Evaluating Digital Micro-Interventions to Reduce Distress and Increase Wellbeing in Breast Cancer Survivors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 120
- 试验地点
- 1
- 主要终点
- Evaluation of Digital Micro-Intervention
研究概览
简要总结
Digital mental and behavioral health interventions have potential to significantly improve accessibility for the large number of breast cancer survivors who need treatments. However, the landscape of digital interventions tested in this population remains limited, with the few that have been tested primarily focused on reducing symptoms of mental disorders. This is problematic given the range of psychosocial needs among breast cancer survivors, including those who may not have active mental health symptoms, yet could benefit from learning effective coping skills. Moreover, all of these interventions follow a "one size fits all" approach, lacking precision in terms of when, where, and to whom they should be given. The overarching goals of this project are to develop and pilot a variety of digital micro-interventions (DMIs) for breast cancer survivors - highly focused, technology-enabled interventions that can be delivered in the context of a person's daily life with little burden on the individual.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Age = 18 years.
- •0-5 years post-diagnosis of Stage I, II, or III female breast cancer.
- •Elevated symptoms of depression and/or anxiety as measured by the PHQ-8 (score > 9) or GAD-7 (score > 7).
排除标准
- •Receiving individual (1 on 1) treatment for depression and/or anxiety to avoid treatment interference (note, individuals will be permitted to enroll if they are taking antidepressant medication and have not had an appointment to adjust the dosage over the past 2 weeks)
- •Active suicidal ideation during the enrollment/screening call based on a trained staff member orally administering the suicidality item from the PHQ-9 to individuals on the phone ("In the last 2 weeks, have you had thoughts that you would be better off dead, or thoughts of hurting yourself in some way?"). If an individual responds in any way other than "not at all" based on the available response options (i.e., either "several days", "more than half the days", or "nearly every day"), or if they mention having suicidal ideation or thoughts of death during the enrollment/screening call, the Pitt-Optimum risk assessment tool will be administered. Only participants deemed low risk may proceed in enrollment; all will be given additional resources.
- •Do not have an app-compatible phone (i.e., iOS 10.3 or later or Android 4.0.3 or later).
- •Cannot read and speak English (interventions only available in English).
研究组 & 干预措施
Savoring
Participants are asked to think of a positive and personally meaningful memory to meditate on. They are led through steps to enter their memory, which is then summarized and turned into a meditation practice.
干预措施: Digital Micro-Interventions (Behavioral)
Gratitude
Participants are asked to generate a list of things they are grateful for. They are led through an automated process of selecting a source of gratitude and reflecting on it.
干预措施: Digital Micro-Interventions (Behavioral)
Behavioral Activation
Participants are led through an automated process of identifying tasks they can accomplish in their daily lives.
干预措施: Digital Micro-Interventions (Behavioral)
Acceptance
Participants are led through an automated process of accepting, rather than actively trying to push away, their distressing emotions or thoughts.
干预措施: Digital Micro-Interventions (Behavioral)
Challenging UnhelpfulThoughts
Participants are taught how to identify unhelpful thoughts, challenge them, and generate more balanced, helpful thoughts through an automated process that leads them step-by-step.
干预措施: Digital Micro-Interventions (Behavioral)
Psychoeducation
Participants receive access to psychoeducation content on mental health, distress, and well-being. They are provided tidbits of information every day to learn from.
干预措施: Digital Micro-Interventions (Behavioral)
结局指标
主要结局
Evaluation of Digital Micro-Intervention
时间窗: Post 1 week
12 item scale measuring satisfaction and acceptability. Each question is scored on a 0-4 scale with a total raw summed score range of 0-48. Higher scores indicate greater satisfaction and acceptability. Note, this measure could only be administered at post because it requires that participants used the intervention they were assigned, which was provided after they completed the baseline questionnaire battery.
次要结局
- Pain, Enjoyment of Life and General Activity (PEG) Scale(Baseline)
- Emotion Regulation Questionnaire(Baseline)
- Insomnia Severity Index(Baseline)
- Patient Health Questionnaire-8(Baseline)
- Generalized Anxiety Disorder-7(Baseline)
- PROMIS-29 Profile(Baseline)
- Insomnia Severity Index(Post 1 week)
- PROMIS-29 Profile(Post 1 week)
- Patient Health Questionnaire-8(Post 1 week)
- Pain, Enjoyment of Life and General Activity (PEG) Scale(Post 1 week)
- Emotion Regulation Questionnaire(Post 1 week)
- Generalized Anxiety Disorder-7(Post 1 week)
研究者
Philip Chow, Ph.D.
Associate Professor
University of Virginia
