Optimization of a Multicomponent Intervention to Foster Functional Recovery After Breast Cancer Treatment
MGH Institute of Health Professions
Summary
The goal of this clinical trial is to determine the best way to promote participation in vocational, social, physical, and instrumental activities of daily living in people who have completed treatment for early stage breast cancer. The main question it aims to answer is: Which of the intervention components, alone or in combination, most effectively promote participation in vocational, social, physical, and instrumental activities of daily living? Participants will be asked to try one of 8 combination of three intervention components that have been shown to promote activity participation: (1) priority elicitation, (2) education, and (3) guided application involving goal setting, problem-solving and action planning.
Description
Breast cancer treatment creates physical, emotional, and practical challenges that disrupt routines and activities. After completion of curative treatment, one-third of cancer survivors report participation restrictions, defined as difficulties performing valued activities that reflect life roles. Participation restrictions can persist two to six years after breast cancer treatment, imposing personal and societal costs by hindering one's ability to fulfill career, civic, and caregiving roles. Addressing participation restrictions reflects the Cancer Moonshot Initiative call for research on way…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: 1. Age of 18 years or older, 2. Diagnosed with Stage 1-3 breast cancer and within one year of completion of locoregional treatment and/or adjuvant therapy with curative intent and absence of disease recurrence, 3. Experiencing reduced participation (i.e., a score of \> 10 on the Work and Social Adjustment Scale). Exclusion Criteria: 1. Non-English speaking. 2. Non-correctable hearing loss. 3. Moderate-severe cognitive impairment indicated by a score \< 3 on a 6-item cognitive screener. 4. History of severe mental illness (i.e., schizophrenia, bipolar disorder), current m…
Interventions
- BehavioralIndividually tailored education and guided application to promote activity participation
This condition has high levels of the three components: (1) priority-elicitation and session tailoring; (2) cancer survivorship education; and (3) guided application involving goal setting, problem-solving, and action planning.
- BehavioralIndividually tailored guided application
This condition contains high levels of priority elicitation and guided application.
- BehavioralIndividually tailored education
This condition contains how levels of the components of priority elicitation and education
- BehavioralPriority elicitation
This condition contains the high level of the priority elicitation component
- BehavioralStatic education and guided application
This condition has high levels of the education and guided application components
Location
- MGH Institute of Health ProfessionsBoston, Massachusetts