Gynecologic CancerNCT05466916
EDITS Pilot Study for Gynecologic Cancer Survivors
A study testing Exercise and diet education and instruction in people with Gynecologic Cancer, run by Rutgers, The State University of New Jersey at 1 site in United States.
Trial summary
The main goal in this project is to develop and pilot test a 12-week multiple health behavior change (MHBC) intervention for feasibility and acceptability. The pilot study will be guided by Multiphase Optimization Strategy (MOST) framework, which uses highly efficient experiments to systematically test and compare… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Gynecologic Cancer
- What is being tested?
- Exercise and diet education and instruction
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- 1 siteUnited States
- Study dates
- 20 Jul 2022to 14 Apr 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 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Only women will be eligible if they meet the following criteria: :
- 18 years old
- A confirmed diagnosis of gynecologic cancer, Stage > I
- Have completed treatment within five years prior to study commencement and hormonal replacement therapy is acceptable
- Are not active, defined as engaging in < 150 minutes of moderate-to-vigorous physical activity per week
- Have a potential unhealthy diet, defined as consuming < 2.5 servings of fruits and vegetables per day, or fast foods more than once per week over the past month
- Are able to converse in and understand English
Who cannot join
- Women will be excluded if they meet any of the following criteria:
- Respiratory, joint, or cardiovascular problems precluding physical activity as per physical activity safety screening questionnaire;
- Metastatic disease
- Planned elective surgery during the duration of the intervention and/or follow-up that would interfere with participation (e.g., reconstructive surgery).
Trial locations and contacts
1 site in 1 country.
United States1 site
Rutgers, Cancer Institute of New Jersey
New Brunswick, New Jersey, 08901
About this study
Official title: Exercise and Diet Intervention opTimized for Gynecologic Cancer Survivors (EDITS Study): Development, Feasibility, and Acceptability
The main goal in this project is to develop and pilot test a 12-week multiple health behavior change (MHBC) intervention for feasibility and acceptability. The pilot study will be guided by Multiphase Optimization Strategy (MOST) framework, which uses highly efficient experiments to systematically test and compare intervention components' or component levels' individual and combined effects. The goal of the MOST framework is to balance effectiveness with affordability, sustainability, and efficiency.
Read the detailed description
Aim 1: Develop the MHBC intervention with components optimized for gynecologic cancer survivors (GCS). 1a) To develop the intervention components for physical activity and healthy dietary practices, one-on-one interviews will be conducted with stakeholders including GCS (n≈30; until thematic saturation) and gynecologic oncology clinicians (n≈10; until thematic saturation). Clinician is operationalized as any cancer care health professional with direct gynecologic patient contact. Using directed content analysis, it is anticipated that reasons for low uptake in MHBC interventions and gain insight on preferences for intervention components and characteristics such as component delivery (simultaneous vs. sequential), frequency of contact, delivery modality (in-person vs. remote), and support materials (e.g., workbooks and logs) will be identified. The identified factors and preferences will be mapped onto theoretical tenets and taxonomy to develop intervention components. 1b) To refine intervention design and components we will elicit GCS stakeholder input using a cross-sectional study design with an online questionnaire. A questionnaire will be administered to the same 30 GCS from Study 1a to obtain feedback identify intervention preferences.
Aim 2: Determine the feasibility of the MHBC intervention and acceptability of components optimized among GCS. We will evaluate feasibility and acceptability of the 12-week MHBC intervention with 16 GCS. To determine feasibility, the following will be used: number of intervention participants who enroll, those who complete the study, those complete follow-up measures at Week 13, and attendance. Based on previous MHBC interventions with GCS, it is anticipated that 30% will enroll, 85% will complete the intervention, 75% will complete measures at Week 13, and > 70% of the sessions will be attended. To determine acceptability, satisfaction with intervention components at Week 13 will be measured. It is predicted that 86% intervention group will report high satisfaction (cutoff score: > 5 out 7).
Aim 3 (exploratory): Assess the preliminary effects of the intervention on behavioral and cardiometabolic outcomes. The preliminary effects of the intervention on behavioral outcomes including physical activity, healthy dietary practices, HRQOL and cardiometabolic outcomes including weight, waist circumference, body composition (% body fat), and blood pressure will be assessed.
