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Breast CancerPRISMNCT06133348

Promoting Resilience in Women With Breast Cancer

A study testing Promoting Resilience in Stress Management Intervention in people with Breast Cancer, run by University of Alabama at Birmingham 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 PRISM (Promoting Resilience in Stress Management) intervention is an evidence-based program that builds resilience. This program was developed in adolescent and young adult oncology and utilizes centrally administered skills-based coaching to bolster positive psychological tools known as resilience resources. Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Breast Cancer
What is being tested?
Promoting Resilience in Stress Management Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
43 participants
Where
1 siteUnited States
Study dates
24 Jan 2024to 23 Oct 2024
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

  • women undergoing neoadjuvant chemotherapy with early-stage breast cancer, women undergoing treatment for metastatic breast cancer

Who cannot join

  • patients who do not speak English

Trial locations and contacts

1 site in 1 country.

United States1 site
  • The University of Alabama at Birmingham

    Birmingham, Alabama, 35294

Other trials in United States

About this study

The PRISM (Promoting Resilience in Stress Management) intervention is an evidence-based program that builds resilience. This program was developed in adolescent and young adult oncology and utilizes centrally administered skills-based coaching to bolster positive psychological tools known as resilience resources. These resources include stress management, goal-setting, and positive reframing. Previous studies using this intervention have found PRISM to be successfully administered remotely and it has improved resilience, psychological distress, hope, and quality of life. Among adult caregivers, PRISM has shown to improve resilience, self-efficacy, and engagement with medical care. While PRISM successfully targets distress and associated downstream consequences known to be experienced by breast cancer survivors, it has not been utilized in adults with cancer or in marginalized communities. Adapting this intervention to this context will require the testing of the intervention and, importantly, tailoring to meet the needs of women with breast cancer, particularly those of marginalized populations who may uniquely benefit from this intervention.

Read the detailed description

This single-arm pilot study will (1) test feasibility, acceptability, and appropriateness of the PRISM intervention in individuals with breast cancer, (2) elicit patient perspectives on elements for future adaptation or expansion to meet the unique needs of women with breast cancer, (3) assess trajectory of patient-reported outcomes and biological measures of stress for patients with breast cancer receiving the PRISM intervention.

Conditions
Breast Cancer
Being tested
Promoting Resilience in Stress Management Intervention
Medical subject headings
Breast Neoplasms

What participants receive

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

  • Promoting Resilience in Stress Management InterventionBehavioural

    PRISM is a manualized, brief, skills-based intervention targeting four resilience resources; PRISM is delivered by trained intervention staff (called "coaches" within the PRISM program). Session 1, Stress-Management. Session 2, Goal setting. Session 3, Cognitive Restructuring. Session 4, Meaning-Making. Session 5 (optional), Coming Together. Session 6 (optional) involved advance care planning to discuss.

Study groups in NCT06133348
Study groupRoleWhat they receive
PRISM InterventionExperimentalThis single-arm pilot study will (1) test feasibility, acceptability, and appropriateness of the PRISM intervention in individuals with breast cancer, (2) elicit patient perspectives on elements for future adaptation or expansion to meet the unique needs of women with breast cancer, (3) assess trajectory of patient-reported outcomes and biological measures of stress for patients with breast cancer receiving the PRISM intervention.
Receives: Behavioral: Promoting Resilience in Stress Management Intervention

What is being measured

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

  1. Feasibility of PRISM

    Feasibility was defined as 70% of participants completing all sessions and pre/post surveys.

    Measured: 8 months 4 weeks

Secondary outcomes (33)
  1. Acceptable, Appropriate, and Feasible

    Acceptability, appropriateness, and feasibility of the intervention were measured using the Acceptability of Intervention Measure (AIM; scored 1-5), Intervention Appropriateness Measure (IAM; scored 1-5), and Feasibility of Intervention Measure (FIM; scored 1-5). Higher scores indicated better outcomes for each validated survey tool. If means are greater than 4, then the study is considered acceptable, appropriate, and/or feasible.

