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Breast Cancer FemaleNCT03131440

Optimization of Remotely Delivered Physical Activity Intervention for Breast Cancer Survivors

A study testing Core, Support Calls and App+ in people with Breast Cancer Female and Physical Activity, run by Northwestern University 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

The overall objective of the proposed research is to pilot test the feasibility and acceptability of a set of more scalable technology-supported physical activity promotion intervention strategies in breast cancer survivors using tMultiphase Optimization Strategy Trial (MOST) methodology. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer Female, Physical Activity
What is being tested?
Core, Support Calls and App+
Could I receive a placebo?
No, everyone receives an active treatment
How many people
280 participants
Where
1 siteUnited States
Study dates
24 Apr 2017to 17 Jun 2019
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 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Diagnosed with Stage I-III breast cancer within the last 5 years
  • Have completed last cancer treatment (adjuvant chemotherapy, radiation therapy or surgery) at least 3 months prior to enrollment
  • English speaking
  • Currently participate in less than 60 minutes of moderate and vigorous physical activity per week
  • Own a smartphone
  • Have access to a computer with Internet
  • Participants may be using adjuvant endocrine therapies.
  • Willing to be waitlisted for future wave if current wave reaches capacity

Who cannot join

  • -Women will be excluded if they report any of the following:
  • Respiratory, joint or cardiovascular problems precluding physical activity
  • Metastatic disease
  • Planned elective surgery during duration of the intervention/follow-up that would interfere with participation (e.g., breast reconstructive surgery).
  • ONLY IF PARTICIPATING IN OPTIONAL BLOOD COLLECTION:
  • A prior cardiovascular event (i.e. stroke, myocardial infarction)
  • Have been diagnosed with an acute or chronic immune system medical conditions, or conditions that impact immune and endocrine function (e.g., CFS, Lupus, rheumatoid arthritis, Hepatitis C, or immunosuppressive treatment requiring conditions)

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Northwestern University

    Chicago, Illinois, 60611

Other trials in United States

About this study

Official title: Designing With Dissemination in Mind: Optimization of a mHealth Physical Activity Intervention for Breast Cancer Survivors

The overall objective of the proposed research is to pilot test the feasibility and acceptability of a set of more scalable technology-supported physical activity promotion intervention strategies in breast cancer survivors using tMultiphase Optimization Strategy Trial (MOST) methodology. MOST involves highly efficient randomized experimentation to assess the effects of individual intervention strategies, and thereby identify which strategies and what strategy levels make the important contributions to the overall program's effect on physical activity. This information then guides assembly of an optimized physical activity program, that achieves target outcomes with least resource consumption and participant burden. The resulting intervention will have great potential for scalability because it uses technology (smartphones) participants already own and requires no on-site visits.

Being tested
Core, Support Calls, App+, Online gym, App notifications
Medical subject headings
Motor Activity

What participants receive

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

  • CoreBehavioural

    The core intervention will include educational materials, access to a basic smartphone app and a Fitbit.

  • Support CallsBehavioural

    Participants will receive 6 bi-weekly phone calls from study staff.

  • App+Behavioural

    Participants will receive "deluxe" version of smartphone app with additional features.

  • Online gymBehavioural

    Participants will receive access to online exercise videos.

  • App notificationsBehavioural

    Participants will receive motivational app notifications

  • BuddyBehavioural

    Participants will choose a buddy to receive a Fitbit and support them during the intervention.

