About this trial
This pilot randomized controlled trial will test the feasibility and acceptability of an Artificial Intelligence-based Multidimensional Symptom Management (AIMS) intervention for post-treatment breast cancer survivors. Thirty-six participants will be randomly assigned (1:1) to receive either the AIMS intervention or usual care. Outcomes include feasibility (recruitment and retention), adherence, acceptability, symptom burden, psychological distress, quality of life, and safety of the AIMS intervention.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Female breast cancer survivors aged 18 years or older
Experiencing at least one symptom in the past month (e.g., fatigue, pain and insomnia, a score of ≥2 on the 0-10 Numeric Rating Scale (0 = "no fatigue", 10 = "worst fatigue")
Completed primary treatment (surgery, chemotherapy, or radiotherapy) within the last 24 months
Able to read Chinese and use a smartphone or tablet
Disqualifiers
Unstable medical condition
Severe psychiatric disorders or cognitive impairment
Participation in another interventional study
Trial design
Parallel
Treatments tested in this trial
AIMS platform
BehavioralThe AIMS intervention is a digital self-management platform that provides personalized symptom monitoring, tailored self-management support, and interactive guidance.
Treatment groups
Trial outcomes
Primary outcomes
Recruitment rate
Number and percentage of eligible individuals who provide informed consent and are randomized. Recruitment rate will be calculated as: number randomized ÷ number eligible × 100.
Participant retention at Week 12
Number and percentage of randomized participants who complete the Week 12 assessment. Retention will be calculated as: number completing the Week 12 assessment ÷ number randomized × 100.
Adherence to the AIMS intervention
Adherence will be assessed using system-generated usage data (e.g., frequency of logins) and supplemented by participant-reported usage logs.
Acceptability and usability of the AIMS platform
Among intervention-group participants, acceptability and usability will be assessed using the study-specific AIMS feedback questionnaire.
Secondary outcomes
Traditional Chinese MD Anderson Symptom Inventory Symptom-Severity Score
The Chinese MD Anderson Symptom Inventory symptom-severity scale contains 13 symptoms rated from 0 ("not present") to 10 ("as bad as you can imagine"). The mean symptom-severity score ranges from 0 to 10, with higher scores indicating greater symptom burden.
Kessler Psychological Distress Scale 10-Item Total Score
Psychological distress will be measured using the 10-item Kessler Psychological Distress Scale. Total scores range from 10 to 50, with higher scores indicating greater psychological distress.
Hospital Anxiety and Depression Scale
Anxiety and depression will be measured using the Hospital Anxiety and Depression Scale. Separate anxiety and depression subscale scores range from 0 to 21; higher scores indicate greater symptom severity.
Functional Assessment of Cancer Therapy-Breast
Quality of life will be measured using the 37-item Functional Assessment of Cancer Therapy-Breast, Version 4. The total score ranges from 0 to 148, with higher scores indicating better quality of life.
Locations
Sponsors and contacts
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Hong Kong Metropolitan University
Lead sponsor
Global Chinese Breast Cancer Organizations Alliance
Collaborator
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