About this trial
This study is testing a new program called WeCan-Rural, designed to help breast cancer survivors manage symptoms and build healthy habits like eating well, staying active, and managing their weight. These changes may help lower the risk of heart disease after cancer treatment.
The study will answer two main questions:
* Can study team successfully recruit and keep participants in the study, and will the participants find the program helpful and easy to follow? * Will participants who join the program see better results in areas like weight, symptoms, diet, physical activity, and confidence in managing the participant's health compared to those who receive standard care?
Here's what participants will do:
* Visit the participant's clinic twice (about 12 weeks apart) to be weighed, have the blood pressure checked, give a blood sample, and complete a short walking test * Fill out online surveys about the participant's health, diet, physical activity, symptoms, and confidence in managing the participant's health * Be randomly assigned (like flipping a coin) to either receive the WeCan-Rural program or standard health information * If assigned to the program, attend 12 weekly one-hour video sessions on Zoom with a trained therapist
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
aged 18 years or older
female (biological sex)
diagnosis of stage I-III breast cancer
completed treatments with curative intent (with the exception of hormonal treatments) in the last 5 years
Disqualifiers
visual, hearing or cognitive impairment or severe mental illness interfering with participation
Trial design
Parallel
Treatments tested in this trial
WeCan-Rural Program
BehavioralThe WeCan-Rural program includes 12, one-hour weekly sessions via Zoom that help breast cancer survivors manage symptoms like pain, fatigue, and emotional distress, while also building healthy habits around eating, exercise, and weight management.
Treatment groups
Trial outcomes
Primary outcomes
Satisfaction with Treatment and Interventionist as measured by the Satisfaction with Therapy and Therapist Scale-Revised (STTS-R)
Participants will complete the 13-item Satisfaction with Therapy and Therapist Scale-Revised specific to the program they received. The first 12 items ask participants to rate their agreement with statements related to intervention satisfaction on a 5-point scale ranging from "strongly disagree" (1) to "strongly agree" (5). The 13th item asks "How much did the intervention help with your symptoms?" with 5 answer choices ranging from "made things a lot better" to "made things a lot worse."
Acceptability as measured by the Treatment Acceptability Questionnaire
The Treatment Acceptability Questionnaire is a six-item scale assessing participants' views of an intervention as acceptable, ethical, and effective. Items are rated on a 7-point Likert scale (e.g., 1 "very unacceptable" to 7 "very acceptable") and averaged.
Secondary outcomes
Change in blood pressure (systolic and diastolic)
Both systolic and diastolic blood pressure will be assessed at the baseline and follow-up assessment.
Change in weight
Participants will be weighed at each assessment.
Change in total cholesterol
Cholesterol will be assessed through peripheral blood at the baseline and follow-up assessment.
Change in LDL cholesterol
LDL cholesterol will be assessed through peripheral blood at the baseline and follow-up assessment.
Other outcomes
Food environment as measured by the Perceived Nutrition Environment Measure
The Perceived Nutrition Environment Measure includes 53 core items to assess three types of perceived nutrition environments: community nutrition environment, consumer nutrition environment, and home food environment.
Assessment of rurality as measured by selected items from the Rural Active Living Perceived Support Scale
Health literacy as measured by Medical Term Recognition Test (METER)
The METER will be used to assess health literacy. Participants are asked to review a list of 40 words and check off those that they recognize as actual words, yielding a total score from 0 to 40. 0-20 points: Low health literacy; 21-34 points: Marginal health literacy; 35-40 points: Adequate health literacy
Sponsors and contacts
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