A Pilot Study of a Brief Pre-Operative Intervention for Patients Undergoing Breast Surgery
| Status: | Completed |
|---|---|
| Conditions: | Breast Cancer, Cancer |
| Therapuetic Areas: | Oncology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 10/8/2017 |
| Start Date: | June 2016 |
| End Date: | February 2017 |
This study is to assess the feasibility of using a positive activities intervention, Positive
Piggy Bank, in newly diagnosed women with breast cancer who will soon undergo surgery. A
randomized controlled pilot trial of a brief self-guided positive activities intervention,
The Positive Piggy Bank (PPB), compared to Treatment as Usual. The PPB intervention involves
noting at least one positive event each day, writing it down on a slip of paper and then
depositing this piece of paper in a piggy bank. This practice is to take place at the end of
the day, every day over a circumscribed period of time. At the end of the "deposit period,"
in the case of this study after approximately 21 days, the participant "closes the account"
and makes a full withdrawal by taking all of the slips out of the piggy bank and reading each
one on the night before surgery.
Piggy Bank, in newly diagnosed women with breast cancer who will soon undergo surgery. A
randomized controlled pilot trial of a brief self-guided positive activities intervention,
The Positive Piggy Bank (PPB), compared to Treatment as Usual. The PPB intervention involves
noting at least one positive event each day, writing it down on a slip of paper and then
depositing this piece of paper in a piggy bank. This practice is to take place at the end of
the day, every day over a circumscribed period of time. At the end of the "deposit period,"
in the case of this study after approximately 21 days, the participant "closes the account"
and makes a full withdrawal by taking all of the slips out of the piggy bank and reading each
one on the night before surgery.
Fifty participants will complete questionnaires at baseline (Day 1), then they will be
randomized 1:1 to the Positive Piggy Bank condition (n=25) or Treatment as Usual (n = 25)
approximately 3 weeks before surgery. Post-intervention (Day of Surgery) and 14 days
post-surgery, participants will complete the same questionnaires. The 14 day post surgery
questionnaires will be administered by phone.
Intervention Procedures - The Positive Piggy Bank. Participants randomized to this group will
first get an overview of the intervention, learn about the rationale for this treatment, and
receive supplies including the instructions on a decorative card, a piggy bank, and paper
currency slips (pieces of lined paper with a place for the date). Participants in this group
will be instructed to do the activities as detailed above in the Positive Piggy Bank
instructions daily until the evening before surgery (approximately 21 days). On the evening
before surgery, they are to "close their account" by opening the piggy bank and reviewing all
of the slips of paper.
Study personnel will contact patients within 72 hours of beginning the study to answer
questions and/or provide encouragement. Participants will also be contacted on the day before
surgery to let them know that they should read all of their currency slips and reminded to
bring their currency slips with them to the hospital on the day of surgery.
On the day of surgery, prior to surgery they will complete the first set of follow-up
questionnaires. They will also be reminded that these same follow-up questionnaires will be
administered by phone 14 days after surgery.
The control group will serve to show the relative benefits of the Positive Piggy Bank
intervention. These participants will follow the same questionnaire completion procedures as
listed above including phone calls. The phone call at 72 hours will be to simply thank them
for their participation in the study.
randomized 1:1 to the Positive Piggy Bank condition (n=25) or Treatment as Usual (n = 25)
approximately 3 weeks before surgery. Post-intervention (Day of Surgery) and 14 days
post-surgery, participants will complete the same questionnaires. The 14 day post surgery
questionnaires will be administered by phone.
Intervention Procedures - The Positive Piggy Bank. Participants randomized to this group will
first get an overview of the intervention, learn about the rationale for this treatment, and
receive supplies including the instructions on a decorative card, a piggy bank, and paper
currency slips (pieces of lined paper with a place for the date). Participants in this group
will be instructed to do the activities as detailed above in the Positive Piggy Bank
instructions daily until the evening before surgery (approximately 21 days). On the evening
before surgery, they are to "close their account" by opening the piggy bank and reviewing all
of the slips of paper.
Study personnel will contact patients within 72 hours of beginning the study to answer
questions and/or provide encouragement. Participants will also be contacted on the day before
surgery to let them know that they should read all of their currency slips and reminded to
bring their currency slips with them to the hospital on the day of surgery.
On the day of surgery, prior to surgery they will complete the first set of follow-up
questionnaires. They will also be reminded that these same follow-up questionnaires will be
administered by phone 14 days after surgery.
The control group will serve to show the relative benefits of the Positive Piggy Bank
intervention. These participants will follow the same questionnaire completion procedures as
listed above including phone calls. The phone call at 72 hours will be to simply thank them
for their participation in the study.
Inclusion Criteria:
1. Recent diagnosis of breast cancer with pending surgery as primary treatment for breast
cancer.
2. Ages 18 and above.
3. Able to read/understand English and give consent.
4. Willing and able to comply with all aspects of study procedures.
5. No plan to initiate a new program that could affect well-being during the study period
(e.g., psychotherapy, new exercise regimen, meditation classes).
Exclusion Criteria:
1. Planned neoadjuvant systemic therapy.
2. Having a psychotic disorder or the presence of another psychiatric condition (e.g.,
severe depression [i.e., score on the PHQ-9], suicidal ideation) or cognitive
impairment (e.g., severe dyslexia, traumatic brain injury) limiting ability to give
consent and/or participate fully in the study.
3. Other factors that at the discretion of the investigators would adversely affect
study.
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