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AzTrials

Cancer SurvivorNCT02699983

eHealth Weight Loss Program in African American Breast Cancer Survivors

A study testing Behavioral Dietary Intervention, Exercise Intervention and Activity Monitoring Device in people with Cancer Survivor and Stage IA Breast Cancer, run by Rutgers, The State University of New Jersey at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This randomized pilot clinical trial studies how well a virtual weight loss program (SparkPeople) works in helping female African American breast cancer survivors maintain a healthy weight. Many patients with breast cancer are overweight or gain weight after diagnosis. Read more about this study

Who is it for?
Ages 21 to 75 years, women only
What is being tested?
Behavioral Dietary Intervention, Exercise Intervention and Activity Monitoring Device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
35 participants
Where
1 siteUnited States
Study dates
8 Jan 2016to 29 Jul 2018
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 75 years
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients must have evidence of histologically confirmed breast cancer, stage 0, I, II or III, and be at least 2 years post diagnosis
  • Patient is self-identified as African-American
  • Patient is overweight or obese (body mass index [BMI] >= 25 kg/m^2)
  • Patient is able to understand and read English
  • Patient must have home internet or smartphone access
  • Patient must give informed consent for this new study

Who cannot join

  • Patient has a serious medical condition (e.g., stroke, liver or renal failure, congestive heart failure, myocardial infarction or cardiac surgery in past year, angina pectoris) that would compromise the safety of the patient or compromise the patient's ability to complete the study, at the discretion of the investigator
  • Patient has serious psychiatric condition (e.g., bipolar disorder, schizophrenia or other psychosis, bulimia or anorexia nervosa, suicide attempt within 6 months or current active suicidal ideation) that would compromise the patient's ability to complete the study, at the discretion of the investigator
  • Patient has severe disabilities limiting moderate physical activity, such as severe orthopedic conditions
  • Patient is planning major surgery within the next 6 months
  • Patient is taking medications or supplements for weight loss currently or within the past 3 months
  • Patient has successfully lost 5% of body weight in the previous 6 months or has had bariatric surgery
  • Patient is pregnant, breastfeeding, has given birth within the last 3 months or planning pregnancy within the next 12 months; if participant becomes pregnant during the course of the study, she will be removed from further participation
  • Patient is anticipating leaving the area within the next 12 months

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Rutgers Robert Wood Johnson Medical School

    New Brunswick, New Jersey, 08901

Other trials in United States

About this study

Official title: Virtual Weight Loss Program for African-American Breast Cancer Survivors

This randomized pilot clinical trial studies how well a virtual weight loss program (SparkPeople) works in helping female African American breast cancer survivors maintain a healthy weight. Many patients with breast cancer are overweight or gain weight after diagnosis. SparkPeople is a free web-based weight loss program that features educational and motivational articles and videos, self-monitoring tools, incentives, social support communities (including discussion forums, teams, challenges, and expert blogs), and options for content to be delivered to members' email. It is a comprehensive program that includes advice on diet, physical activity, and behavioral strategies (such as self-monitoring diet and exercise), and emphasizes safe weight loss and receiving medical attention regularly when needed. A web-based program such as SparkPeople may help breast cancer survivors maintain a healthy weight, which may reduce the risk of cancer returning and patient fatigue, and improve patient quality of life.

Read the detailed description

PRIMARY OBJECTIVES:

  1. Determine feasibility of using a free online commercial weight loss program (SparkPeople) in African-American (AA) breast cancer survivors, as measured by: 1) Accrual: percent (%) patients recruited and completing baseline assessments; 2) Study retention: % patients completing 6 month follow-up assessment; 3) Intervention adherence and sustainability (measured at 3, 6, 12 months): a) use of website- number of log-ins, time spent, and use of features such as food diaries, joining teams, posting on message boards (provided by SparkPeople); b) use of Fitbit monitor- % patients who wore the monitor and synced data; c) satisfaction (e.g., ease of use of website, usefulness of content, extra training and support needed) and barriers to participation (e.g., lack of computer access, lack of skills, time, interest, etc.).