- Conditions
- Gynecologic Cancer
- Being tested
- Exercise and diet education and instruction
- Keywords
- Gynecologic Cancer, Multiple health behavior change, Optimization, Cancer survivorship, Physical activity, Diet
- Medical subject headings
- Motor Activity
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Exercise and diet education and instructionBehavioural
1:1 or small group sessions consisting of educational materials and exercise instruction.
| Study group | Role | What they receive |
|---|---|---|
| Exercise and diet education and instruction | Experimental | The intervention will be 12 weeks in duration. The five intervention components (e.g., educational sessions and instructional sessions) will be supervised. Research staff will conduct the intervention. Participants will be instructed to gradually aim for 30 minutes of physical activity for five days per week by Week 12 Participants will also aim for improved healthy dietary practices including > 200 grams/day (g/d) of fruits and vegetables, > 15 g/d of fiber (whole grains and beans), < 250 g/d of sugar-sweetened drinks and lower percent of total kcal from fast foods18 by Week 12. Sessions will be about 35- to 50-minutes in duration and be structured as follows: (a) review of previous session and an opportunity to ask questions (~5 minutes); (b) presentation of content (20- to 30-minutes); (c) opportunity for questions (~5 minutes); and (d) preview of next sessions and research activity reminders (2- to 3-minutes). Receives: Behavioral: Exercise and diet education and instruction |
What is being measured
The primary outcome is the main question the study is designed to answer.
Participant retention
Participant retention will be tracked through completion of the intervention, assessments, and questionnaires.
Measured: Baseline
Participant retention
Participant retention will be tracked through completion of the intervention, assessments, and questionnaires.
Measured: Week 13
Participant attendance
The research staff will track participant attendance to the intervention sessions.
Measured: Baseline
Participant attendance
The research staff will track participant attendance to the intervention sessions.
Measured: Week 13
Acceptability
Satisfaction will be assessed using Internet Evaluation and Utility Questionnaire
Measured: Week 13
Secondary outcomes (16)
Physical activity (objective)
Participants will where an activity tracker to measure minutes of physical activity, intensity, and steps.
Measured: Baseline and Week 13
Physical activity (self-report)
Physical activity intensity and duration will be measured with an adapted version of the Godin Shephard Leisure Time Physical Activity Questionnaire
Measured: Baseline and Week 13
Healthy Dietary Practices
A food diary for 24 hours will be tracked using the NCI's Automated Self-Administered 24 hours tool
Measured: Baseline and Week 13
Health-related Quality of Life
To assess domains of health-related quality of life including Physical health-related domains include General Health, Physical Functioning, Role Physical, and Body Pain. Mental health-related scales include Vitality, Social Functioning, Role Emotional, and Mental Health using the Short Form-12
Measured: Baseline and Week 13
Exercise Self-efficacy
To assess confidence in one's ability to exercise at a moderate intensity three times per week using the adapted Exercise Self-Efficacy Scale
Measured: Baseline and Week 13
Outcome expectations
To assess the expectations about exercising regularly using the Multidimensional Outcome Expectation for Exercise Scale
Measured: Baseline and Week 13
Facilitators and impediments
Open-ended questions asking participants to list any other facilitators and impediments to engagement in the intervention and multiple health behaviors
Measured: Baseline and Week 13
Blood pressure
Systolic and diastolic blood pressure will be measured with an automated cuff.
Measured: Baseline and Week 13
Height (m)
Medical scale with a height ruler.
Measured: Baseline and Week 13
Height, weight, waist and hip circumference, and body composition
Scale, measuring tape, and bioelectric impedance analysis scale
Measured: Baseline and Week 13
Weight (kg)
Scale
Measured: Baseline and Week 13
Waist and hip circumferences (m)
Measuring tape at the smallest and largest portions of the torso.
Measured: Baseline and Week 13
Body composition
Percent of body fat (%) and lean muscle mass )kg) measured using a bioimpedance analysis scale.
Measured: Baseline and Week 13
6-minute walk test (m)
Meters walked in 6-minutes as proxy for cardiovascular fitness.
