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van CCT (UK)

van CCT (UK)

The BREATH study: Online self-management to facilitate adjustment after curative breast cancer.

- candidate number9679
- NTR NumberNTR2935
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR6-jun-2011
- Secondary IDs2009/144 / NL27951.091.09; CMO Arnhem-Nijmegen / CCMO
- Public TitleThe BREATH study: Online self-management to facilitate adjustment after curative breast cancer.
- Scientific TitleDevelopment and (cost)effectiveness of a non-guided web-based psychological self-management intervention to facilitate recovery for breast cancer patients who completed primary curative treatment.
- ACRONYMBREAst cancer e-healTH [BREATH]
- hypothesisThe purpose of this study is to develop a web-based intervention for breast cancer patients to reduce the impact of psychological problems that arise after the completion of medical treatment at an early stage. The research question is whether this intervention compared with usual care is effective in reducing psychological distress and/or improving empowerment.
- Healt Condition(s) or Problem(s) studiedBreast cancer, Selfmanagement, Internet-interventions
- Inclusion criteria1. Histologically proven malignancy of the breast;
2. Breast cancer is treated with curative intent surgery and adjuvant chemotherapy and/or radiotherapy;
3. Patients with direct access to a computer with internet connection and some skill on the Internet;
4. A good command of Dutch language.
- Exclusion criteria1. Patients treated only with surgery;
2. Patients with metastatic breast carcinoma;
3. Previous malignancy except adequately treated cervix carcinoma in situ and treated basal cell carcinoma of the skin;
4. Psychiatric problems that interfere with adherence to the study.
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 16-aug-2010
- planned closingdate16-nov-2011
- Target number of participants170
- InterventionsThe non-guided self-management BREATH intervention focuses on information and treatment of psychological problems (such as anxiety and depression), emotional processing issues, social problems (such as work resumption and reactions of the environment), and physical problems (such as pain, fatigue and sexuality), which can all be influenced by psychological factors. The intervention guides patients chronologically through universal re-entry topics. The protocol has a fixed structure that covers four months, representing four different phases of recovery after breast cancer. Each month has a fixed week structure that targets consecutively psycho-education, problems in every day live, social environment, and empowerment. Working ingredients include Information (25 scripts), Assignment (48 tasks), Assessment (10 tests) and Video (39 clips extracted from the recorded interviews).

The control group receives care as usual.
- Primary outcomePsychological distress (SCL-90 ; Arrindell, 2003) and empowerment (Cancer Empowerment Questionnaire; Van den Berg, 2010).

1. Arrindell WA, Ettema JHM. SCL-90: Handleiding bij een multidimensionele psychopathologie-indicator [SCL-90: Manual for a multifaceted measure of psychopathology]. Lisse, Swets & Zeitlinger, 2003;
2. Van den Berg SW, Gielissen M, Prins JP. Validation of an empowerment questionnaire in breast cancer survivors. Meeting abstract 12th World Congress of Psycho-Oncology, May 2010.
- Secondary outcome1. Quality of life generally (EORTC QLQ C30) and specifically for breast cancer patients (BR23);
2. Anxiety and depression (HADS);
3. Remoralization (RS);
4. Perceived control (Mastery-scale);
5. Positive adjustment (PAQ);
6. Personality (BFI);
7. Coping (Cope);
8. Impact of events (IES);
9. Illness cognitions (ICQ);
10. Fear of cancer recurrence (CWS);
11. Openness to discuss cancer (ODHCF);
12. Self-efficacly (SE-28);
13. Fatigue (CIS-fatigue).

For patients in the experimental group, also medical disease-specific data are collected and technical data on the use of the web-based intervention, in addition to the standardized questionnaires.
- TimepointsBaseline (3 months after completion of radio and/or chemotherapy) and 4, 6 and 10 months after baseline.
- Trial web siteN/A
- statusopen: patient inclusion
- Sponsor/Initiator Radboud University Medical Center Nijmegen
- Funding
(Source(s) of Monetary or Material Support)
Pink Ribbon
- PublicationsN/A
- Brief summaryAfter completion of curative treatment, all breast cancer patients go through the transition from patient to survivor. During this re-entry phase, patients are faced with a broad range of re-entry topics, concerning physical and emotional recovery, returning to work and fear of recurrence. The universality of these topics motivated the BREATH study to develop an effective and easily accessible self-management intervention to facilitate adjustment for all breast cancer patients. Therefore, the BREATH study aims to develop and establish the effectiveness of a web-based self-management intervention to facilitate adjustment after completion of primary curative breast cancer treatment. The question is whether this intervention compared with usual care is effective in decreasing psychological distress and/or increasing patient empowerment. Secondary outcomes include psychological, physical, and social measures. Tackling universal re-entry topics shortly after completion of primary breast cancer treatment might facilitate the transition from patient to survivor. The BREATH intervention provides a non-traditional psychological self-management approach to support emotional, physical and social recovery after breast cancer. The intervention is offered to all patients, both distressed and non-distressed. Innovative is the use of patients own strengths as an explicit intervention target providing a buffer to prevent psychological distress in long-term survivorship. At this moment, the (cost) effectiveness of the BREATH intervention is evaluated in a multicenter randomized controlled trial involving 7 hospitals in the Netherlands.
- Main changes (audit trail)
- RECORD6-jun-2011 - 21-jun-2011

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