Stage I Gastric CancerNCT04394585
Effect of Smart Phone App-based Human Coaching Program in Gastrectomized Patients
A study testing smart phone app based human coaching program in people with Stage I Gastric Cancer, run by National Cancer Center, Korea at 1 site in South Korea.
Trial summary
This study is a single center, prospective, randomized controlled study. The aim of this study is to evaluate the effect of smart phone app-based human coaching program on QOL in patients who underwent gastrectomy for stage I gastric cancer. Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- Stage I Gastric Cancer
- What is being tested?
- smart phone app based human coaching program
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 180 participants
- Where
- 1 siteSouth Korea
- Study dates
- 11 May 2020to 31 Dec 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
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 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- patient aged 19 or more
- patient diagnosed as stage I in preoperative examination
- planned distal gastrectomy or total gastrectomy
- patient who can use smart phone app or whose family can help the
- patient to use the smart phone app
Who cannot join
- pregnant
- disabled to communication
- patient who cannot use smart phone app
Trial locations and contacts
1 site in 1 country.
About this study
Official title: A Study Evaluating Effect of Smart Phone App-based Human Coaching Program on QOL in Patients Who Underwent Gastrectomy for Stage I Gastric Cancer
This study is a single center, prospective, randomized controlled study. The aim of this study is to evaluate the effect of smart phone app-based human coaching program on QOL in patients who underwent gastrectomy for stage I gastric cancer. The hypothesis of this study is the patients who used smart phone app-based human coaching program for three months after surgery will have better QOL than patients who did not use it. The QOL will be assessed using EORTC QLQ C30 and STO22 at 3 months postoperatively. The secondary endpoints are QOL at 6 months postoperatively, 12 months postoperative, food intake, body composition, and nutritional indicators from blood test.
Read the detailed description
< Patient enrollment>
- 90 patients in each group, a total of 180 patients
- 1:1 Randomization using permutated mixed block randomization
- stratified by surgical extent (distal gastrectomy vs. total gastrectomy)
- using nQuery program and web-based management system
- Before discharge, patients are informed how to use the smart phone app and registered to the app.
- Patients use the app after discharge until 3 months postoperatively.
- Conditions
- Stage I Gastric Cancer
- Being tested
- smart phone app based human coaching program
- Keywords
- gastric cancer, quality of life, smart phone app, human coaching program
- Medical subject headings
- Stomach Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
smart phone app based human coaching programBehavioural
- experimental arm
- 1:1 coaching using smart phone app
- Patients are provided several articles about postoperative care (symptom management, diet, and exercise) in the app.
- Patients are encouraged to report their diet diaries and exercise everyday by the coach.
- Patients can ask to the coach using the app and the coach answer when they check them.
- Comparator arm - Patient have consulting with clinical nutritionist at 1 month and 3 months postoperatively.
| Study group | Role | What they receive |
|---|---|---|
| Smart phone app group | Experimental | Patients used smart phone app based human coaching program for 3 months postoperatively. Receives: Behavioral: smart phone app based human coaching program |
| Nutritional consultation group | Active comparator | Patients have two consulting with clinical nutritionist at 1 month and 3 months postoperatively. Receives: Behavioral: smart phone app based human coaching program |
What is being measured
The primary outcome is the main question the study is designed to answer.
Eating restriction score (XEatR) at 1 month postoperatively
Eating resection scale is calculated according to the following equation. a. Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4): EatR = (Q41+Q42+Q43+Q46)/4 b. Carry out a linear transformation to convert to a 1-100 scale: XEatR = (EatR-1)*100/3 The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22. Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum). Higher scores mean having more symptom and worse quality of life.
Measured: 1 month postoperatively
Eating restriction score (XEatR) at 3 months postoperatively
Eating resection scale is calcuated according to the following equation.
- Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4): EatR = (Q41+Q42+Q43+Q46)/4
- Carry out a linear transformation to convert to a 1-100 scale:
XEatR = (EatR-1)*100/3
The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22.
Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum).
Higher scores mean having more symptom and worse quality of life.
Measured: 3 months postoperatively
Secondary outcomes (8)
Eating restriction score (XEatR) at 6 months postoperatively
Eating resection scale is calcuated according to the following equation.
- Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4): EatR = (Q41+Q42+Q43+Q46)/4
- Carry out a linear transformation to convert to a 1-100 scale:
XEatR = (EatR-1)*100/3
The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22.
Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum).
Higher scores mean having more symptom and worse quality of life.
Measured: 6 months postoperatively
Eating restriction score (XEatR) at 12 months postoperatively
Eating resection scale is calcuated according to the following equation.
- Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4): EatR = (Q41+Q42+Q43+Q46)/4
- Carry out a linear transformation to convert to a 1-100 scale:
XEatR = (EatR-1)*100/3
The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22.
Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum).
Higher scores mean having more symptom and worse quality of life.
Measured: 12 months postoperatively
food intake
difference of food amount between discharge day and postoperative 1 month
Measured: discharge day: up to 3 weeks postoperatively,1 month postoperatively
Body weight
patient's weight in kilograms
Measured: 3 months postoperatively
serum albumin
g/dL
Measured: 3 months postoperatively
serum protein
g/dL
Measured: 3 months postoperatively
serum cholesterol
g/dL
Measured: 3 months postoperatively
seum hemoglobin
g/dL
Measured: 3 months postoperatively
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 May 2020
- Study start11 May 2020
- Primary completion2 Nov 2022
- Study completion31 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Stage I Gastric CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 180 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Cancer Center, Korea
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Bang Wool Eom, National Cancer Center, Korea
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04394585
- Sponsor's protocol ID
- 1910242
- Status last verified
- Apr 2025
- First submitted
- 10 May 2020
- Last updated
- 13 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Eom BW, Han M, Yoon HM, Kim YW, Kim SY, Oh JM, Wie GA, Ryu KW. Improvement in Quality of Life After Early Interactive Human Coaching via a Mobile App in Postgastrectomy Patients With Gastric Cancer: Prospective Randomized Controlled Trial. JMIR Mhealth Uhealth. 2025 Dec 18;13:e75445. doi: 10.2196/75445.
PubMed 41411643Kim HJ, Yoon HM, Ryu KW, Kim YW, Kim SY, Oh JM, Wie GA, Ko H, Lee J, Kim Y, Cho H, Eom BW. An early interactive human coaching via a mobile application to improve quality of life in patients who underwent gastrectomy for gastric cancer: Design and protocol of a randomized controlled trial. PLoS One. 2022 Dec 9;17(12):e0278370. doi: 10.1371/journal.pone.0278370. eCollection 2022.
PubMed 36490244
Study at a glance
From the registry record, last updated by the sponsor on 13 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Study Evaluating Effect of Smart Phone App-based Human Coaching Program on QOL in Patients Who Underwent Gastrectomy for Stage I Gastric Cancer
- ClinicalTrials.gov ID
- NCT04394585
- Acronym / sponsor ID
- 1910242
- Conditions
- Stage I Gastric Cancer
- Keywords
- gastric cancer, quality of life, smart phone app, human coaching program
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 180 participants (actual)
- Lead sponsor
- National Cancer Center, KoreaOther government
- Study start
- 11 May 2020 (actual)
- Primary completion
- 2 Nov 2022 (actual)
- Study completion
- 31 Dec 2023 (actual)
- First posted
- 19 May 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study is a single center, prospective, randomized controlled study. The aim of this study is to evaluate the effect of smart phone app-based human coaching program on QOL in patients who underwent gastrectomy for stage I gastric cancer. The hypothesis of this study is the patients who used smart phone app-based human coaching program for three months after surgery will have better QOL than patients who did not use it. The QOL will be assessed using EORTC QLQ C30 and STO22 at 3 months postoperatively. The secondary endpoints are QOL at 6 months postoperatively, 12 months postoperative, food intake, body composition, and nutritional indicators from blood test.
Detailed description
< Patient enrollment>
- 90 patients in each group, a total of 180 patients
- 1:1 Randomization using permutated mixed block randomization
- stratified by surgical extent (distal gastrectomy vs. total gastrectomy)
- using nQuery program and web-based management system
- Before discharge, patients are informed how to use the smart phone app and registered to the app.
