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JOURNAL ONKOLOGIE – STUDIE
QUALUCA

Digital Lifestyle Intervention for Lung Cancer Survivors After Inpatient Rehabilitation

Rekrutierend

NCT-Nummer:
NCT05819346

Studienbeginn:
August 2023

Letztes Update:
24.01.2024

Wirkstoff:
-

Indikation (Clinical Trials):
Lung Neoplasms, Carcinoma, Non-Small-Cell Lung

Geschlecht:
Alle

Altersgruppe:
Erwachsene (18+)

Phase:
-

Sponsor:
Kai-Uwe Schmitt, PhD, MEng, ICID

Collaborator:
-

Studienleiter

Anja Frei, PhD
Principal Investigator
University of Zurich

Kontakt

Studienlocations
(3 von 4)

Zürcher RehaZentren | Klinik Davos
7272 Davos
SwitzerlandRekrutierend» Google-Maps
Berner Reha Zentrum AG
3625 Heiligenschwendi
SwitzerlandRekrutierend» Google-Maps
Zürcher RehaZentren | Klinik Wald
8636 Wald
SwitzerlandRekrutierend» Google-Maps
Alle anzeigen

Studien-Informationen

Detailed Description:

Lung cancer survivors suffer from reduced physical and psychological functioning as well as

decreased overall health-related quality of life (HRQoL) due to cancer symptoms, cancer

treatments, and comorbidities. Experienced symptoms by lung cancer survivors, such as

cancer-related fatigue or dyspnea, persist after active treatment ends. Therefore, lung

cancer survivors should receive continuous attention regarding their health and HRQoL beyond

the expected cancer cure.

Physical activity, healthy nutrition, and breathing/relaxation exercises before, during, and

after cancer treatments can increase physical as well as psychological functioning and HRQoL.

Thus, the adhesion to an appropriate healthy lifestyle is crucial and represents an effective

adjunctive strategy in the management of lung cancer survivors. Most lung cancer survivors,

however, are sedentary and fail to meet official lifestyle recommendations, for instance, of

the American Cancer Society or the World Cancer Research Fund/American Institute for Cancer

Research (WCRF/AICR).

The present project evaluates a mobile application for non-small cell lung cancer (NSCLC)

survivors that will be used for three months after inpatient rehabilitation has finished. The

main foci of the mobile application are physical activity, nutrition, and

breathing/relaxation. The contents of the mobile application and the mobile application

itself were developed in an iterative co-creation process involving software developers and

potential users as well as researchers and clinicians from different disciplines (e.g.,

physical therapy and nutritional therapy).

Ein-/Ausschlusskriterien

Inclusion Criteria:

- Age ≥ 18 years

- Diagnosis of non-small cell lung cancer (NSCLC)

- Estimated life expectancy of ≥ six months (judged by local investigators/responsible

health professionals)

- Undergoing inpatient rehabilitation

- Knowledge of German to understand study material and assessments

- Access to a cell phone or tablet

- Written informed consent

Exclusion Criteria:

- Inability to provide informed consent

- Inability to participate in the intervention because of physical, cognitive, or safety

reasons (judged by local investigators/responsible health professionals)

Studien-Rationale

Primary outcome:

1. Health-related quality of life (Scale-Global health status) (Time Frame - Change from baseline to 3 months):
European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) (2 items; 7-point Likert-type scale; the score ranges from 0 to 100; a high score for the global health status represents a high HRQoL)



Secondary outcome:

1. Health-related quality of life (5 functional scales, 9 symptom scales/items) (Time Frame - Change from baseline to 3 months):
European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) (28 items; 4-point Likert-type scale; 5 functional scales (physical functioning, role functioning, emotional functioning, cognitive functioning, social functioning), 3 symptom scales (fatigue, nausea and vomiting, pain), 6 single items (dyspnoea, insomnia, appetite loss, constipation, diarrhoea, financial difficulties); all scales and single-item measures range in score from 0 to 100)

2. Lung cancer-specific health-related quality of life (10 symptom scales/items) (Time Frame - Change from baseline to 3 months):
European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 29 (lung cancer-specific module) (EORTC QLQ-LC29) (29 items; 4-point Likert-type scale / 5 multi-item scales and 5 single items; all scales and single-item measures range in score from 0 to 100)

3. Body mass index [kg/m²] (Time Frame - Change from baseline to 3 months):
Computed using self-reported body weight [kg] and height [m]

4. Physical activity (self-reported) (Time Frame - Change from baseline to 3 months):
Modified Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ) (physical activity before inpatient rehabilitation and physical activity over the last week)

5. Functional exercise capacity (Time Frame - Change from baseline to 3 months):
1-Minute Sit-to-Stand Test (number of repetitions)

6. Risk for low protein intake (Time Frame - Change from baseline to 3 months):
Protein Screener 55+ (Pro55+) (10 items)

7. Appetite (Time Frame - Change from baseline to 3 months):
Simplified Nutritional Appetite Questionnaire (SNAQ) (4 items; 5-point Likert-type scale)

8. Psychological distress (Time Frame - Change from baseline to 3 months):
Short form of the Patient Health Questionnaire (PHQ-4) (4 items)

9. Cancer-related fatigue (Time Frame - Change from baseline to 3 months):
Brief Fatigue Inventory (BFI) (9 items)

10. Enablement (Time Frame - Change from baseline to 3 months):
Shortened version of the Patient Enablement Scale-13 (PEN-13) (5 out of 13 items; 5-point Likert-type scale)

11. Self-rated health (Time Frame - Weekly for 3 months):
EuroQol Group Visual Analogue Scale (EQ VAS) (vertical visual analog scale that takes values between 100 [best imaginable health] and 0 [worst imaginable health], on which respondents provide a global assessment of their health)

Studien-Arme

  • Experimental: Digital lifestyle intervention
    Self-management mobile application covering physical activity, nutrition, and breathing/relaxation
  • No Intervention: Control
    Usual care (study participation does not interfere with or change any other planned treatments)

Geprüfte Regime

  • Lifestyle:
    Participants assigned to the intervention group receive access to a lifestyle mobile application for three months after inpatient rehabilitation has finished. The digital program is target group-specific and includes personalization and interactive elements without face-to-face appointments during the intervention. One virtual appointment at the beginning of the intervention (about one week post-rehabilitation) with the study staff ensures that participants familiarize themselves with the mobile application and that they are assigned to a suitable program level. The intervention is mainly based on the following behavior change technique (BCT) clusters: goals and planning, feedback and monitoring, shaping knowledge, and comparison of behavior.

Quelle: ClinicalTrials.gov


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