SECONDARY OBJECTIVES:

  1. Collect preliminary data on effect sizes of changes in our outcomes and potential mediators associated with the use of the online weight loss program.

OUTLINE: Patients are randomized to 1 of 2 groups.

All patients receive a handout of their personalized goals for weight loss, diet, and physical activity, with instructions to proceed slowly and as tolerated. Patients also wear a Fitbit monitoring device to monitor physical activity levels daily.

GROUP I: Patients receive one 30-minute session with the research assistant for training on how to use the SparkPeople website, and may request additional training if needed. Patients are instructed to self-monitor their diet at least weekly using SparkPeople and physical activity levels daily using the Fitbit monitoring device, which integrates with the SparkPeople program. Patients receive weekly motivational reminders to log into the website for 3 months via email, text, or phone, based on patient preference (active phase). Patients then enter the maintenance phase for an additional 3 months without reminders.

GROUP II: Patients receive the weight loss handout and a Fitbit health monitoring device and proceed with their usual life. After 6 months, patients receive the SparkPeople treatment as in Group I.

Being tested
Behavioral Dietary Intervention, Exercise Intervention, Activity Monitoring Device
Medical subject headings
Breast Neoplasms, Breast Carcinoma In Situ

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Behavioral Dietary InterventionBehavioural

    Use SparkPeople web-based program

  • Exercise InterventionBehavioural

    Use Fitbit monitor and SparkPeople web-based program

  • Activity Monitoring DeviceDevice

    Also called Monitor

    Wear Fitbit activity monitoring device

Study groups in NCT02699983
Study groupRoleWhat they receive
Group I (SparkPeople program)ExperimentalParticipants receive one 30-minute session with the research assistant for training on how to use the SparkPeople website, and they may request additional training if needed. Participants are instructed to self-monitor their diet at least weekly using the SparkPeople tool, and to self-monitor their activity daily using the Fitbit monitoring device. Participants receive weekly motivational reminders to log into the website for 3 months via email, text, or phone, based on patient preference (active phase). Participants then enter the maintenance phase for 3 months without reminders. All participants answer survey questions on quality of life and social cognitive theory variables and undergo anthropometric measurements at baseline, 3, and 6 months.
Receives: Behavioral: Behavioral Dietary Intervention; Behavioral: Exercise Intervention; Device: Activity Monitoring Device
Group II (wait list)Active comparatorParticipants receive the weight loss handout and a Fitbit activity monitoring device and proceed with their usual life. After 6 months, patients receive the SparkPeople treatment as in Group I. All participants answer survey questions on quality of life and social cognitive theory variables and undergo anthropometric measurements at baseline, 3 and 6 months.
Receives: Device: Activity Monitoring Device

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Recruitment Rate

    Number of eligible participants who were enrolled and randomly assigned. Feasibility is defined as >= 75% recruitment rate.

    Measured: 12 months

  2. Retention Rate

    Number of participants completing study. Feasibility will be defined as >= 80% retention rate.

    Measured: 6 months

  3. Adherence to SparkPeople- Logged in

    average number of days logged per week in to SparkPeople website

    Measured: 0-3 months after intervention

  4. Adherence to SparkPeople- Logged in

    Average number of days per week logged in to SparkPeople website

    Measured: 4-6 months after intervention

  5. Adherence to SparkPeople- Logged Food

    Average number of days per week logged food into SparkPeople

    Measured: 0-3 months after intervention

  6. Adherence to SparkPeople- Logged Food

    Average number of days per week logged food into SparkPeople

    Measured: 4-6 months after intervention

  7. Acceptability of SparkPeople

    Usefulness of SparkPeople website on 1 (not useful at all) to 4 (very useful) scale

    Measured: 0-3 months after intervention

  8. Acceptability of SparkPeople

    Usefulness of SparkPeople website on 1 (not useful at all) to 4 (very useful) scale

