Hematopoietic and Lymphoid Cell NeoplasmSALSANCT05075759
Testing Counseling and Mobile Health Interventions to Improve Physical Activity and Diet Quality in Survivors of Childhood Cancer
A study testing Behavioral Intervention, Survey Administration and Interview in people with Hematopoietic and Lymphoid Cell Neoplasm and Malignant Solid Neoplasm, run by Fred Hutchinson Cancer Center at 2 sites in United States.
Trial summary
This clinical trial evaluates several behavioral interventions for the improvement of physical activity in cancer patients. Childhood and adolescent/young adult cancer survivors have been reported to have poor diet quality and rarely meet recommended physical activity guidelines. Read more about this study
- Who is it for?
- Ages 18 to 54 years
- Conditions the study is for
- Hematopoietic and Lymphoid Cell Neoplasm, Malignant Solid Neoplasm
- What is being tested?
- Behavioral Intervention, Survey Administration and Interview
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 374 participants
- Where
- 2 sitesUnited States
- Study dates
- 6 Jun 2022to 31 Dec 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 to 54 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Childhood Cancer Survivor Study (CCSS) participant who is between age 18 to < 55 years at time of initial approach
- Moderate to high CV risk status based on CCSS risk prediction models for cardiomyopathy and ischemic heart disease
- Able to read, write, and speak English
- Ability to understand and the willingness to provide informed consent
- At least one of the following:
- Less than 30 minutes/day of moderate to vigorous physical activity (MVPA) based on validated self-report instrument (Godin)
Show all 10Show fewer
- Healthy Eating Index (HEI)-2015 score < 60 per study food frequency questionnaire (FFQ)
- Body mass index (BMI) >= 25 kg/m^2 per self-reported height and weight
- Be free of any known (self-reported) ischemic heart disease or cardiomyopathy
- Have internet access (can be via smartphone or computer; if neither device is available, the study can loan participants a Wi-Fi enabled device, but participant will need to have access to the internet)
Who cannot join
- Individuals with known cardiomyopathy or ischemic heart disease based on prior CCSS surveys are excluded. While not likely to be common, participants who newly report in our study's screening questionnaire that they have newly diagnosed cardiomyopathy or ischemic heart disease will also be excluded
- Having any self-reported contraindication to walking or being physically active
- Not currently known to be pregnant; individuals known to be pregnant and otherwise eligible for the study can be enrolled once no longer known to be pregnant. Participants who report being pregnant after randomization can remain in the study
- Individuals receiving active cancer treatment. Participants who report starting active cancer treatment after randomization can remain in the study
Trial locations and contacts
2 sites in 1 country.
United States2 sites
St. Jude Children's Research Hospital
Memphis, Tennessee, 38105
Fred Hutch/University of Washington Cancer Consortium
Seattle, Washington, 98109
About this study
Official title: SALSA: Study of Active LifeStyle Activation
This clinical trial evaluates several behavioral interventions for the improvement of physical activity in cancer patients. Childhood and adolescent/young adult cancer survivors have been reported to have poor diet quality and rarely meet recommended physical activity guidelines. This trial aims to see whether a tailored intervention based on self-determination theory may help to improve physical activity and dietary change.
Read the detailed description
OUTLINE: Patients are randomized to Arms 1, 2, or 3.
ARM 1: Patients receive a personalized clinician-led self-management telehealth session at baseline and 2 months. Patients with poor response at 3 months are randomized to Arm 2 or 4, otherwise patients receive the same telehealth session at months 4 and 6. Patients may receive 2 additional telehealth sessions after 6 months.
ARM 2: Patients receive personalized goal setting for daily steps and activity (updated weekly) and 3 dietary goals (updated monthly) with social media peer support for 6 months. Patients with poor response at 3 months are randomized to Arms 1 or 4. Patients may receive personalized goal setting for daily steps and activity (updated monthly) and dietary goals (updated every 2 months) after 6 months.
ARM 3: Patients receive no intervention for 12 months. After 12 months, they may optionally receive their choice of intervention for up to 6 months.