    Measured: post-PRISM (ranged from 1 to 7 months after baseline)

  2. Resilience

    Connor-Davidson Resilience scale (CD-RISC; scored 0-40, higher scores indicate greater resilience)

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  3. Overall Post-Traumatic Growth Inventory

    Post-Traumatic Growth Inventory (PTGI; scored 0-105 with factor subscales ranging from 0-10 to 0-35; higher scores indicate more positive transformation). Sub-scores are summed together to receive the overall score.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  4. Post-Traumatic Growth Inventory: Personal Strength Sub-scale

    Post-Traumatic Growth Inventory (PTGI; scored 0-105; higher scores indicate more positive transformation). The Post-Traumatic Growth Inventory Personal Strength sub-scale is scored from 0-20 with higher scores indicating increased resilience, self-reliance, confidence, humility, etc.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  5. Post-Traumatic Growth Inventory: New Possibilities Sub-scale

    Post-Traumatic Growth Inventory (PTGI; scored 0-105; higher scores indicate more positive transformation). The Post-Traumatic Growth Inventory New Possibilities sub-scale is scored from 0-25 with higher scores indicating an increase in new interests, perspectives, more adaptability and openness to new opportunities.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  6. Post-Traumatic Growth Inventory: Improved Relationships Sub-scale

    Post-Traumatic Growth Inventory (PTGI; scored 0-105; higher scores indicate more positive transformation). The Post-Traumatic Growth Inventory Improved Relationship sub-scale is scored from 0-35 with higher scores indicating an increased sense of belonging, emotional vulnerability, empathy, more supportive, and have an increased ability to form stronger bonds with others.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  7. Post-Traumatic Growth Inventory: Spiritual Growth Sub-scale

    Post-Traumatic Growth Inventory (PTGI; scored 0-105; higher scores indicate more positive transformation). The Post-Traumatic Growth Inventory Spiritual Growth sub-scale is scored from 0-10 with higher scores indicating deeper and more meaningful beliefs, life philosophies and faith, more awareness, and a clearer purpose in life.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  8. Post-Traumatic Growth Inventory: Appreciation for Life Sub-scale

    Post-Traumatic Growth Inventory (PTGI; scored 0-105; higher scores indicate more positive transformation). The Post-Traumatic Growth Inventory Appreciation for Life sub-scale is scored from 0-15 with higher scores indicating increased gratitude, appreciation for the positive things in life, and clearer sense of priorities.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  9. Functional Assessment of Chronic Illness Therapy Spiritual Well-Being

    Functional Assessment of Chronic Illness Therapy Spiritual Well-Being tool (FACIT-Sp; scored 0-48 with each factor scored 0-16, higher scores indicate greater spiritual well-being). The overall score is a summation of each sub-score.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  10. Functional Assessment of Chronic Illness Therapy Spiritual Well-Being: Meaning Sub-score

    Functional Assessment of Chronic Illness Therapy Spiritual Well-Being tool (FACIT-Sp; scored 0-48 with higher scores indicate greater spiritual well-being). The Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Meaning sub-scale is scored from 0-16 with one question reverse coded. Item scores for the sub-scale are summed, multiplied by 4, and divided by the number of items answered by the participant. A higher score indicates a greater sense of a meaningful life.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  11. Functional Assessment of Chronic Illness Therapy Spiritual Well-Being: Peace Sub-score

    Functional Assessment of Chronic Illness Therapy Spiritual Well-Being tool (FACIT-Sp; scored 0-48 with higher scores indicate greater spiritual well-being). The Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Peace sub-scale is scored from 0-16 with one question reverse coded. Item scores for the sub-scale are summed, multiplied by 4, and divided by the number of items answered by the participant. A higher score indicates a greater sense of inner peace or harmony.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  12. Functional Assessment of Chronic Illness Therapy Spiritual Well-Being: Faith Sub-score