Measured: Baseline and Week 13
Chair sit-to-stand (quantity)
The total number of times an individual transitions from seated position to a standing position in 30-seconds. Measure of lower body strength
Measured: Baseline and Week 13
Arm curl test (quantity)
Number of times an individual can curl a 5lb weight using their dominant arm in 30-seconds. Measure of upper body strength
Measured: Baseline and Week 13
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jul 2022
- Study start20 Jul 2022
- Primary completion14 Apr 2023
- Study completion14 Apr 2023
Why it stopped: Study was never initiated and no participants were enrolled.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Gynecologic CancerStudies of the same condition, open and under way.
- More trials run by Rutgers, The State University of New JerseyThe 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
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Model description
- In Aims 2 and 3, a single-arm, pre-/post-study design will be used to assess feasibility and acceptability, and preliminary effects of the intervention.
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Rutgers, The State University of New Jersey
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Angela Jacqueline Fong, PhD, Rutgers, The State University of New Jersey
- Investigators
- Angela J Fong, PhD, Principal investigator, Rutgers Cancer Institute of New Jersey
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05466916
- Sponsor's protocol ID
- Pro2022000863
- Other IDs
- CINJ 132205
- Status last verified
- Oct 2023
- First submitted
- 11 Jul 2022
- Last updated
- 13 Oct 2023
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Oct 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Exercise and Diet Intervention opTimized for Gynecologic Cancer Survivors (EDITS Study): Development, Feasibility, and Acceptability
- ClinicalTrials.gov ID
- NCT05466916
- Acronym / sponsor ID
- Pro2022000863
- Conditions
- Gynecologic Cancer
- Keywords
- Gynecologic Cancer, Multiple health behavior change, Optimization, Cancer survivorship, Physical activity, Diet
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Study was never initiated and no participants were enrolled.
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Rutgers, The State University of New JerseyUniversity, hospital or other
- Study start
- 20 Jul 2022 (actual)
- Primary completion
- 14 Apr 2023 (actual)
- Study completion
- 14 Apr 2023 (actual)
- First posted
- 20 Jul 2022 (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.
The main goal in this project is to develop and pilot test a 12-week multiple health behavior change (MHBC) intervention for feasibility and acceptability. The pilot study will be guided by Multiphase Optimization Strategy (MOST) framework, which uses highly efficient experiments to systematically test and compare intervention components' or component levels' individual and combined effects. The goal of the MOST framework is to balance effectiveness with affordability, sustainability, and efficiency.
Detailed description
Aim 1: Develop the MHBC intervention with components optimized for gynecologic cancer survivors (GCS). 1a) To develop the intervention components for physical activity and healthy dietary practices, one-on-one interviews will be conducted with stakeholders including GCS (n≈30; until thematic saturation) and gynecologic oncology clinicians (n≈10; until thematic saturation). Clinician is operationalized as any cancer care health professional with direct gynecologic patient contact. Using directed content analysis, it is anticipated that reasons for low uptake in MHBC interventions and gain insight on preferences for intervention components and characteristics such as component delivery (simultaneous vs. sequential), frequency of contact, delivery modality (in-person vs. remote), and support materials (e.g., workbooks and logs) will be identified. The identified factors and preferences will be mapped onto theoretical tenets and taxonomy to develop intervention components. 1b) To refine intervention design and components we will elicit GCS stakeholder input using a cross-sectional study design with an online questionnaire. A questionnaire will be administered to the same 30 GCS from Study 1a to obtain feedback identify intervention preferences.
Aim 2: Determine the feasibility of the MHBC intervention and acceptability of components optimized among GCS. We will evaluate feasibility and acceptability of the 12-week MHBC intervention with 16 GCS. To determine feasibility, the following will be used: number of intervention participants who enroll, those who complete the study, those complete follow-up measures at Week 13, and attendance. Based on previous MHBC interventions with GCS, it is anticipated that 30% will enroll, 85% will complete the intervention, 75% will complete measures at Week 13, and > 70% of the sessions will be attended. To determine acceptability, satisfaction with intervention components at Week 13 will be measured. It is predicted that 86% intervention group will report high satisfaction (cutoff score: > 5 out 7).
Aim 3 (exploratory): Assess the preliminary effects of the intervention on behavioral and cardiometabolic outcomes. The preliminary effects of the intervention on behavioral outcomes including physical activity, healthy dietary practices, HRQOL and cardiometabolic outcomes including weight, waist circumference, body composition (% body fat), and blood pressure will be assessed.