ARM 4: If Arms 1 or 2 patients have poor response after 3 months, patients may be re-randomized to Arm 4. Patients receive remote sessions with a health coach every 1-2 weeks for 3 months. Patients may continue to receive remote sessions once a month after 3 months, during the maintenance phase (months 6-12).
- Being tested
- Behavioral Intervention, Survey Administration, Interview
- Medical subject headings
- Hematologic Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Behavioral InterventionBehavioural
Also called Behavior Conditioning Therapy, Behavior Modification, Behavior or Life Style Modifications, Behavior Therapy
Receive personalized clinician-led self-management telehealth sessions
Behavioral InterventionBehavioural
Also called Behavior Conditioning Therapy, Behavior Modification, Behavior or Life Style Modifications, Behavior Therapy
Receive personalized goal setting for daily steps and activity and dietary goals
Behavioral InterventionBehavioural
Also called Behavior Conditioning Therapy, Behavior Modification, Behavior or Life Style Modifications, Behavior Therapy
Remote sessions with a health coach
Survey AdministrationOther
Ancillary studies
InterviewOther
Ancillary studies
| Study group | Role | What they receive |
|---|---|---|
| Arm 1 (personalized clinician-led self-management telehealth) | Experimental | Patients receive a personalized clinician-led self-management telehealth session at baseline and 2 months. Patients with poor response at 3 months are randomized to Arm 2 or 4, otherwise patients receive the same telehealth session at months 4 and 6. Patients may receive 2 additional telehealth sessions after 6 months. Receives: Behavioral: Behavioral Intervention; Other: Survey Administration; Other: Interview |
| Arm 2 (personalized goal setting) | Experimental | Patients receive personalized goal setting for daily steps and activity (updated weekly) and 3 dietary goals (updated monthly) with social media peer support for 6 months. Patients with poor response at 3 months are randomized to Arms 1 or 4. Patients may receive personalized goal setting for daily steps and activity (updated monthly) and dietary goals (updated monthly) after 6 months. Receives: Behavioral: Behavioral Intervention; Other: Survey Administration; Other: Interview |
| Arm 3 (waitlist) | Active comparator | Patients receive no intervention for 12 months. After 12 months, they may optionally receive their choice of intervention for up to 6 months. Receives: Other: Survey Administration; Other: Interview |
| Arm 4 (remote sessions with a health coach) | Experimental | Arm 1 and 2 patients with poor response after 3 months can be re-randomized to Arm 4. Patients receive remote sessions with a health coach every 1-2 weeks for 3 months. Patients may continue to receive remote sessions once a month after 3 months, during the maintenance phase (months 6-12). Receives: Behavioral: Behavioral Intervention; Other: Survey Administration |
What is being measured
The primary outcome is the main question the study is designed to answer.
Sedentary time
<100 counts/minute as measured by research-grade accelerometry
Measured: Up to 12 months
Healthy Eating Index (HEI)-2015 score
On a scale of 100 (perfect score) as measured by Food Frequency Questionnaire
Measured: Up to 12 months
Secondary outcomes (3)
Participant engagement
As measured by: 1) response to clinician action plans [score of 0-10; 10 being most engaged]; 2) use of mHealth apps [e.g., number of days with daily steps ≥500; number of days with recorded calories ≥500; social media interactions counting viewing, liking, or posting comments]; and 3) number of sessions completed with lifestyle health coach and coach's rating of engagement [score of 0-10; 10 being most engaged]
Measured: Up to 12 months
Health-related self-efficacy scale
Per Schwarzer R, et al. and converted to T-score (higher equaling greater self-efficacy)
Measured: Up to 12 months
Multidimensional Health Locus of Control Scale
Per Wallston KA, et al. with 3 subscales: internal, chance, and powerful others (each scored from 6-36, with higher values indicating greater agreement with that subscale's locus on control beliefs)
Measured: Up to 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Oct 2021
- Study start6 Jun 2022
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Hematopoietic and Lymphoid Cell NeoplasmStudies of the same condition, open and under way.
- More trials run by Fred Hutchinson Cancer CenterThe sponsor's other registered studies.
