About this trial
The goal of this clinical trial is to learn if a cancer survivor program, delivered via Cooperative Extension, is feasible and if it can improve health outcomes in cancer survivors who are post-active treatment.
Aim 1: Evaluate the feasibility and acceptability of SUCCESS. Hypothesis 1: SUCCESS will be feasible and acceptable as evidenced by delivery of the intervention among Educators (implementation), including in agreement with the curriculum in Phase 1 (fidelity) with \>85% attendance (demand) among participants with \>80% rating the intervention as acceptable or highly acceptable on 5-point Likert-type scale (acceptability).
Aim 2: Determine the preliminary efficacy of SUCCESS for improving HRQOL (primary outcome) and other psychosocial and health-related endpoints (e.g., financial toxicity) (secondary outcomes). Hypothesis 2: Compared to matched controls, adults LWBC who complete SUCCESS will have significant improvements in HRQOL per the PROMIS Global Health v1.2 at follow-up (i.e., after 6 weeks).
Aim 3: Examine changes in conserved transcriptional response to adversity (CTRA) gene expression in a subset of interventions participants at follow-up. Hypothesis 3: Adults LWBC who complete SUCCESS will experience significant CTRA down-regulation.
This is a single arm trial and there is no comparison group.
Participants will be asked to do survey- and Zoom-based data collection before and after completing the 6-week program.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Previous adult-diagnosed cancer
Post active cancer treatment
No current active treatment, hormonal therapy permitted
Ability to get to group sessions
Disqualifiers
Current palliative or hospice care
Surgical or medical history that precludes participation
Positive screen on the Physical Activity Readiness Questionnaire+ (PAR-Q+) without a doctor's note approving study participation
Trial design
Single group
Treatments tested in this trial
SUCCESS
Behavioral6 group-based sessions with 25 minutes of didactic content, 25 minutes of facilitated support group, and 10 minutes of group physical activity
Treatment groups
Trial outcomes
Primary outcomes
Delivery of sessions
We will measure the percent of SUCCESS sessions delivered as planned by Educators
Fidelity to SUCCESS protocol
We will measure what percentage of planned SUCCESS content is delivered as instructed.
Participant attendance
We will measure how many enrolled participants attend each SUCCESS session
Acceptability of SUCCESS
We will administer a feasibility survey after SUCCESS for participants to rate how much they liked it. Rating will be on a 5-point Likert Scale ("How would you rate this program?" 1=poor, 5=excellent)
Secondary outcomes
Diet quality
We will measure diet quality as assessed via the National Cancer Institute Dietary Screener Questionnaire (DSQ). Outputs from the DSQ are intake of fruits and vegetables (cup equivalents), dairy (cup equivalents), added sugars (teaspoon equivalents), whole grains (ounce equivalents), fiber (g), and calcium (mg).
Physical function
We will measure physical function using the 30-second Timed Chair Rise (30sTCR), measured in seconds.
Depressive symptoms
Depressive symptoms will be measured using the Patient Health Questionnaire (PHQ-9). This provides a numeric score from 0-27, with higher=more depression
Anxiety symptoms
Anxiety symptoms will be measured using the General Anxiety Disorder-7 (GAD-7). This provides a numeric score from 0-21, with higher=more anxiety.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
University of Oklahoma
Lead sponsor
Oklahoma State University
Collaborator