or bipolar
disorder) or active substance abuse.
4. Medical record documentation of a physical disorder with associated functional
impairment (e.g., Parkinson's disease, stroke, congestive heart failure, etc.).
We found this trial at
1
site
Dartmouth Hitchcock Medical Center Dartmouth-Hitchcock is a national leader in patient-centered health care and building...
Click here to add this to my saved trials