- 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 374 participants (actual)
Sponsor and investigators
- Lead sponsor
- Fred Hutchinson Cancer Center
- Sponsor type
- University, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Responsible party
- Sponsor
- Investigators
- Eric J. Chow, Principal investigator, Fred Hutch/University of Washington Cancer Consortium
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05075759
- Sponsor's protocol ID
- RG1121690
- Other IDs
- NCI-2021-09186, 10784, R01CA263144
- Acronym
- SALSA
- Status last verified
- Oct 2026
- First submitted
- 13 Sep 2021
- Last updated
- 27 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Chow E, Lee E, Hershberger M, Jenssen K, Di C, Doody D, Hogue B, Mendoza J, Muller T, Schenk J, Syrjala K, Xu Y, Yi J, Zhao YQ, Armstrong G, Neuhouser M, Oeffinger K. Protocol for a Sequential Multiple Assignment Randomized Trial to Improve Physical Activity and Diet Quality in Survivors of Cancer. JMIR Res Protoc. 2026 Aug 13;15:e104572. doi: 10.2196/104572.
PubMed 42594273
Study at a glance
From the registry record, last updated by the sponsor on 27 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- SALSA: Study of Active LifeStyle Activation
- ClinicalTrials.gov ID
- NCT05075759
- Acronym / sponsor ID
- SALSA / RG1121690
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 374 participants (actual)
- Lead sponsor
- Fred Hutchinson Cancer CenterUniversity, hospital or other
- Collaborators
- National Cancer Institute (NCI)
- Study start
- 6 Jun 2022 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2026 (estimated)
- First posted
- 13 Oct 2021 (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 clinical trial evaluates several behavioral interventions for the improvement of physical activity in cancer patients. Childhood and adolescent/young adult cancer survivors have been reported to have poor diet quality and rarely meet recommended physical activity guidelines. This trial aims to see whether a tailored intervention based on self-determination theory may help to improve physical activity and dietary change.
Detailed description
OUTLINE: Patients are randomized to Arms 1, 2, or 3.
ARM 1: Patients receive a personalized clinician-led self-management telehealth session at baseline and 2 months. Patients with poor response at 3 months are randomized to Arm 2 or 4, otherwise patients receive the same telehealth session at months 4 and 6. Patients may receive 2 additional telehealth sessions after 6 months.
ARM 2: Patients receive personalized goal setting for daily steps and activity (updated weekly) and 3 dietary goals (updated monthly) with social media peer support for 6 months. Patients with poor response at 3 months are randomized to Arms 1 or 4. Patients may receive personalized goal setting for daily steps and activity (updated monthly) and dietary goals (updated every 2 months) after 6 months.
ARM 3: Patients receive no intervention for 12 months. After 12 months, they may optionally receive their choice of intervention for up to 6 months.
ARM 4: If Arms 1 or 2 patients have poor response after 3 months, patients may be re-randomized to Arm 4. Patients receive remote sessions with a health coach every 1-2 weeks for 3 months. Patients may continue to receive remote sessions once a month after 3 months, during the maintenance phase (months 6-12).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Sequential
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Arm 1 (personalized clinician-led self-management telehealth) | Experimental | Behavioral: Behavioral Intervention, Other: Survey Administration, Other: InterviewPatients receive a personalized clinician-led self-management telehealth session at baseline and 2 months. Patients with poor response at 3 months are randomized to Arm 2 or 4, otherwise patients receive the same telehealth session at months 4 and 6. Patients may receive 2 additional telehealth sessions after 6 months. |
| Arm 2 (personalized goal setting) | Experimental | Behavioral: Behavioral Intervention, Other: Survey Administration, Other: InterviewPatients receive personalized goal setting for daily steps and activity (updated weekly) and 3 dietary goals (updated monthly) with social media peer support for 6 months. Patients with poor response at 3 months are randomized to Arms 1 or 4. Patients may receive personalized goal setting for daily steps and activity (updated monthly) and dietary goals (updated monthly) after 6 months. |
| Arm 3 (waitlist) | Active comparator | Other: Survey Administration, Other: InterviewPatients receive no intervention for 12 months. After 12 months, they may optionally receive their choice of intervention for up to 6 months. |