    Measured: 4-6 months after intervention

  9. Adherence to Fitbit

    average days used Fitbit per week

    Measured: 0-3 months after intervention

  10. Adherence to Fitbit

    average days used Fitbit per week

    Measured: 4-6 months after intervention

  11. Acceptability of Fitbit

    Usefulness of Fitbit, rated on 1 (not useful at all) to 4 (very useful) scale

    Measured: 0-3 months after intervention

  12. Acceptability of Fitbit

    Usefulness of Fitbit, rated on 1 (not useful at all) to 4 (very useful) scale

    Measured: 4-6 months after intervention

Secondary outcomes (16)
  1. Change in Weight

    Change in weight from baseline

    Measured: baseline and 3 months

  2. Change in Weight

    Change in weight from baseline

    Measured: baseline and 6 months

  3. Change in Waist Circumference

    Change in waist circumference from baseline

    Measured: baseline and 3 months

  4. Change in Waist Circumference

    Change in waist circumference from baseline

    Measured: baseline and 6 months

  5. Change in Caloric Intake

    Changes in caloric intake per day, measured by 24-hour recall

    Measured: baseline and 3 months

  6. Change in Caloric Intake

    Changes in caloric intake per day, measured by 24-hour recall

    Measured: baseline and 6 months

  7. Change in Physical Activity

    change in average number of steps per day measured using Fitbit monitor

    Measured: baseline and 3 months

  8. Change in Physical Activity

    change in average number of steps per day measured using Fitbit monitor

    Measured: baseline and 6 months

  9. Cardiopulmonary Fitness

    change in fitness, measured by the 6-minute walk test

    Measured: baseline and 3 months

  10. Cardiopulmonary Fitness

    change in fitness, measured by the 6-minute walk test

    Measured: baseline and 6 months

  11. Change in Quality of Life

    measured using Quality of Life in Adult Cancer Survivors Scale (minimum 65, maximum 257); higher scores mean worse quality of life

    Measured: baseline and 3 months

  12. Change in Quality of Life

    measured using Quality of Life in Adult Cancer Survivors Scale (minimum 65, maximum 257); higher scores mean worse quality of life

    Measured: baseline and 6 months

  13. Self-efficacy, Eating Healthy Foods

    change in self-efficacy, eating healthy foods, measured with Health Beliefs Survey, scale range 0 (certain I cannot) to 100 (certain I can)

    Measured: baseline and 3 months

  14. Self-efficacy, Eating Healthy Foods

    change in self-efficacy, eating healthy foods, measured with Health Beliefs Survey, scale range 0 (certain I cannot) to 100 (certain I can)

    Measured: baseline and 6 months

  15. Social Support for Healthy Nutrition

    change in social support for healthy nutrition, measured by Health Beliefs Survey, scale range 1 (strongly disagree) to 5 (strongly agree); a higher number, e.g., 5 (strongly agree) is the more favorable outcome

    Measured: baseline and 3 months

  16. Social Support for Healthy Nutrition

    change in social support for healthy nutrition, measured by Health Beliefs Survey, scale range 1 (strongly disagree) to 5 (strongly agree); a higher number, e.g., 5 (strongly agree) is the more favorable outcome

    Measured: baseline and 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted7 Mar 2016 (estimated)
  2. Study start8 Jan 2016
  3. Primary completion20 Jul 2018
  4. Study completion29 Jul 2018

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
35 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02699983
Sponsor's protocol ID
Pro20150001595
Other IDs
NCI-2015-02137, Pro20150001595, 131404, R21CA191431
Status last verified
Apr 2021
First submitted
1 Mar 2016
Last updated
13 Apr 2021
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Ferrante JM, Devine KA, Bator A, Rodgers A, Ohman-Strickland PA, Bandera EV, Hwang KO. Feasibility and potential efficacy of commercial mHealth/eHealth tools for weight loss in African American breast cancer survivors: pilot randomized controlled trial. Transl Behav Med. 2020 Oct 8;10(4):938-948. doi: 10.1093/tbm/iby124.

    PubMed 30535101

Questions about this trial

What is this clinical trial studying?

A study testing Behavioral Dietary Intervention, Exercise Intervention and Activity Monitoring Device in people with Cancer Survivor and Stage IA Breast Cancer, run by Rutgers, The State University of New Jersey at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Apr 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 6 Aug 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Recruitment Rate (time frame: 12 months). The study lists 12 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02699983, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Apr 2021.

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