Study groups in NCT03131440
Study groupRoleWhat they receive
Experimental Condition #1Experimentalcore, support calls
Receives: Behavioral: Core; Behavioral: Support Calls
Experimental Condition #2Experimentalcore, support calls, app+
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+
Experimental Condition #3Experimentalcore, support calls, buddy
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: Buddy
Experimental Condition #4Experimentalcore, support calls, online gym
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: Online gym
Experimental Condition #5Experimentalcore, support calls, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App notifications
Experimental Condition #6Experimentalcore, app+
Receives: Behavioral: Core; Behavioral: App+
Experimental Condition #7Experimentalcore, app+, buddy
Receives: Behavioral: Core; Behavioral: App+; Behavioral: Buddy
Experimental Condition #8Experimentalcore, app+, online gym
Receives: Behavioral: Core; Behavioral: App+; Behavioral: Online gym
Experimental Condition #9Experimentalcore, app+, app notifications
Receives: Behavioral: Core; Behavioral: App+; Behavioral: App notifications
Experimental Condition #10Experimentalcore, buddy
Receives: Behavioral: Core; Behavioral: Buddy
Experimental Condition #11Experimentalcore, buddy, online gym
Receives: Behavioral: Core; Behavioral: Online gym; Behavioral: Buddy
Experimental Condition #12Experimentalcore, buddy, app notifications
Receives: Behavioral: Core; Behavioral: App notifications; Behavioral: Buddy
Experimental Condition #13Experimentalcore, online gym
Receives: Behavioral: Core; Behavioral: Online gym
Experimental Condition #14Experimentalcore, online gym, app notifications
Receives: Behavioral: Core; Behavioral: Online gym; Behavioral: App notifications
Experimental Condition #15Experimentalcore, app notifications
Receives: Behavioral: Core; Behavioral: App notifications
Experimental Condition #16Experimentalcore, support calls, app+, buddy
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+; Behavioral: Buddy
Experimental Condition #17Experimentalcore, support calls, app+, online gym
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+; Behavioral: Online gym
Experimental Condition #18Experimentalcore, support calls, app+, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+; Behavioral: App notifications
Experimental Condition #19Experimentalcore, support calls, buddy, online gym
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: Online gym; Behavioral: Buddy
Experimental Condition #20Experimentalcore, support calls, buddy, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App notifications; Behavioral: Buddy
Experimental Condition #21Experimentalcore, support calls, online gym, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: Online gym; Behavioral: App notifications
Experimental Condition #22Experimentalcore, app+, buddy, online gym
Receives: Behavioral: Core; Behavioral: App+; Behavioral: Online gym; Behavioral: Buddy
Experimental Condition #23Experimentalcore, app+, buddy, online gym, app notifications
Receives: Behavioral: Core; Behavioral: App+; Behavioral: Online gym; Behavioral: App notifications; Behavioral: Buddy
Experimental Condition #24Experimentalcore, support calls, buddy, online gym, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: Online gym; Behavioral: App notifications; Behavioral: Buddy
Experimental Condition #25Experimentalcore, buddy, online gym, app notifications
Receives: Behavioral: Core; Behavioral: Online gym; Behavioral: App notifications; Behavioral: Buddy
Experimental Condition #26Experimentalcore, app+, online gym, app notifications
Receives: Behavioral: Core; Behavioral: App+; Behavioral: Online gym; Behavioral: App notifications
Experimental Condition #27Experimentalcore, support calls, app+, buddy, online gym
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+; Behavioral: Online gym; Behavioral: Buddy
Experimental Condition #28Experimentalcore, support calls, app+, buddy, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+; Behavioral: App notifications; Behavioral: Buddy
Experimental Condition #29Experimentalcore, support calls, app+, online gym, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+; Behavioral: Online gym; Behavioral: App notifications
Experimental Condition #30Experimentalcore
Receives: Behavioral: Core
Experimental Condition #31Experimentalcore, app+, buddy, app notifications
Receives: Behavioral: Core; Behavioral: App+; Behavioral: App notifications; Behavioral: Buddy
Experimental Condition #32Experimentalcore, support calls, app+, buddy, online gym, app notifications
Receives: Behavioral: Core; Behavioral: Support Calls; Behavioral: App+; Behavioral: Online gym; Behavioral: App notifications; Behavioral: Buddy

What is being measured

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

  1. Adherence to a 12 Week Technology Supported Physical Activity Intervention

    Adherence during the 12 week intervention will be monitored continuously using study app. This measures the average percentage of days each participant randomized wore the Fitbit during weeks 1 to 12.

    Measured: 12 weeks

  2. Participant Retention

    Percentage of participants retained at the end of the 12 week intervention of those randomized [(# of participants randomized who completed at least 1 outcome assessment measure at 12 weeks)/ # randomized*100].

    Measured: 12 weeks

  3. Intervention Reach

    Percentage of individuals randomized of those who were sent a study screening survey

    Measured: Baseline

Secondary outcomes (24)
  1. Change in Moderate to Vigorous Physical Activity From Before to After a 12-Week Intervention

    Physical activity will be measured at baseline and at 12 weeks. The ActiGraph accelerometer will be used. At each time point, participants will wear the device for 7 consecutive days during all waking hours, except when bathing or swimming. Each valid minute of wear time will be classified according to intensity (counts/min) using commonly accepted cut-points: sedentary (<100), light activity (100-2019) and moderate/vigorous physical activity (≥2020).

    Measured: Change from baseline to 12 weeks

  2. Change in Moderate to Vigorous Physical Activity From Pre-Intervention to 24-week Follow-up

    Physical activity will be measured at baseline and at 24 weeks. The ActiGraph accelerometer will be used. At each time point, participants will wear the device for 7 consecutive days during all waking hours, except when bathing or swimming. Each valid minute of wear time will be classified according to intensity (counts/min) using commonly accepted cut-points: sedentary (<100), light activity (100-2019) and moderate/vigorous physical activity (≥2020).

