Trial Outcomes & Findings for Using SMART Design to Improve Symptom Management Strategies Among Cancer Patients (NCT NCT02759146)

NCT ID: NCT02759146

Last Updated: 2020-12-16

Results Overview

Aim 1: Average severity of fatigue over weeks 1-4 Individual Score Range: 0-10 Higher score means worse outcome

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

347 participants

Primary outcome timeframe

Week 1 -Week 4

Results posted on

2020-12-16

Participant Flow

Participants were recruited from 8 clinical centers between April 2015 and November 2019.

Of the 471 consented, 347 completed the baseline interview and were randomized. Between the time of consent and baseline interview 124 dyads attrited. Reasons included: Changed mind about participating (n=24), cannot be reached via phone/mail (n=55), too busy (n=19), too overwhelmed (n=8), too sick (n=9) and other reasons (n=48). Throughout the study, if either patient or caregiver dropped from the study, the dyad was considered an attrition.

Participant milestones

Participant milestones
Measure
Reflexology With Response, Then Continued Reflexology
Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms. Participants were randomized into the reflexology intervention, then after week 4 of symptom responses, were considered responders. Participants then continued with the reflexology intervention.
Reflexology Non-responders, Then Continued Reflexology
Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms. Participants were randomized into the reflexology intervention, then after 4 weeks of symptom responses were considered non-responders. Participants then continued with the reflexology intervention.
Reflexology Non-responders, Then Switch to Meditation
Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns. Participants were randomized into the reflexology intervention, then after 4 weeks of symptom responses were considered non-responders. Participants then switched to a meditative practice intervention.
Control
Control - no intervention
Meditative Practice With Response, Continued Meditation
Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns. Participants were randomized into the meditative practice intervention, then after 4 weeks of symptom response were considered responders. Participants then continued with the meditative practice intervention.
Meditative Practice Non-responders, Continued Meditation
Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns. Participants were randomized into the mindfulness meditation intervention, then after 4 weeks of symptom responses were considered non-responders. Participants then continued with the meditative practice intervention.
Meditative Practice Non-responders, Switch to Reflexology
Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms. Participants were randomized into the meditative practice intervention, then after 4 weeks of symptom responses were considered non-responders. Participants then switched to a reflexology intervention.
Week 1-4
STARTED
57
36
33
44
49
30
27
Week 1-4
COMPLETED
56
34
32
44
49
29
26
Week 1-4
NOT COMPLETED
1
2
1
0
0
1
1
Week 5-8
STARTED
56
34
32
44
49
29
26
Week 5-8
COMPLETED
46
29
22
37
44
23
20
Week 5-8
NOT COMPLETED
10
5
10
7
5
6
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Baseline measure separated by patient/ caregiver

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Reflexology Patients
n=150 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=150 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=47 Participants
Control- no intervention
Reflexology Caregivers
n=150 Participants
Caregivers providing reflexology to their friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditation Practice Caregivers
n=150 Participants
Caregivers providing meditative practice to their friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Caregivers
n=47 Participants
Control - no intervention
Total
n=694 Participants
Total of all reporting groups
Age, Customized
Age- Caregiver
56.07 years
STANDARD_DEVIATION 14.84 • n=146 Participants • Baseline measure separated by patient/ caregiver
55.56 years
STANDARD_DEVIATION 14.58 • n=146 Participants • Baseline measure separated by patient/ caregiver
54.59 years
STANDARD_DEVIATION 13.42 • n=47 Participants • Baseline measure separated by patient/ caregiver
55.65 years
STANDARD_DEVIATION 14.50 • n=339 Participants • Baseline measure separated by patient/ caregiver
Age, Customized
Age- Patient
56.65 years
STANDARD_DEVIATION 13.91 • n=150 Participants • Baseline measure separated by patient/ caregiver
58.41 years
STANDARD_DEVIATION 12.29 • n=150 Participants • Baseline measure separated by patient/ caregiver
59.31 years
STANDARD_DEVIATION 13.99 • n=47 Participants • Baseline measure separated by patient/ caregiver
57.77 years
STANDARD_DEVIATION 13.25 • n=347 Participants • Baseline measure separated by patient/ caregiver
Sex: Female, Male
Female
116 Participants
n=150 Participants • Participant did not respond
115 Participants
n=150 Participants • Participant did not respond
34 Participants
n=47 Participants • Participant did not respond
84 Participants
n=140 Participants • Participant did not respond
76 Participants
n=137 Participants • Participant did not respond
26 Participants
n=45 Participants • Participant did not respond
451 Participants
n=669 Participants • Participant did not respond
Sex: Female, Male
Male
34 Participants
n=150 Participants • Participant did not respond
35 Participants
n=150 Participants • Participant did not respond
13 Participants
n=47 Participants • Participant did not respond
56 Participants
n=140 Participants • Participant did not respond
61 Participants
n=137 Participants • Participant did not respond
19 Participants
n=45 Participants • Participant did not respond
218 Participants
n=669 Participants • Participant did not respond
Race/Ethnicity, Customized
Race · White Caucasian
126 Participants
n=150 Participants • Participant did not respond
129 Participants
n=150 Participants • Participant did not respond
46 Participants
n=47 Participants • Participant did not respond
119 Participants
n=139 Participants • Participant did not respond
119 Participants
n=145 Participants • Participant did not respond
40 Participants
n=47 Participants • Participant did not respond
579 Participants
n=678 Participants • Participant did not respond
Race/Ethnicity, Customized
Race · Asian
7 Participants
n=150 Participants • Participant did not respond
2 Participants
n=150 Participants • Participant did not respond
1 Participants
n=47 Participants • Participant did not respond
4 Participants
n=139 Participants • Participant did not respond
5 Participants
n=145 Participants • Participant did not respond
4 Participants
n=47 Participants • Participant did not respond
23 Participants
n=678 Participants • Participant did not respond
Race/Ethnicity, Customized
Race · Black or African American
12 Participants
n=150 Participants • Participant did not respond
12 Participants
n=150 Participants • Participant did not respond
0 Participants
n=47 Participants • Participant did not respond
8 Participants
n=139 Participants • Participant did not respond
12 Participants
n=145 Participants • Participant did not respond
0 Participants
n=47 Participants • Participant did not respond
44 Participants
n=678 Participants • Participant did not respond
Race/Ethnicity, Customized
Race · Other
5 Participants
n=150 Participants • Participant did not respond
7 Participants
n=150 Participants • Participant did not respond
0 Participants
n=47 Participants • Participant did not respond
8 Participants
n=139 Participants • Participant did not respond
9 Participants
n=145 Participants • Participant did not respond
3 Participants
n=47 Participants • Participant did not respond
32 Participants
n=678 Participants • Participant did not respond
Race/Ethnicity, Customized
Ethnicity · Hispanic
23 Participants
n=147 Participants • Participant did not respond
7 Participants
n=148 Participants • Participant did not respond
3 Participants
n=46 Participants • Participant did not respond
17 Participants
n=145 Participants • Participant did not respond
7 Participants
n=147 Participants • Participant did not respond
3 Participants
n=47 Participants • Participant did not respond
60 Participants
n=680 Participants • Participant did not respond
Race/Ethnicity, Customized
Ethnicity · Non Hispanic
122 Participants
n=147 Participants • Participant did not respond
140 Participants
n=148 Participants • Participant did not respond
43 Participants
n=46 Participants • Participant did not respond
126 Participants
n=145 Participants • Participant did not respond
139 Participants
n=147 Participants • Participant did not respond
44 Participants
n=47 Participants • Participant did not respond
614 Participants
n=680 Participants • Participant did not respond
Race/Ethnicity, Customized
Ethnicity · Other
2 Participants
n=147 Participants • Participant did not respond
1 Participants
n=148 Participants • Participant did not respond
0 Participants
n=46 Participants • Participant did not respond
2 Participants
n=145 Participants • Participant did not respond
1 Participants
n=147 Participants • Participant did not respond
0 Participants
n=47 Participants • Participant did not respond
6 Participants
n=680 Participants • Participant did not respond
Number of comorbid conditions
Comorbid conditions- patient
3.89 Number of conditions
STANDARD_DEVIATION 2.83 • n=148 Participants • Not all participants responded to question
3.83 Number of conditions
STANDARD_DEVIATION 2.73 • n=148 Participants • Not all participants responded to question
4.19 Number of conditions
STANDARD_DEVIATION 3.35 • n=47 Participants • Not all participants responded to question
3.90 Number of conditions
STANDARD_DEVIATION 2.86 • n=343 Participants • Not all participants responded to question
Number of comorbid conditions
Comorbid conditions- caregiver
3.45 Number of conditions
STANDARD_DEVIATION 2.56 • n=146 Participants • Not all participants responded to question
2.93 Number of conditions
STANDARD_DEVIATION 2.71 • n=148 Participants • Not all participants responded to question
3.06 Number of conditions
STANDARD_DEVIATION 2.54 • n=47 Participants • Not all participants responded to question
3.17 Number of conditions
STANDARD_DEVIATION 2.63 • n=341 Participants • Not all participants responded to question
Patient-caregiver relationship
Spouse
85 Participants
n=145 Participants • Participant did not respond
94 Participants
n=147 Participants • Participant did not respond
30 Participants
n=47 Participants • Participant did not respond
85 Participants
n=145 Participants • Participant did not respond
94 Participants
n=147 Participants • Participant did not respond
30 Participants
n=47 Participants • Participant did not respond
418 Participants
n=678 Participants • Participant did not respond
Patient-caregiver relationship
Adult Child
14 Participants
n=145 Participants • Participant did not respond
11 Participants
n=147 Participants • Participant did not respond
3 Participants
n=47 Participants • Participant did not respond
15 Participants
n=145 Participants • Participant did not respond
16 Participants
n=147 Participants • Participant did not respond
7 Participants
n=47 Participants • Participant did not respond
66 Participants
n=678 Participants • Participant did not respond
Patient-caregiver relationship
Parent
15 Participants
n=145 Participants • Participant did not respond
16 Participants
n=147 Participants • Participant did not respond
7 Participants
n=47 Participants • Participant did not respond
14 Participants
n=145 Participants • Participant did not respond
11 Participants
n=147 Participants • Participant did not respond
3 Participants
n=47 Participants • Participant did not respond
66 Participants
n=678 Participants • Participant did not respond
Patient-caregiver relationship
Friend
19 Participants
n=145 Participants • Participant did not respond
17 Participants
n=147 Participants • Participant did not respond
5 Participants
n=47 Participants • Participant did not respond
19 Participants
n=145 Participants • Participant did not respond
17 Participants
n=147 Participants • Participant did not respond
5 Participants
n=47 Participants • Participant did not respond
82 Participants
n=678 Participants • Participant did not respond
Patient-caregiver relationship
Other
12 Participants
n=145 Participants • Participant did not respond
9 Participants
n=147 Participants • Participant did not respond
2 Participants
n=47 Participants • Participant did not respond
12 Participants
n=145 Participants • Participant did not respond
9 Participants
n=147 Participants • Participant did not respond
2 Participants
n=47 Participants • Participant did not respond
46 Participants
n=678 Participants • Participant did not respond
Living arrangement
Together
100 Participants
n=142 Participants • Not all patients/ caregivers responded
112 Participants
n=147 Participants • Not all patients/ caregivers responded
34 Participants
n=47 Participants • Not all patients/ caregivers responded
100 Participants
n=142 Participants • Not all patients/ caregivers responded
112 Participants
n=147 Participants • Not all patients/ caregivers responded
34 Participants
n=47 Participants • Not all patients/ caregivers responded
492 Participants
n=672 Participants • Not all patients/ caregivers responded
Living arrangement
Separately
42 Participants
n=142 Participants • Not all patients/ caregivers responded
35 Participants
n=147 Participants • Not all patients/ caregivers responded
13 Participants
n=47 Participants • Not all patients/ caregivers responded
42 Participants
n=142 Participants • Not all patients/ caregivers responded
35 Participants
n=147 Participants • Not all patients/ caregivers responded
13 Participants
n=47 Participants • Not all patients/ caregivers responded
180 Participants
n=672 Participants • Not all patients/ caregivers responded
Number of Complimentary and Alternative Medicine (CAM) therapies used
2.36 Number of CAM therapies
STANDARD_DEVIATION 2.41 • n=148 Participants • Participants did not respond
2.51 Number of CAM therapies
STANDARD_DEVIATION 2.23 • n=148 Participants • Participants did not respond
2.00 Number of CAM therapies
STANDARD_DEVIATION 1.91 • n=47 Participants • Participants did not respond
2.38 Number of CAM therapies
STANDARD_DEVIATION 2.27 • n=343 Participants • Participants did not respond
Education
High school or less
2 Participants
n=150 Participants
4 Participants
n=150 Participants
0 Participants
n=47 Participants
25 Participants
n=150 Participants
18 Participants
n=150 Participants
6 Participants
n=47 Participants
55 Participants
n=694 Participants
Education
At least some college
61 Participants
n=150 Participants
62 Participants
n=150 Participants
22 Participants
n=47 Participants
85 Participants
n=150 Participants
81 Participants
n=150 Participants
28 Participants
n=47 Participants
339 Participants
n=694 Participants
Education
Graduate/ professional degree
45 Participants
n=150 Participants
33 Participants
n=150 Participants
11 Participants
n=47 Participants
36 Participants
n=150 Participants
49 Participants
n=150 Participants
13 Participants
n=47 Participants
187 Participants
n=694 Participants
Employment
Employed full time
46 Participants
n=147 Participants • Participant did not respond
44 Participants
n=146 Participants • Participant did not respond
13 Participants
n=47 Participants • Participant did not respond
78 Participants
n=145 Participants • Participant did not respond
67 Participants
n=147 Participants • Participant did not respond
18 Participants
n=47 Participants • Participant did not respond
266 Participants
n=679 Participants • Participant did not respond
Employment
Employed part time
9 Participants
n=147 Participants • Participant did not respond
15 Participants
n=146 Participants • Participant did not respond
4 Participants
n=47 Participants • Participant did not respond
11 Participants
n=145 Participants • Participant did not respond
15 Participants
n=147 Participants • Participant did not respond
5 Participants
n=47 Participants • Participant did not respond
59 Participants
n=679 Participants • Participant did not respond
Employment
Retired
9 Participants
n=147 Participants • Participant did not respond
6 Participants
n=146 Participants • Participant did not respond
2 Participants
n=47 Participants • Participant did not respond
42 Participants
n=145 Participants • Participant did not respond
47 Participants
n=147 Participants • Participant did not respond
16 Participants
n=47 Participants • Participant did not respond
122 Participants
n=679 Participants • Participant did not respond
Employment
Not employed
83 Participants
n=147 Participants • Participant did not respond
81 Participants
n=146 Participants • Participant did not respond
28 Participants
n=47 Participants • Participant did not respond
14 Participants
n=145 Participants • Participant did not respond
18 Participants
n=147 Participants • Participant did not respond
8 Participants
n=47 Participants • Participant did not respond
232 Participants
n=679 Participants • Participant did not respond
Income
<= $24,000
18 Participants
n=146 Participants • Participant did not respond
8 Participants
n=148 Participants • Participant did not respond
1 Participants
n=46 Participants • Participant did not respond
13 Participants
n=134 Participants • Participant did not respond
9 Participants
n=137 Participants • Participant did not respond
4 Participants
n=43 Participants • Participant did not respond
53 Participants
n=654 Participants • Participant did not respond
Income
$25,000-$49,000
21 Participants
n=146 Participants • Participant did not respond
25 Participants
n=148 Participants • Participant did not respond
5 Participants
n=46 Participants • Participant did not respond
25 Participants
n=134 Participants • Participant did not respond
23 Participants
n=137 Participants • Participant did not respond
7 Participants
n=43 Participants • Participant did not respond
106 Participants
n=654 Participants • Participant did not respond
Income
$50,000-$99,000
30 Participants
n=146 Participants • Participant did not respond
28 Participants
n=148 Participants • Participant did not respond
7 Participants
n=46 Participants • Participant did not respond
32 Participants
n=134 Participants • Participant did not respond
42 Participants
n=137 Participants • Participant did not respond
6 Participants
n=43 Participants • Participant did not respond
145 Participants
n=654 Participants • Participant did not respond
Income
>=$100,000
17 Participants
n=146 Participants • Participant did not respond
24 Participants
n=148 Participants • Participant did not respond
11 Participants
n=46 Participants • Participant did not respond
24 Participants
n=134 Participants • Participant did not respond
20 Participants
n=137 Participants • Participant did not respond
11 Participants
n=43 Participants • Participant did not respond
107 Participants
n=654 Participants • Participant did not respond
Income
Other
60 Participants
n=146 Participants • Participant did not respond
63 Participants
n=148 Participants • Participant did not respond
22 Participants
n=46 Participants • Participant did not respond
40 Participants
n=134 Participants • Participant did not respond
43 Participants
n=137 Participants • Participant did not respond
15 Participants
n=43 Participants • Participant did not respond
243 Participants
n=654 Participants • Participant did not respond
Brief Fatigue Inventory Severity of Fatigue (BFI, worst fatigue)
4.08 units on a scale
STANDARD_DEVIATION 2.90 • n=148 Participants • Caregivers did not report outcome measure
3.95 units on a scale
STANDARD_DEVIATION 2.71 • n=148 Participants • Caregivers did not report outcome measure
3.81 units on a scale
STANDARD_DEVIATION 2.63 • n=47 Participants • Caregivers did not report outcome measure
3.99 units on a scale
STANDARD_DEVIATION 2.78 • n=343 Participants • Caregivers did not report outcome measure
Fatigue interference (BFI)
20.14 units on a scale
STANDARD_DEVIATION 15.09 • n=148 Participants • Caregivers did not report outcome measure
21.85 units on a scale
STANDARD_DEVIATION 16.14 • n=148 Participants • Caregivers did not report outcome measure
21.91 units on a scale
STANDARD_DEVIATION 14.08 • n=47 Participants • Caregivers did not report outcome measure
21.12 units on a scale
STANDARD_DEVIATION 15.40 • n=343 Participants • Caregivers did not report outcome measure
Summed severity of other symptoms (MDASI)
38.61 units on a scale
STANDARD_DEVIATION 29.00 • n=148 Participants • Caregivers did not report outcome measure
40.43 units on a scale
STANDARD_DEVIATION 28.24 • n=148 Participants • Caregivers did not report outcome measure
37.23 units on a scale
STANDARD_DEVIATION 22.46 • n=47 Participants • Caregivers did not report outcome measure
39.20 units on a scale
STANDARD_DEVIATION 27.81 • n=343 Participants • Caregivers did not report outcome measure
Symptom interference (MDASI)
19.06 units on a scale
STANDARD_DEVIATION 15.46 • n=148 Participants • Caregivers did not report outcome measure
19.69 units on a scale
STANDARD_DEVIATION 15.35 • n=148 Participants • Caregivers did not report outcome measure
18.98 units on a scale
STANDARD_DEVIATION 14.91 • n=47 Participants • Caregivers did not report outcome measure
19.32 units on a scale
STANDARD_DEVIATION 15.30 • n=343 Participants • Caregivers did not report outcome measure
Patient Reported Outcomes Measurement Information System (PROMIS) depression
PROMIS depression- Patient
53.67 units on a scale
STANDARD_DEVIATION 8.52 • n=148 Participants • Not all participants responded to question
53.13 units on a scale
STANDARD_DEVIATION 8.39 • n=148 Participants • Not all participants responded to question
55.26 units on a scale
STANDARD_DEVIATION 7.98 • n=47 Participants • Not all participants responded to question
53.65 units on a scale
STANDARD_DEVIATION 8.39 • n=343 Participants • Not all participants responded to question
Patient Reported Outcomes Measurement Information System (PROMIS) depression
PROMIS depression- Caregiver
47.14 units on a scale
STANDARD_DEVIATION 7.61 • n=146 Participants • Not all participants responded to question
45.41 units on a scale
STANDARD_DEVIATION 6.45 • n=148 Participants • Not all participants responded to question
46.87 units on a scale
STANDARD_DEVIATION 7.82 • n=47 Participants • Not all participants responded to question
46.35 units on a scale
STANDARD_DEVIATION 7.19 • n=341 Participants • Not all participants responded to question
PROMIS anxiety
PROMIS anxiety- Patient
54.34 units on a scale
STANDARD_DEVIATION 9.17 • n=148 Participants • Not all participants responded
53.64 units on a scale
STANDARD_DEVIATION 8.66 • n=148 Participants • Not all participants responded
55.01 units on a scale
STANDARD_DEVIATION 7.78 • n=47 Participants • Not all participants responded
54.13 units on a scale
STANDARD_DEVIATION 8.76 • n=343 Participants • Not all participants responded
PROMIS anxiety
PROMIS anxiety- Caregiver
48.38 units on a scale
STANDARD_DEVIATION 8.31 • n=146 Participants • Not all participants responded
46.09 units on a scale
STANDARD_DEVIATION 7.67 • n=147 Participants • Not all participants responded
48.10 units on a scale
STANDARD_DEVIATION 9.43 • n=47 Participants • Not all participants responded
47.35 units on a scale
STANDARD_DEVIATION 8.26 • n=340 Participants • Not all participants responded
Attentional function index
Subscale 1 (action)
6.08 units on a scale
STANDARD_DEVIATION 2.22 • n=148 Participants • Caregivers did not report outcome information
6.19 units on a scale
STANDARD_DEVIATION 2.11 • n=148 Participants • Caregivers did not report outcome information
5.71 units on a scale
STANDARD_DEVIATION 2.45 • n=47 Participants • Caregivers did not report outcome information
6.08 units on a scale
STANDARD_DEVIATION 2.20 • n=343 Participants • Caregivers did not report outcome information
Attentional function index
Subscale 2 (lapses)
3.50 units on a scale
STANDARD_DEVIATION 2.20 • n=148 Participants • Caregivers did not report outcome information
3.19 units on a scale
STANDARD_DEVIATION 2.25 • n=148 Participants • Caregivers did not report outcome information
3.21 units on a scale
STANDARD_DEVIATION 2.07 • n=47 Participants • Caregivers did not report outcome information
3.33 units on a scale
STANDARD_DEVIATION 2.20 • n=343 Participants • Caregivers did not report outcome information
Attentional function index
Subscale 3 (effectiveness)
5.93 units on a scale
STANDARD_DEVIATION 1.71 • n=148 Participants • Caregivers did not report outcome information
6.04 units on a scale
STANDARD_DEVIATION 1.67 • n=148 Participants • Caregivers did not report outcome information
5.70 units on a scale
STANDARD_DEVIATION 1.93 • n=47 Participants • Caregivers did not report outcome information
5.95 units on a scale
STANDARD_DEVIATION 1.73 • n=343 Participants • Caregivers did not report outcome information
Long Term Quality of Life (LTQL) spirituality
34.27 units on a scale
STANDARD_DEVIATION 8.56 • n=148 Participants • Caregivers did not report outcome measure
33.63 units on a scale
STANDARD_DEVIATION 7.30 • n=148 Participants • Caregivers did not report outcome measure
33.26 units on a scale
STANDARD_DEVIATION 8.33 • n=47 Participants • Caregivers did not report outcome measure
33.85 units on a scale
STANDARD_DEVIATION 7.99 • n=343 Participants • Caregivers did not report outcome measure
Social Support (MSPSS)
25.93 units on a scale
STANDARD_DEVIATION 4.46 • n=148 Participants • Caregivers did not report outcome measure
26.40 units on a scale
STANDARD_DEVIATION 4.19 • n=148 Participants • Caregivers did not report outcome measure
25.64 units on a scale
STANDARD_DEVIATION 3.07 • n=47 Participants • Caregivers did not report outcome measure
26.09 units on a scale
STANDARD_DEVIATION 4.18 • n=343 Participants • Caregivers did not report outcome measure
PROMIS physical function
PROMIS physical function- Patient
39.97 units on a scale
STANDARD_DEVIATION 7.99 • n=146 Participants • Not all participants responded to question
40.17 units on a scale
STANDARD_DEVIATION 8.58 • n=145 Participants • Not all participants responded to question
39.91 units on a scale
STANDARD_DEVIATION 7.01 • n=47 Participants • Not all participants responded to question
40.05 units on a scale
STANDARD_DEVIATION 8.10 • n=338 Participants • Not all participants responded to question
PROMIS physical function
PROMIS physical function- Caregiver
54.00 units on a scale
STANDARD_DEVIATION 6.03 • n=145 Participants • Not all participants responded to question
53.33 units on a scale
STANDARD_DEVIATION 6.74 • n=148 Participants • Not all participants responded to question
52.40 units on a scale
STANDARD_DEVIATION 8.54 • n=46 Participants • Not all participants responded to question
53.49 units on a scale
STANDARD_DEVIATION 6.73 • n=339 Participants • Not all participants responded to question
PROMIS sleep disturbance
47.09 units on a scale
STANDARD_DEVIATION 7.18 • n=146 Participants • Patients did not report outcome measure
46.29 units on a scale
STANDARD_DEVIATION 8.27 • n=147 Participants • Patients did not report outcome measure
47.86 units on a scale
STANDARD_DEVIATION 7.80 • n=47 Participants • Patients did not report outcome measure
46.85 units on a scale
STANDARD_DEVIATION 7.75 • n=340 Participants • Patients did not report outcome measure
PROMIS fatigue
47.10 units on a scale
STANDARD_DEVIATION 9.03 • n=146 Participants • Patients did not report outcome measure
45.40 units on a scale
STANDARD_DEVIATION 8.57 • n=147 Participants • Patients did not report outcome measure
48.43 units on a scale
STANDARD_DEVIATION 9.78 • n=47 Participants • Patients did not report outcome measure
46.55 units on a scale
STANDARD_DEVIATION 8.99 • n=340 Participants • Patients did not report outcome measure
PROMIS pain interference
47.59 units on a scale
STANDARD_DEVIATION 7.67 • n=145 Participants • Patients did not report outcome measure
47.18 units on a scale
STANDARD_DEVIATION 7.85 • n=147 Participants • Patients did not report outcome measure
49.28 units on a scale
STANDARD_DEVIATION 8.75 • n=47 Participants • Patients did not report outcome measure
47.65 units on a scale
STANDARD_DEVIATION 7.91 • n=339 Participants • Patients did not report outcome measure
PROMIS pain intensity
1.51 units on a scale
STANDARD_DEVIATION 1.86 • n=145 Participants • Patients did not report outcome measure
1.29 units on a scale
STANDARD_DEVIATION 1.84 • n=147 Participants • Patients did not report outcome measure
1.64 units on a scale
STANDARD_DEVIATION 1.94 • n=47 Participants • Patients did not report outcome measure
1.43 units on a scale
STANDARD_DEVIATION 1.86 • n=339 Participants • Patients did not report outcome measure
Satisfaction with participation in social roles
54.63 units on a scale
STANDARD_DEVIATION 8.69 • n=146 Participants • Patients did not report outcome measure
55.94 units on a scale
STANDARD_DEVIATION 7.92 • n=148 Participants • Patients did not report outcome measure
53.15 units on a scale
STANDARD_DEVIATION 9.23 • n=47 Participants • Patients did not report outcome measure
55.00 units on a scale
STANDARD_DEVIATION 8.47 • n=341 Participants • Patients did not report outcome measure
Caregiver burden
Subscale 1 (impact)
2.46 units on a scale
STANDARD_DEVIATION 0.88 • n=146 Participants • Participant did not respond
2.35 units on a scale
STANDARD_DEVIATION 0.90 • n=148 Participants • Participant did not respond
2.63 units on a scale
STANDARD_DEVIATION 0.76 • n=47 Participants • Participant did not respond
2.44 units on a scale
STANDARD_DEVIATION 0.88 • n=341 Participants • Participant did not respond
Caregiver burden
Subscale 2 (esteem)
4.54 units on a scale
STANDARD_DEVIATION 0.44 • n=146 Participants • Participant did not respond
4.54 units on a scale
STANDARD_DEVIATION 0.37 • n=148 Participants • Participant did not respond
4.40 units on a scale
STANDARD_DEVIATION 0.46 • n=47 Participants • Participant did not respond
4.52 units on a scale
STANDARD_DEVIATION 0.42 • n=341 Participants • Participant did not respond
Caregiver burden
Subscale 3 (support)
1.70 units on a scale
STANDARD_DEVIATION 0.68 • n=146 Participants • Participant did not respond
1.67 units on a scale
STANDARD_DEVIATION 0.75 • n=148 Participants • Participant did not respond
1.84 units on a scale
STANDARD_DEVIATION 0.66 • n=47 Participants • Participant did not respond
1.71 units on a scale
STANDARD_DEVIATION 0.71 • n=341 Participants • Participant did not respond
Caregiver burden
Subscale 4 (health)
1.47 units on a scale
STANDARD_DEVIATION 0.68 • n=146 Participants • Participant did not respond
1.40 units on a scale
STANDARD_DEVIATION 0.63 • n=148 Participants • Participant did not respond
1.63 units on a scale
STANDARD_DEVIATION 0.75 • n=47 Participants • Participant did not respond
1.46 units on a scale
STANDARD_DEVIATION 0.67 • n=341 Participants • Participant did not respond
Caregiver burden
Subscale 5 (finance)
1.95 units on a scale
STANDARD_DEVIATION 0.89 • n=146 Participants • Participant did not respond
1.83 units on a scale
STANDARD_DEVIATION 0.84 • n=148 Participants • Participant did not respond
1.82 units on a scale
STANDARD_DEVIATION 0.83 • n=47 Participants • Participant did not respond
1.88 units on a scale
STANDARD_DEVIATION 0.86 • n=341 Participants • Participant did not respond
PROMIS- Fatigue Number
2.29 units on a scale
STANDARD_DEVIATION 1.07 • n=146 Participants • Only caregivers reported outcome
2.02 units on a scale
STANDARD_DEVIATION 1.00 • n=148 Participants • Only caregivers reported outcome
2.38 units on a scale
STANDARD_DEVIATION 1.17 • n=47 Participants • Only caregivers reported outcome
2.18 units on a scale
STANDARD_DEVIATION 1.06 • n=341 Participants • Only caregivers reported outcome

PRIMARY outcome

Timeframe: Week 1 -Week 4

Aim 1: Average severity of fatigue over weeks 1-4 Individual Score Range: 0-10 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=120 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=97 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=42 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
Brief Fatigue Inventory (BFI)
4.17 units on a scale
Standard Error 0.17
4.08 units on a scale
Standard Error 0.18
4.32 units on a scale
Standard Error 0.26

PRIMARY outcome

Timeframe: Weeks 1-4

Aim 1: Average severity of distress for weeks 1-4 Individual Score Range: 0-10 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=120 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=97 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=42 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
The MD Anderson Symptom Inventory (MDASI)- Distress
2.20 units on a scale
Standard Error 0.17
2.21 units on a scale
Standard Error 0.17
2.40 units on a scale
Standard Error 0.25

PRIMARY outcome

Timeframe: Weeks 1-4

Aim 1: Average severity of symptoms from weeks 1-4 Summed range: 0-180 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=120 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=97 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=42 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
The MD Anderson Symptom Inventory (MDASI)- Summed Severity
29.99 units on a scale
Standard Error 1.27
29.32 units on a scale
Standard Error 1.30
32.52 units on a scale
Standard Error 1.87

PRIMARY outcome

Timeframe: Weeks 1-4

Aim 1: Average severity of sadness from weeks 1-4 Score range: 0-10 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=120 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=97 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=42 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
The MD Anderson Symptom Inventory (MDASI)- Sadness
1.79 units on a scale
Standard Error 0.15
1.78 units on a scale
Standard Error 0.16
2.03 units on a scale
Standard Error 0.23

SECONDARY outcome

Timeframe: Weeks 5-12

Aims 2 and 3: Average severity of fatigue for weeks 5-12 Score range: 0-10 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=32 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=36 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=27 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
n=30 Participants
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
Brief Fatigue Inventory (BFI)
3.74 units on a scale
Standard Error 0.38
3.99 units on a scale
Standard Error 0.35
4.52 units on a scale
Standard Error 0.52
4.03 units on a scale
Standard Error 0.42

SECONDARY outcome

Timeframe: Weeks 5-12

Aims 2 and 3: Average severity of symptoms for weeks 5-12 Summed range: 0-180 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=27 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=32 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=21 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
n=29 Participants
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
MD Anderson Symptom Inventory (MDASI)- Summed Severity
29.96 units on a scale
Standard Error 3.97
28.02 units on a scale
Standard Error 3.57
32.18 units on a scale
Standard Error 3.76
30.33 units on a scale
Standard Error 3.04

SECONDARY outcome

Timeframe: Weeks 5-12

Aims 2 and 3: Average severity of distress for weeks 5-12 Score range: 0-10 High score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=27 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=32 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=21 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
n=29 Participants
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
MD Anderson Symptom Inventory (MDASI)- Distress
2.28 units on a scale
Standard Error 0.33
2.09 units on a scale
Standard Error 0.30
2.11 units on a scale
Standard Error 0.56
2.07 units on a scale
Standard Error 0.48

SECONDARY outcome

Timeframe: Weeks 5-12

Aims 2 and 3: Average severity of sadness for weeks 5-12 Score range: 0-10 High score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=27 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=32 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=21 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
n=29 Participants
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
MD Anderson Symptom Inventory (MDASI)- Sadness
2.17 units on a scale
Standard Error 0.40
2.03 units on a scale
Standard Error 0.36
2.01 units on a scale
Standard Error 0.47
2.23 units on a scale
Standard Error 0.38

SECONDARY outcome

Timeframe: Weeks 5-12

Aim 4: Average severity of fatigue for weeks 5-12 across initial 3 arms of study. The BFI instrument consists of nine items. The first three items ask respondents to rate the severity of fatigue "right now," at its "usual" level during the past 24 hours and at its "worst" level during the past 24 hours. Score range: 0-10 where 0 = no fatigue and 10 = as bad as you can imagine Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=112 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=96 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=43 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
Brief Fatigue Inventory (BFI)
3.62 units on a scale
Standard Error 0.21
3.53 units on a scale
Standard Error 0.21
3.87 units on a scale
Standard Error 0.28

SECONDARY outcome

Timeframe: Weeks 5-12

Aim 4: Average severity of distress for weeks 5-12 Score range: 0-10 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=112 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=96 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=43 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
MD Anderson Symptom Inventory (MDASI)- Distress
1.78 units on a scale
Standard Error 0.19
2.00 units on a scale
Standard Error 0.20
2.20 units on a scale
Standard Error 0.26

SECONDARY outcome

Timeframe: Weeks 5-12

Aim 4: Average severity of sadness for weeks 5-12 Score range: 0-10 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=112 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=96 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=43 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
MD Anderson Symptom Inventory (MDASI)- Sadness
1.75 units on a scale
Standard Error 0.18
1.66 units on a scale
Standard Error 0.19
2.02 units on a scale
Standard Error 0.25

SECONDARY outcome

Timeframe: Weeks 5-12

Aim 4: Comparing average severity of symptoms for weeks 5-12 Summed score range: 0-180 Higher score means worse outcome

Outcome measures

Outcome measures
Measure
Reflexology Patients
n=112 Participants
Patients randomized into the reflexology arm, given reflexology from a friend/ family member. Reflexology is a specialized foot therapy that applies a firm walking motion pressure to the feet. It is based on the premise that the foot has reflexes that mirror the rest of the body. It has been shown to reduce symptoms.
Meditative Practice Patients
n=96 Participants
Patients randomized into the meditative practice arm, given meditative practice from a friend/ family member. Meditative Practices include elements of meditation, gentle yoga and breathing exercises. These practices focus purposeful attention to the present moment and have been shown to enhance one's ability to adapt to serious health concerns
Control Patients
n=43 Participants
Control- no intervention
Meditative Practice, Continuing With Meditative Practice
Participants randomized into meditative practice for weeks 1-4, then continued with meditative practice for weeks 5-12
MD Anderson Symptom Inventory (MDASI)- Summed Severity
26.69 units on a scale
Standard Error 1.66
25.77 units on a scale
Standard Error 1.70
30.25 units on a scale
Standard Error 2.28

Adverse Events

Reflexology

Serious events: 0 serious events
Other events: 0 other events
Deaths: 4 deaths

Meditative Practice

Serious events: 0 serious events
Other events: 0 other events
Deaths: 5 deaths

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Gwen Wyatt

Michigan State University

Phone: 517-353-6672

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place