    Functional Assessment of Chronic Illness Therapy Spiritual Well-Being tool (FACIT-Sp; scored 0-48 with higher scores indicate greater spiritual well-being). The Functional Assessment of Chronic Illness Therapy Spiritual Well-Being Faith sub-scale is scored from 0-16. Item scores for the sub-scale are summed, multiplied by 4, and divided by the number of items answered by the participant. A higher score indicates a greater sense of faith and spiritual beliefs.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  13. Patient Activation Measure

    Patient Activation Measure (PAM; scored 0-100, higher scores indicate greater activation)

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  14. Fear of Cancer Recurrence Inventory

    Fear of Cancer Recurrence Inventory (FCRI-SF; scored 0-36, higher scores indicate greater fear of cancer recurrence)

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  15. Patient Health Questionnaire

    Patient Health Questionnaire (PHQ-8; scored 0-24, higher scores indicate worse depressive symptoms)

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  16. General Anxiety Disorder Anxiety Scale

    General Anxiety Disorder Anxiety Scale (GAD-7; scored 0-21, higher scores indicate worse anxiety)

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  17. Patient-Reported Outcomes Measurement Information System Global Health: Physical Health

    Patient-Reported Outcomes Measurement Information System Global Health - Physical Health (PROMIS-Global; physical health scored 4-20 with T-scores ranging from 16.2-67.7 and standard errors ranging from 4.8-5.9). A T-score of 50 represents the mean for the general population with a standard deviation of 10. A higher T-score indicates better physical health. A lower T-score would indicate a decrease in physical health.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  18. Patient-Reported Outcomes Measurement Information System Global Health: Mental Health

    Patient-Reported Outcomes Measurement Information System Global Health - Mental Health (PROMIS-Global; mental health scored 4-20 with T-scores ranging from 21.2-67.6 and standard errors ranging from 4.6-5.3). A T-score of 50 represents the mean for the general population with a standard deviation of 10. A higher T-score indicates better mental health. A lower T-score would indicate a decrease in mental health.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  19. Cholesterol

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  20. Triglycerides

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  21. High Density Lipoprotein

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  22. Low Density Lipoprotein

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  23. Urea

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  24. Albumin

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  25. Creatinine

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  26. Serum Cortisol

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  27. Homocysteine

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  28. HbA1c

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  29. C-Reactive Protein

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  30. Tumor Necrosis Factor Alpha

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  31. Interleukin-6

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  32. Allostatic Load

    One point was assigned if BMI>30, systolic (SBP)>140 mmHg or diastolic blood pressure (DBP)>90 abstracted from the closest clinical encounter to the baseline visit, high-sensitivity C-reactive protein >0.41 mg/dL, HgbA1c>5.4, albumin<4 gm/dL and/or creatinine clearance <59 ml/min, total cholesterol >240 and/or triglycerides >150 mg/dL. The score range for this measure ranged from 0-9 with higher scores indicating a higher burden of stress or strain on the patient's body that can lead to worse outcomes.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

  33. Nail Cortisol

    Biomarker samples were taken prior to and approximately one month after the last PRISM intervention session.

    Measured: pre-PRISM (Baseline) and post-PRISM (ranged from 1 to 7 months after baseline)

Timeline

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

  1. First posted15 Nov 2023
  2. Study start24 Jan 2024
  3. Primary completion23 Oct 2024
  4. Study completion23 Oct 2024

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
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
43 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06133348
Sponsor's protocol ID
300011028
Other IDs
2027123
Acronym
PRISM
Status last verified
Oct 2026
First submitted
10 Nov 2023
Last updated
29 Oct 2026
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A study testing Promoting Resilience in Stress Management Intervention in people with Breast Cancer, run by University of Alabama at Birmingham 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 1 inclusion and 1 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 29 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 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 14 Oct 2025). 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?

Feasibility of PRISM (time frame: 8 months 4 weeks). 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 29 Oct 2026.

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