    Measured: Change from baseline to 24 weeks

  3. Change in Fatigue From Before to After a 12-Week Intervention

    Fatigue is measured at baseline and 12 weeks using the Patient Reported Outcomes Measurement Information System (PROMIS)-Fatigue 8a health measure. T-scores range from 33.1 to 77.8 Higher scores indicate more fatigue. T-score metric with a mean of 50 and standard deviation of 10 in the U.S. general population.

    Measured: Change from baseline to 12 weeks

  4. Change in Fatigue From Pre-Intervention to 24-Week Follow-up

    Fatigue will be measured at baseline and 24 weeks using the Patient Reported Outcomes Measurement Information System (PROMIS)-Fatigue 8a health measure. T-scores range from 33.1 to 77.8 Higher scores indicate more fatigue. T-score metric with a mean of 50 and standard deviation of 10 in the U.S. general population.

    Measured: Change from baseline to 24 weeks

  5. Change in Physical Function From Before to After a 12-Week Intervention

    Physical function will be measured at baseline and 12 weeks using the Patient Reported Outcomes Measurement Information System (PROMIS)-physical function 20a health measure. T-scores range from 32.7 to 62.7. Higher scores indicate better physical functioning. T-score metric with a mean of 50 and standard deviation of 10 in the U.S. general population.

    Measured: Change from baseline to 12 weeks

  6. Treatment Effects for Physical Function From Pre-Intervention to 24-week Follow-up

    Physical function will be measured at baseline and 24 weeks using the Patient Reported Outcomes Measurement Information System (PROMIS)-physical function 20a health measure. T-scores range from 32.7 to 62.7. Higher scores indicate better physical functioning. T-score metric with a mean of 50 and standard deviation of 10 in the U.S. general population. The treatment effect is calculated as the mean difference in the change in physical function between baseline and 24-weeks for each component on versus off.

    Measured: Change from baseline to 24 weeks

  7. Change in Depression From Before to After a 12-Week Intervention

    Depression will be measured at baseline and 12 weeks using the Patient Reported Outcomes Measurement Information System (PROMIS)-Depression 8a health measure. T-scores range from 38.2 to 81.3. Higher scores indicate more depression. T-score metric with a mean of 50 and standard deviation of 10 in the U.S. general population.

    Measured: Change from baseline to 12 weeks

  8. Change in Depression From Pre-Intervention to 24-week Follow-up

    Depression will be measured at baseline and 24 weeks using the Patient Reported Outcomes Measurement Information System (PROMIS)-Depression 8a health measure. T-scores range from 38.2 to 81.3. Higher scores indicate more depression. T-score metric with a mean of 50 and standard deviation of 10 in the U.S. general population.

    Measured: Change from baseline to 24 weeks

  9. Adherence to During the Full 24-Week Study Period

    Adherence during the 24-week study period will be monitored continuously using study app. This measure the average percentage of days each randomized participant wore the Fitbit from weeks 1 to 24.

    Measured: 24 weeks

  10. Participant Retention at 24 Week Follow-up

    Percentage of participants retained at 24 weeks of those randomized

    Measured: 24 weeks

  11. Change in Interleukin-6 (IL-6) From Before to After a12 Week Intervention (Optional)

    Interleukin-6 (IL-6) will be self-collected via finger prick to obtain dried blood spot and will be quantified using a standard multiplex electrochemiluminescent immunoassay protocol.

    Measured: Change from baseline to 12 weeks

  12. Change in Interleukin-6 (IL-6) From Pre-Intervention to 24-week Follow-up (Optional)

    Interleukin-6 (IL-6) will be self-collected via finger prick to obtain dried blood spot and will be quantified using a standard multiplex electrochemiluminscent immunoassay protocol.

    Measured: Change from baseline to 24 weeks

  13. Change in Interleukin-10 (IL-10) From Before to After a 12 Week Intervention (Optional)

    Interleukin-10 (IL-10) will be self-collected via finger prick to obtain dried blood spot and will be quantified using a standard multiplex electrochemiluminscent immunoassay protocol.

    Measured: Change from baseline to 12 weeks

  14. Change in Interleukin-10 (IL-10) From Pre-Intervention to 24-week Follow-up (Optional)

    Interleukin-10 (IL-10) will be self-collected via finger prick to obtain dried blood spot and will be quantified using a standard multiplex electrochemiluminscent immunoassay protocol. Higher IL-10 may have protective effects.

    Measured: Change from baseline to 24 weeks

  15. Change in Tumor Necrosis Factor-alpha (TNFα) From Before to After a12 Week Intervention (Optional)

    tumor necrosis factor-alpha (TNFα) will be self-collected via finger prick to obtain dried blood spot and will be quantified using a standard multiplex electrochemiluminscent immunoassay protocol. Lower values are better.

