Effects of an e-home based symptom management and mindfulness training program on quality of life in breast cancer survivors.

Authors

Karis Kin-Fong Cheng

Karis Kin-Fong Cheng

National University of Singapore, Singapre, Singapore

Karis Kin-Fong Cheng , Rosalind Siah , Melvyn Zhang , Shian-Ling Keng , Wan-Hua Wong , Roger Ho , Hsuen Elaine Lim

Organizations

National University of Singapore, Singapre, Singapore, National University of Singapore, Sinapore, Singapore, Institute of Mental Health, Singapore, Singapore, Yale-National University of Singapore, Singapore, Singapore, National University Hospital, Singapore, Singapore, Division of Medical Oncology, National Cancer Centre Singapore, Singapore, Singapore

Research Funding

Other Foundation
Singapore Cancer Society Research Fund

Background: The first five years post-treatment for breast cancer are a critical phase, when the survivors may face a multitude of problems, including persistent and/or late-emerging symptoms following the cancer and its treatment, psycho-social distress associated with the risk of cancer recurrence, chronic uncertainty and social disruption. Thus, this trial will answer the research questions of 'Will the combined symptom management and mindfulness-based training programme be a promising approach to assist women with breast cancer in transition from treatment to survivorship?', and 'Since breast cancer survivors have infrequent clinical follow-up, will e-Home based system provide a feasible option for post-treatment care?'Methods: We aim to develop an e-Home based symptom management and mindfulness training programme for breast cancer survivors and to determine its effects on the endpoints including quality of life, symptom distress, psychosocial adjustment, psychological morbidity, and unplanned outpatient attendance or hospitalisation in breast cancer survivors. (ClinicalTrials.gov Identifier: NCT02931864) We employ a randomised clinical trial with four study arms (with 47 subjects, who have completed cancer treatment for stage 0 to 3 breast cancer between 6 months to 5 years previously, in each arm) together with a process evaluation; group 1 (usual care), group 2 (experimental group: five weekly sessions of online symptom management + mindfulness training programme and usual care), group 3 (comparison group 1: online symptom management programme and usual care), and group 4 (comparison group 2: online mindfulness training programme and usual care). Subjects will complete questionnaires measures of 6-item Social Support Questionnaire, Breast Cancer Survivor Self- Efficacy Scale, the Quality of Life-Cancer Survivor Scale, Memorial Symptom Assessment Scale, Psychosocial Adjustment to Illness Scale, short version of the Fear of Recurrence Scale, Hospital and anxiety Depression Scale, and Five Facet Mindfulness Questionnaire at baseline, at 8 weeks from time 1 (time 2), at 12 weeks from time 1 (time 3) and at 24 weeks from time 1 (time 4). Intention-to-treat approach will be used. Repeated measures analysis of variance will be used to examine the differences on outcome measures among the experimental, comparison, and control groups across study time points. Currently, 162 of 188 planned subjects have been enrolled and the trial continues as planned. Clinical trial information: NCT02931864.

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Abstract Details

Meeting

2020 ASCO Virtual Scientific Program

Session Type

Poster Session

Session Title

Symptoms and Survivorship

Track

Symptom Science and Palliative Care

Sub Track

Psychosocial and Communication Research

Clinical Trial Registration Number

NCT02931864

Citation

J Clin Oncol 38: 2020 (suppl; abstr TPS12130)

DOI

10.1200/JCO.2020.38.15_suppl.TPS12130

Abstract #

TPS12130

Poster Bd #

418

Abstract Disclosures