| Arm 4 (remote sessions with a health coach) | Experimental | Behavioral: Behavioral Intervention, Other: Survey AdministrationArm 1 and 2 patients with poor response after 3 months can be re-randomized to Arm 4. Patients receive remote sessions with a health coach every 1-2 weeks for 3 months. Patients may continue to receive remote sessions once a month after 3 months, during the maintenance phase (months 6-12). |
Who may qualify
- Ages
- 18 to 54 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (10 listed)
- Childhood Cancer Survivor Study (CCSS) participant who is between age 18 to < 55 years at time of initial approach
- Moderate to high CV risk status based on CCSS risk prediction models for cardiomyopathy and ischemic heart disease
- Able to read, write, and speak English
- Ability to understand and the willingness to provide informed consent
- At least one of the following:
Key exclusion criteria (4 listed)
- Individuals with known cardiomyopathy or ischemic heart disease based on prior CCSS surveys are excluded. While not likely to be common, participants who newly report in our study's screening questionnaire that they have newly diagnosed cardiomyopathy or ischemic heart disease will also be excluded
- Having any self-reported contraindication to walking or being physically active
- Not currently known to be pregnant; individuals known to be pregnant and otherwise eligible for the study can be enrolled once no longer known to be pregnant. Participants who report being pregnant after randomization can remain in the study
- Individuals receiving active cancer treatment. Participants who report starting active cancer treatment after randomization can remain in the study
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 |
|---|---|---|
| Behavioral InterventionAlso: Behavior Conditioning Therapy, Behavior Modification, Behavior or Life Style Modifications, Behavior TherapyReceive personalized clinician-led self-management telehealth sessions | Behavioural | Arm 1 (personalized clinician-led self-management telehealth) |
| Behavioral InterventionAlso: Behavior Conditioning Therapy, Behavior Modification, Behavior or Life Style Modifications, Behavior TherapyReceive personalized goal setting for daily steps and activity and dietary goals | Behavioural | Arm 2 (personalized goal setting) |
| Behavioral InterventionAlso: Behavior Conditioning Therapy, Behavior Modification, Behavior or Life Style Modifications, Behavior TherapyRemote sessions with a health coach | Behavioural | Arm 4 (remote sessions with a health coach) |
| Survey AdministrationAncillary studies | Other | Arm 1 (personalized clinician-led self-management telehealth), Arm 2 (personalized goal setting), Arm 3 (waitlist), Arm 4 (remote sessions with a health coach) |
| InterviewAncillary studies | Other | Arm 1 (personalized clinician-led self-management telehealth), Arm 2 (personalized goal setting), Arm 3 (waitlist) |
Primary outcome
Sedentary time
Time frame: Up to 12 months
<100 counts/minute as measured by research-grade accelerometry
Healthy Eating Index (HEI)-2015 score
Time frame: Up to 12 months
On a scale of 100 (perfect score) as measured by Food Frequency Questionnaire
3 secondary outcomes
Participant engagement
Time frame: Up to 12 months
Health-related self-efficacy scale
Time frame: Up to 12 months
Multidimensional Health Locus of Control Scale
Time frame: Up to 12 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 27 Oct 2026.
- Derived from this study: PubMed 42594273Chow E, Lee E, Hershberger M, Jenssen K, Di C, Doody D, Hogue B, Mendoza J, Muller T, Schenk J, Syrjala K, Xu Y, Yi J, Zhao YQ, Armstrong G, Neuhouser M, Oeffinger K. Protocol for a Sequential Multiple Assignment Randomized Trial to Improve Physical Activity and Diet Quality in Survivors of Cancer. JMIR Res Protoc. 2026 Aug 13;15:e104572. doi: 10.2196/104572.
- 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.
Eric J. Chow principal investigator
Fred Hutch/University of Washington Cancer Consortium
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Behavioral Intervention, Survey Administration and Interview in people with Hematopoietic and Lymphoid Cell Neoplasm and Malignant Solid Neoplasm, run by Fred Hutchinson Cancer Center at 2 sites 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 10 inclusion and 4 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: under way, not looking for participants, as of the sponsor's last update on 27 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites 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?
This study is still under way. Results are not available in the source record yet.
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?
Sedentary time (time frame: Up to 12 months). 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 NCT05075759, 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 27 Oct 2026.