    Measured: Change from baseline to 12 weeks

  16. Change in Tumor Necrosis Factor-alpha (TNFα) From Pre-Intervention to 24-week Follow-up (Optional)

    tumor necrosis factor-alpha (TNFα) will be self-collected via finger prick to obtain dried blood spot and will be quantified using a standard multiplex electrochemiluminscent immunoassay protocol. TLower values are better.

    Measured: Change from baseline to 24 weeks

  17. Change in C-reactive Protein (CRP) From Before to After a12 Week Intervention (Optional)

    C-reactive protein (CRP) will be self-collected via finger prick to obtain dried blood spot and will be quantified using ELISA. Lower values are better.

    Measured: Change from baseline to 12 weeks

  18. Change in C-reactive Protein (CRP) From Pre-Intervention to 24-week Follow-up (Optional)

    C-reactive protein (CRP) will be self-collected via finger prick to obtain dried blood spot and will be quantified using standard ELISA. Lower values are better.

    Measured: Change from baseline to 24 weeks

  19. Change in Triglycerides From Before to After a 12 Week Intervention (Optional)

    Triglycerides are self-collected via finger prick to obtain a dried blood spot and quantified using a standard coupled enzymatic protocol.

    Measured: Change from baseline to 12 weeks

  20. Change in Triglycerides From Pre-Intervention to 24-week Follow-up (Optional)

    Triglycerides are self-collected via finger prick to obtain a dried blood spot and quantified using a standard coupled enzymatic protocol. Lower values are better.

    Measured: Change from baseline to 24 weeks

  21. Change in Blood Glucose From Before to After a 12 Week Intervention (Optional)

    Blood glucose is self-collected via finger prick to obtain a dried blood spot and quantified using a standard coupled enzymatic protocol.

    Measured: Change from baseline to 12 weeks

  22. Change in Blood Glucose From Pre-Intervention to 24-week Follow-up (Optional)

    Blood Glucose is self-collected via finger prick to obtain a dried blood spot and quantified using a standard coupled enzymatic protocol.

    Measured: Change from baseline to 24 weeks

  23. Change in High Density Lipoprotein Cholesterol (HDL) From Before to After a12 Week Intervention (Optional)

    High density lipoprotein cholesterol (HDL) is self-collected via finger prick to obtain a dried blood spot and quantified using a standard coupled enzymatic protocol.

    Measured: Change from baseline to 12 weeks

  24. Change in High Density Lipoprotein Cholesterol (HDL) From Pre-Intervention to 24-week Follow-up(Optional)

    High density lipoprotein cholesterol (HDL) is self-collected via finger prick to obtain a dried blood spot and quantified using a standard coupled enzymatic protocol.

    Measured: Change from baseline to 24 weeks

Timeline

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

  1. First posted27 Apr 2017
  2. Study start24 Apr 2017
  3. Primary completion17 Jun 2019
  4. Study completion17 Jun 2019

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
Factorial
Masking
Single blind
Who is masked
Participant
Enrolment
280 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03131440
Sponsor's protocol ID
K07CA196840
Other IDs
K07CA196840, R21CA219028-01A1
Status last verified
Feb 2023
First submitted
18 Apr 2017
Last updated
10 Mar 2023
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data collected in this study will be made available to other researchers in compliance with the NIH Data Sharing Policy.

Publications

  • Solk P, Song J, Reading J, Starikovsky J, Cullather E, Wang S, Hasanaj K, Morelli WA, Spring B, Cella D, Penedo F, Ackermann R, Courneya KS, Siddique J, Frey J, Phillips SM. Feasibility and acceptability of the Fit2Thrive mHealth physical activity promotion intervention components in breast cancer survivors. Transl Behav Med. 2025 Jan 16;15(1):ibaf033. doi: 10.1093/tbm/ibaf033.

    PubMed 40795071
  • Solk P, Song J, Welch WA, Spring B, Cella D, Penedo F, Ackermann R, Courneya KS, Siddique J, Freeman H, Starikovsky J, Mishory A, Alexander J, Wolter M, Carden L, Phillips SM. Effect of the Fit2Thrive Intervention on Patient-reported Outcomes in Breast Cancer Survivors: A Randomized Full Factorial Trial. Ann Behav Med. 2023 Aug 21;57(9):765-776. doi: 10.1093/abm/kaad024.

    PubMed 37203237

Questions about this trial

What is this clinical trial studying?

A study testing Core, Support Calls and App+ in people with Breast Cancer Female and Physical Activity, run by Northwestern University 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 8 inclusion and 7 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 10 Mar 2023. 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 10 Mar 2023). 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?

Adherence to a 12 Week Technology Supported Physical Activity Intervention (time frame: 12 weeks). The study lists 3 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 NCT03131440, which also lists 2 linked publications.

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 10 Mar 2023.

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