Study design
- Primary purpose
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
- Model description
- In Aims 2 and 3, a single-arm, pre-/post-study design will be used to assess feasibility and acceptability, and preliminary effects of the intervention.
| Arm | Type | Receives |
|---|---|---|
| Exercise and diet education and instruction | Experimental | Behavioral: Exercise and diet education and instructionThe intervention will be 12 weeks in duration. The five intervention components (e.g., educational sessions and instructional sessions) will be supervised. Research staff will conduct the intervention. Participants will be instructed to gradually aim for 30 minutes of physical activity for five days per week by Week 12 Participants will also aim for improved healthy dietary practices including > 200 grams/day (g/d) of fruits and vegetables, > 15 g/d of fiber (whole grains and beans), < 250 g/d of sugar-sweetened drinks and lower percent of total kcal from fast foods18 by Week 12. Sessions will be about 35- to 50-minutes in duration and be structured as follows: (a) review of previous session and an opportunity to ask questions (~5 minutes); (b) presentation of content (20- to 30-minutes); (c) opportunity for questions (~5 minutes); and (d) preview of next sessions and research activity reminders (2- to 3-minutes). |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- 18 years old
- A confirmed diagnosis of gynecologic cancer, Stage > I
- Have completed treatment within five years prior to study commencement and hormonal replacement therapy is acceptable
- Are not active, defined as engaging in < 150 minutes of moderate-to-vigorous physical activity per week
- Have a potential unhealthy diet, defined as consuming < 2.5 servings of fruits and vegetables per day, or fast foods more than once per week over the past month
Key exclusion criteria (4 listed)
- Respiratory, joint, or cardiovascular problems precluding physical activity as per physical activity safety screening questionnaire;
- Metastatic disease
- Planned elective surgery during the duration of the intervention and/or follow-up that would interfere with participation (e.g., reconstructive surgery).
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 |
|---|---|---|
| Exercise and diet education and instruction1:1 or small group sessions consisting of educational materials and exercise instruction. | Behavioural | Exercise and diet education and instruction |
Primary outcome
Participant retention
Time frame: Baseline
Participant retention will be tracked through completion of the intervention, assessments, and questionnaires.
Participant retention
Time frame: Week 13
Participant retention will be tracked through completion of the intervention, assessments, and questionnaires.
Participant attendance
Time frame: Baseline
The research staff will track participant attendance to the intervention sessions.
Participant attendance
Time frame: Week 13
The research staff will track participant attendance to the intervention sessions.
Acceptability
Time frame: Week 13
Satisfaction will be assessed using Internet Evaluation and Utility Questionnaire
16 secondary outcomes
Physical activity (objective)
Time frame: Baseline and Week 13
Physical activity (self-report)
Time frame: Baseline and Week 13
Healthy Dietary Practices
Time frame: Baseline and Week 13
Health-related Quality of Life
Time frame: Baseline and Week 13
Exercise Self-efficacy
Time frame: Baseline and Week 13
Outcome expectations
Time frame: Baseline and Week 13
Facilitators and impediments
Time frame: Baseline and Week 13
Blood pressure
Time frame: Baseline and Week 13
Height (m)
Time frame: Baseline and Week 13
Height, weight, waist and hip circumference, and body composition
Time frame: Baseline and Week 13
Weight (kg)
Time frame: Baseline and Week 13
Waist and hip circumferences (m)
Time frame: Baseline and Week 13
Body composition
Time frame: Baseline and Week 13
6-minute walk test (m)
Time frame: Baseline and Week 13
Chair sit-to-stand (quantity)
Time frame: Baseline and Week 13
Arm curl test (quantity)
Time frame: Baseline and Week 13
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Oct 2023.
- 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.
Angela J Fong, PhD principal investigator
Rutgers Cancer Institute of New Jersey
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Exercise and diet education and instruction in people with Gynecologic 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 7 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: withdrawn, as of the sponsor's last update on 13 Oct 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?
The study was withdrawn before enrolling participants, so there are no results.
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?
Participant retention (time frame: Baseline). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 Oct 2023.