Supportive Intervention Programs Study (SIPS)
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Purpose
This randomized clinical trial studies the preliminary efficacy of a yoga skills training (YST) compared to counseling and education (CE) for reducing treatment-related symptoms in patients with colorectal cancer who are receiving chemotherapy. The YST may reduce fatigue, other treatment-related symptoms, and improve the quality of life (QOL) of patients with colorectal cancer. It is not yet known whether YST is more effective then CE in reducing these outcomes.
| Condition | Intervention |
|---|---|
|
Fatigue Nausea and Vomiting Pain Recurrent Colon Cancer Recurrent Rectal Cancer Stage I-IVB Colon Cancer Stage I-IVB Rectal Cancer |
Procedure: Yoga therapy Other: questionnaire administration Procedure: quality-of-life assessment Other: laboratory biomarker analysis Other: assessment of therapy complications Procedure: management of therapy complications Other: educational intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Supportive Intervention Programs to Lessen Treatment Related Symptoms |
- Feasibility of implementing a YST among patients undergoing chemotherapy (participating rate, adherence, and retention) [ Time Frame: Up to 8 weeks ] [ Designated as safety issue: No ]The proportion of participants who participated in all study sessions and those who completed all assessments will be computed and compared by demographic characteristics and intervention group. The investigators will model the relationship between adherence and baseline scores of the measures, as well as change in scores.
- Preliminary efficacy of YST, in terms of reducing fatigue [ Time Frame: At week 8 ] [ Designated as safety issue: No ]Measured by the Functional Assessment of Cancer Therapy - Fatigue (FACT-F) subscale. Assessed using analysis of covariance (ANCOVA) models, accounting for possible confounding variables (e.g., medication use) from baseline to post intervention.
- Treatment related symptoms and QOL [ Time Frame: At week 8 ] [ Designated as safety issue: No ]The Functional Assessment of Cancer Therapy- Colorectal (FACT-C; 37) will be used to evaluate overall QOL (physical, social, emotional, and functional well-being) and colorectal cancer specific symptoms (e.g., cramps in stomach, control of bowels). Assessed using ANCOVA.
- Mediating variables (self efficacy, response expectancies, inflammatory biomarkers) intervention effect on fatigue, treatment-related symptoms, and QOL [ Time Frame: Up to 8 weeks ] [ Designated as safety issue: No ]Assessed using a simultaneous model of the mediators and the intervention effect in the ANCOVA model.
| Estimated Enrollment: | 20 |
| Study Start Date: | June 2011 |
| Estimated Primary Completion Date: | July 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Arm 1 (YST)
Patients participate in three 15-minute YST sessions, comprising awareness meditation practice, movement practice, and breathing practice and relaxation. Patients also receive a CD recording of a 15-minute YST session and are instructed to practice the YST at home 4 times weekly.
|
Procedure: Yoga therapy
receive YST
Other: questionnaire administration
Ancillary studies
Procedure: quality-of-life assessment
Ancillary studies
Other: laboratory biomarker analysis
Correlative studies
Other: assessment of therapy complications
Ancillary studies
Procedure: management of therapy complications
Receive YST or CE
Other Name: complications of therapy, management of
|
|
Active Comparator: Arm 2 (CE)
Patients participate in three 15-minute CE sessions, comprising empathic attention with an interventionist who allows patients to direct the flow of conversation and provides supportive comments according to standardized procedures. Patients also receive CDs with recorded information related to coping with colorectal cancer similar in length to the suggested practice time in Arm I.
|
Other: questionnaire administration
Ancillary studies
Procedure: quality-of-life assessment
Ancillary studies
Other: laboratory biomarker analysis
Correlative studies
Other: assessment of therapy complications
Ancillary studies
Procedure: management of therapy complications
Receive YST or CE
Other Name: complications of therapy, management of
Other: educational intervention
Receive CE
|
Detailed Description:
OBJECTIVES:
I. To establish the feasibility of implementing a YST among patients undergoing chemotherapy. This includes the feasibility of implementing yoga in a treatment setting, and patient recruitment, adherence, and retention.
II. To obtain preliminary data on the efficacy of a YST for reducing fatigue among patients undergoing chemotherapy.
III. To obtain exploratory data on the impact of a YST on other treatment-related symptoms (e.g., pain, distress, nausea) and QOL.
IV. To obtain exploratory data on the impact of a YST on potential psychological (self-efficacy for coping with cancer, response expectancies for symptoms) and physiological (interleukin [IL]-6 [IL-6], IL-1 Receptor Antagonist [IL-1Ra], tumor necrosis factor- alpha [TNF-a], soluble TNF receptor I [sTNFRI], C-reactive protein [CRP]) mediators that may explain the impact of the YST on fatigue.
OUTLINE: Patients (n=20) are randomized to 1 of 2 treatment arms.
ARM I: Patients participate in three 15-minute YST sessions, comprising awareness meditation practice, movement practice, and breathing practice and relaxation. Patients also receive a compact disc (CD) recording of a 15-minute YST session and are instructed to practice the YST at home 4 times weekly.
ARM II: Patients participate in three 15-minute CE sessions, comprising empathic attention with an interventionist who allows patients to direct the flow of conversation and provides supportive comments according to standardized procedures. Patients also receive CDs with recorded information related to coping with colorectal cancer similar in length to the suggested practice time in Arm I.
The interventions (Week 2, Week 4, Week 6) and assessments (Week 0, Week 4, Week 8) are implemented during visits for chemotherapy (every two weeks).
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Signed protocol specific informed consent
- Are diagnosed with colorectal cancer
- Recruited within 2 weeks of initiating chemotherapy (including reinitiating chemotherapy after a treatment holiday of greater than or equal to 4 weeks)
- Able to understand written and spoken English
Exclusion Criteria:
- Under age 18 (children with colorectal cancer)
- Unable to read or understand English
- Vulnerable subjects (except those who are economically or educationally disadvantaged)
Contacts and Locations| Contact: Kathryn E Josephs-Finlay, MA | (336) 716-0170 | kjosephs@wakehealth.edu |
| United States, North Carolina | |
| Wake Forest University Health Sciences | Recruiting |
| Winston-Salem, North Carolina, United States, 27157 | |
| Principal Investigator: | Stephanie J Sohl, PhD | Wake Forest |
More Information
No publications provided
| Responsible Party: | Stephanie Sohl, PhD, Post-Doctoral, Wake Forest University |
| ClinicalTrials.gov Identifier: | NCT01590147 History of Changes |
| Other Study ID Numbers: | CCCWFU 98211, NCI-2011-01093 |
| Study First Received: | May 1, 2012 |
| Last Updated: | May 2, 2012 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Colonic Neoplasms Rectal Neoplasms Fatigue Vomiting Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site |
Neoplasms Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases Signs and Symptoms Signs and Symptoms, Digestive |
ClinicalTrials.gov processed this record on June 17, 2013