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Yoga to Improve Disparities in Cancer Survivorship

Not Applicable
Not yet recruiting
Conditions
Survivorship
Cancer
Registration Number
NCT07165600
Lead Sponsor
University of California, San Francisco
Brief Summary

This clinical trial tests the impact of a racially concordant trainer led yoga program on quality of life and symptom burden in Black and/or African American cancer survivors. Black individuals in the United States are more affected by cancer, despite modern advances. Cancer treatments can impact physical and mental health and overall quality of life and Black individuals report worse physical function and quality of life and less access to culturally appropriate support services. Yoga has been shown to have a positive impact on cancer and cancer treatment related symptoms and quality of life, however, a one size fits all approach has not been shown to be effective in diverse populations. A trainer that shares the same racial or ethnic background as the participant (racially concordant) may have a positive impact on communication, trust, and may improve accessibility and participation. Participating in a yoga program led by a racially concordant trainer may improve quality of life and symptom burden in Black and/or African American cancer survivors.

Detailed Description

PRIMARY OBJECTIVE:

I. Determine the feasibility and acceptability of a yoga intervention among Black individuals with cancer.

SECONDARY OBJECTIVES:

I. To estimate the effect of the intervention on health-related quality of life.

II. To estimate the effect of the intervention on symptom burden. III. To determine the safety of the intervention.

OUTLINE:

Participants engage in racially concordant trainer led yoga sessions over 60 minutes once weekly (QW) on weeks 1-4 then participate in self-practice video led yoga sessions over 10-15 minutes on weeks 5-8.

After completion of study intervention, patients are followed up at 3 months.

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
50
Inclusion Criteria
  1. Age >=18 years.
  2. Able to understand study procedures and to comply with them for the entire length of the study.
  3. Ability of individual or legal guardian/representative to understand a written informed consent document, and the willingness to sign it.
  4. Diagnosed with any malignancy and/or received any cancer directed therapy within 5 years of enrollment.
  5. Be able to speak, read and write in English.
  6. Self-identify as Black or African American race.
  7. Reside in California.
Exclusion Criteria
  1. Contraindication to any study-related procedure or assessment.

    a. Participants complete the PAR-Q at screening to ensure that they are physically well enough to enroll in the study. If they report any conditions that may be contraindications to physical activity, physician clearance will be required prior to enrollment.

  2. Planned major surgery during the study period.

  3. Any major injuries that limit physical activity.

  4. Plans to receive any form of further cancer therapy during the study period (exception: individuals with breast or prostate cancer are allowed to be on hormone therapy on the study).

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Overall completion rateUp to 8 weeks

The completion rate is defined as the proportion of enrolled individuals who attend at least 2 yoga sessions.

Median score on the Feasibility of Intervention Measure (FIM)Up to 8 weeks

The FIM is a four-item measure of implementation that assesses participants perceived appropriateness of the intervention. Each item response falls on a scale of 1 (Completely disagree) to 5 (Completely agree). A scaled score is calculated by averaging responses. Scale values range from 1 to 5. The intervention will be determined acceptable if the overall median score is \>= 4.

Median score on the Acceptability of Intervention Measure (AIM)Up to 8 weeks

The AIM is a four-item measure of implementation that assesses participants perceived acceptability of the intervention. Each item response falls on a scale of 1 (Completely disagree) to 5 (Completely agree). A scaled score is calculated by averaging responses. Scale values range from 1 to 5. The intervention will be determined acceptable if the overall median score is \>= 4.

Median score on the Intervention Appropriateness Measure (IAM)Up to 8 weeks

The IAM is a four-item measure of implementation that assesses participants perceived appropriateness of the intervention. Each item response falls on a scale of 1 (Completely disagree) to 5 (Completely agree). A scaled score is calculated by averaging responses. Scale values range from 1 to 5. The intervention will be determined acceptable if the overall median score is \>= 4.

Secondary Outcome Measures
NameTimeMethod
Change in scores on the Patient Reported Outcomes Measurement Information System (PROMIS®-29) (Version 2) scoreUp to 8 weeks

The PROMIS 29 v2.0 profile assesses pain intensity using a response scale for each item ranging from 0 (no pain) to 10 (worst imaginable pain) on seven health domains (physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and activities, and sleep disturbance), with four items per domain and one question which addresses pain intensity item. PROMIS-29 domains are scored using a T-score metric, with higher scores indicate higher levels of functioning.

Percentage of participants reporting adverse eventsUp to 8 weeks

The effect of the intervention on symptom burden will be evaluated by participants self-reporting of adverse events. Adverse events will be classified and graded according to the Common Terminology Criteria for Adverse Events (CTCAEv 5).

Trial Locations

Locations (1)

University of California, San Francisco

🇺🇸

San Francisco, California, United States

University of California, San Francisco
🇺🇸San Francisco, California, United States
Bryan Le
Contact
415-502-6313
bryankhuong.le@ucsf.edu
Sorbarikor Piawah, MD, MPH
Principal Investigator
Chloe Atreya, MD
Principal Investigator

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