- Patients use the app after discharge until 3 months postoperatively.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Smart phone app group | Experimental | Behavioral: smart phone app based human coaching programPatients used smart phone app based human coaching program for 3 months postoperatively. |
| Nutritional consultation group | Active comparator | Behavioral: smart phone app based human coaching programPatients have two consulting with clinical nutritionist at 1 month and 3 months postoperatively. |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- patient aged 19 or more
- patient diagnosed as stage I in preoperative examination
- planned distal gastrectomy or total gastrectomy
- patient who can use smart phone app or whose family can help the
- patient to use the smart phone app
Key exclusion criteria (3 listed)
- pregnant
- disabled to communication
- patient who cannot use smart phone app
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| smart phone app based human coaching program1. experimental arm * 1:1 coaching using smart phone app * Patients are provided several articles about postoperative care (symptom management, diet, and exercise) in the app. * Patients are encouraged to report their diet diaries and exercise everyday by the coach. * Patients can ask to the coach using the app and the coach answer when they check them. 2. Comparator arm - Patient have consulting with clinical nutritionist at 1 month and 3 months postoperatively. | Behavioural | Nutritional consultation group, Smart phone app group |
Primary outcome
Eating restriction score (XEatR) at 1 month postoperatively
Time frame: 1 month postoperatively
Eating resection scale is calculated according to the following equation. a. Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4): EatR = (Q41+Q42+Q43+Q46)/4 b. Carry out a linear transformation to convert to a 1-100 scale: XEatR = (EatR-1)*100/3 The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22. Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum). Higher scores mean having more symptom and worse quality of life.
Eating restriction score (XEatR) at 3 months postoperatively
Time frame: 3 months postoperatively
Eating resection scale is calcuated according to the following equation. 1. Add questionnaire items 41,42, 43 and 46 and divide this sum by the number of items (4): EatR = (Q41+Q42+Q43+Q46)/4 2. Carry out a linear transformation to convert to a 1-100 scale: XEatR = (EatR-1)*100/3 The 4 items are belong to European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) STO22. Each item has a value among 1, 2, 3, and 4 according to the answer and the scale score has a value ranging 0 (minimum) to 100 (maximum). Higher scores mean having more symptom and worse quality of life.
8 secondary outcomes
Eating restriction score (XEatR) at 6 months postoperatively
Time frame: 6 months postoperatively
Eating restriction score (XEatR) at 12 months postoperatively
Time frame: 12 months postoperatively
food intake
Time frame: discharge day: up to 3 weeks postoperatively,1 month postoperatively
Body weight
Time frame: 3 months postoperatively
serum albumin
Time frame: 3 months postoperatively
serum protein
Time frame: 3 months postoperatively
serum cholesterol
Time frame: 3 months postoperatively
seum hemoglobin
Time frame: 3 months postoperatively
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Apr 2025.
- Derived from this study: PubMed 41411643Eom BW, Han M, Yoon HM, Kim YW, Kim SY, Oh JM, Wie GA, Ryu KW. Improvement in Quality of Life After Early Interactive Human Coaching via a Mobile App in Postgastrectomy Patients With Gastric Cancer: Prospective Randomized Controlled Trial. JMIR Mhealth Uhealth. 2025 Dec 18;13:e75445. doi: 10.2196/75445.
- Derived from this study: PubMed 36490244Kim HJ, Yoon HM, Ryu KW, Kim YW, Kim SY, Oh JM, Wie GA, Ko H, Lee J, Kim Y, Cho H, Eom BW. An early interactive human coaching via a mobile application to improve quality of life in patients who underwent gastrectomy for gastric cancer: Design and protocol of a randomized controlled trial. PLoS One. 2022 Dec 9;17(12):e0278370. doi: 10.1371/journal.pone.0278370. eCollection 2022.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing smart phone app based human coaching program in people with Stage I Gastric Cancer, run by National Cancer Center, Korea at 1 site in South Korea.
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 5 inclusion and 3 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 2025. 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 South Korea. 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?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Eating restriction score (XEatR) at 1 month postoperatively (time frame: 1 month postoperatively). The study lists 2 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 NCT04394585, 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 13 Apr 2025; AzTrials last refreshed its copy on 3 Nov 2026.