A Targeted Electronic Health Approach to Reduce Fear of Recurrence in Breast Cancer Survivors (FoRtitude)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorEastern Cooperative Oncology Group

About this trial

The goal of this study is to determine if the intervention or if general information about being a breast cancer survivor can help Breast Cancer Survivors reduce their fear of recurrence. The main question it aims to answer are:

Can the FoRtitude intervention lower the fear of recurrence for Breast Cancer Survivors?

Participants will:

Answer questions about their fear of recurrence. Be randomized to 1 of the 3 following options: (1) a weblink to access an eHealth intervention which includes a website and an optional interactive text-messaging feature, (2) a weblink to a non-interactive website that will include links to external websites with general information that may be helpful for Breast Cancer Survivors, or (3) you will need to talk with your oncology team about your concerns about recurrence or seek psychosocial care in the community.

Be asked to fill out questionnaires 5 times for up to 18 months.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Participant must be ≥ 18 years of age.

Participant must have had histologically confirmed Stage 0-III breast cancer at time of diagnosis.

Participant must have completed primary treatment 1-10 years prior to Step 0 registration.

Participant must have no evidence of active cancer of any type at the time of Step 0 registration (per the assessment of the physician), excluding local basal cell or squamous cell carcinoma.

Disqualifiers

Participant must not have any psychiatric or cognitive conditions that may affect the participant's ability to accurately provide self-report data, per clinical discretion.

Trial design

Design model

Parallel

Treatments tested in this trial

  • FoRtitude 2.0

    Behavioral

    A website and an interactive text-messaging feature

  • Attention Control

    Behavioral

    Access to the non-interactive study intervention website that lists links to help you access websites that provide information to read and resources for breast cancer survivors.

Treatment groups

800 Participants
are divided into 3 treatment groups
Group A: InterventionExperimental treatment 1 intervention
Group B: Attentive CareOther 1 intervention
Group C: Usual CareNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Fear of Cancer Recurrence Inventory (FCRI)

Fear of Cancer Recurrence Inventory (FCRI) modified total score 143 (without coping or reassurance subscale items) measured during the study period. A graphical exploration of the data will be performed by examining the distribution of FCRI score at each follow up timepoint, as well as the changes in FCRI between the baseline and follow up visits. 1-month post-intervention completion (3 months post-randomization) will be defined as the primary comparison. For the primary analysis we will compare the FCRI score of the FoRtitude arm to each of two control arms at 3 months using Welch's t-test. Two two-group Welch's t-tests will be used to compare the FCRI score of the FoRtitude arm to each of the two control arms at 12 weeks.

Time frame
From 1 month post-intervention to 3 months post-intervention

Secondary outcomes

1

Difference in fear of recurrence based on race across all arms

A mixed model, including indicator variables for arm, race, and time, will be used and will include the interactions of race by arm and race by time. The FCRI modified total score of the FoRtitude arm to each of two control arms will be compared at 3 months using a two-group t-test with linear contrasts.

Time frame
From enrollment to 3 months
2

Change in quality of life measures

A per-comparison-wise error rate approach (PCWER) will be used.

Time frame
At all time points, including long term outcomes at 6, 12 and 18 months.

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: