Physical Activity Intervention to Reduce Functional Health Disparities Among Breast Cancer Survivors

NCT ID: NCT02763228

Last Updated: 2022-03-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

218 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-03-16

Study Completion Date

2020-11-06

Brief Summary

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The purpose of this research study is to determine whether a physical activity (exercise) program in the community will improve the functional and overall health status of older women with a history of breast cancer. The physical activity or exercise program is designed for all older breast cancer survivors, and in particular for African-Americans and women of lower socio-economic status, who are the least likely to engage in physical activity.

Detailed Description

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Specific Aim #1: To determine the effect of a refined and culturally-sensitive physical activity intervention on functional outcomes at 20 and 52 weeks among older Breast Cancer survivors who are within five years of treatment completion for stage I-III Breast Cancer (BCa).

Specific Aim #2: To examine whether race and socioeconomic status (SES) moderate the intervention effect on physical activity (PA) levels and functional outcomes at 20 and 52 weeks.

Specific Aim #3: To examine the effect of the PA intervention on longitudinal changes in beliefs, attitudes and preferences (KAPs) and PA levels, and the extent to which changes in these factors mediate intervention effect on functional outcomes.

Specific Aim #4: To determine the effect of the PA intervention on surrogate biomarkers associated with breast cancer prognosis and functional disability.

Conditions

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Breast Cancer Physical Activity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group 1: Exercise Program

The exercise in this study will consist of two types of exercise training: resistance training and aerobic exercise. Resistance training is like "weight lifting" to improve strength and function. Participants will complete resistance training by using resistance machines and free weights. Aerobic exercise is exercise that intends to improve the cardiopulmonary or oxygen/lung and heart systems. It is often referred to as "cardio" exercise. Treadmill walking, stationary cycling sessions, and/or other exercises will be used for aerobic exercise.

Participants will be instructed in the exercise routine by physical fitness experts and trainers.

Group Type EXPERIMENTAL

Aerobic Training - Fixed Schedule

Intervention Type BEHAVIORAL

Supervised aerobic training for 40 minutes 3x/week for 20 weeks

Resistance Training - Fixed Schedule

Intervention Type BEHAVIORAL

Supervised resistance training for 20 minutes 3x/week for 20 weeks

Walking program

Intervention Type BEHAVIORAL

Unsupervised walking program 1-3 days/week for 52 weeks

Aerobic Training - Flexible Schedule

Intervention Type BEHAVIORAL

Supervised aerobic training done on the participant's own schedule for 32 weeks

Resistance Training - Flexible Schedule

Intervention Type BEHAVIORAL

Supervised resistance training done on the participant's own schedule for 32 weeks

Group 2: Support Group

First 20 Weeks: Participants will take part in a structured Health Education and Support Group sessions once a week.

Last 32 weeks: Participants will be encouraged to take part in any of the Support Group sessions offered regularly on their own schedule.

Group Type ACTIVE_COMPARATOR

Successful Survivorship Health Education and Support Group

Intervention Type BEHAVIORAL

Support groups will be held for one hour 3x/week for 20 weeks. Topics will include, but are not limited, to long-term side effects of treatment, stress management, coping with fear and uncertainty, body image, sexuality, and spirituality.

Flexible support groups

Intervention Type BEHAVIORAL

Participants will attend 1-3 weekly group sessions of their choosing for 32 weeks.

Interventions

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Aerobic Training - Fixed Schedule

Supervised aerobic training for 40 minutes 3x/week for 20 weeks

Intervention Type BEHAVIORAL

Resistance Training - Fixed Schedule

Supervised resistance training for 20 minutes 3x/week for 20 weeks

Intervention Type BEHAVIORAL

Walking program

Unsupervised walking program 1-3 days/week for 52 weeks

Intervention Type BEHAVIORAL

Aerobic Training - Flexible Schedule

Supervised aerobic training done on the participant's own schedule for 32 weeks

Intervention Type BEHAVIORAL

Resistance Training - Flexible Schedule

Supervised resistance training done on the participant's own schedule for 32 weeks

Intervention Type BEHAVIORAL

Successful Survivorship Health Education and Support Group

Support groups will be held for one hour 3x/week for 20 weeks. Topics will include, but are not limited, to long-term side effects of treatment, stress management, coping with fear and uncertainty, body image, sexuality, and spirituality.

Intervention Type BEHAVIORAL

Flexible support groups

Participants will attend 1-3 weekly group sessions of their choosing for 32 weeks.

Intervention Type BEHAVIORAL

Other Intervention Names

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Aerobic exercise Structured Support Group

Eligibility Criteria

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Inclusion Criteria

* Pathologically confirmed breast cancer
* Stage I-III
* Patients who have completed treatment but are within five years of treatment completion (primary surgery, chemotherapy or radiation therapy), whichever was received last. Hormonal therapy and targeted therapy are allowed
* Race: African-Americans and Non-Hispanic Whites

Exclusion Criteria

* Stage IV breast cancer
* Patients with end-stage disease, severe dementia and/or life expectancy of less than one year
* Inability to understand English as study instruments have not been validated in other languages
* Inability to provide informed consent
* High-risk patients (as defined by the American College of Sports Medicine risk-stratification schema using the American College of Sports Medicine (ACSM)/American Heart Association exercise pre-participation questionnaire) who do not receive clearance from cardiology
* Other medical or psychological conditions that would make participation unsafe or inhibit our ability to test our primary hypothesis, e.g. Parkinson's disease, severe dementia.
Minimum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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National Institutes of Health (NIH)

NIH

Sponsor Role collaborator

Case Comprehensive Cancer Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Cynthia Owusu, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Locations

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University Hospitals Cleveland Medical Center, Case Comprehensive Cancer Center

Cleveland, Ohio, United States

Site Status

Metro Health Medical Center

Cleveland, Ohio, United States

Site Status

Cleveland Clinic Taussig Cancer institute, Case Comprehensive Cancer Center

Cleveland, Ohio, United States

Site Status

Countries

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United States

References

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Owusu C, Margevicius S, Nock NL, Austin K, Bennet E, Cerne S, Hergenroeder P, Moore HCF, Petkac J, Schluchter M, Schmitz KH, Webb Hooper M, Wimbley L, Berger NA. A randomized controlled trial of the effect of supervised exercise on functional outcomes in older African American and non-Hispanic White breast cancer survivors: Are there racial differences in the effects of exercise on functional outcomes? Cancer. 2022 Jun 15;128(12):2320-2338. doi: 10.1002/cncr.34184. Epub 2022 Mar 15.

Reference Type DERIVED
PMID: 35289926 (View on PubMed)

Owusu C, Nock NL, Feuntes V, Margevicius S, Hergenroeder P, Austin K, Bennet E, Cerne S, Moore HCF, Petkac J, Schluchter M, Schmitz KH, Webb Hooper M, Coccia S, Nagy C, Wimbley L, Berger NA. IMPROVE, a community-based exercise intervention versus support group to improve functional and health outcomes among older African American and Non-Hispanic White breast cancer survivors from diverse socioeconomic backgrounds: Recruitment strategies and baseline characteristics. Cancer. 2021 Jun 1;127(11):1836-1846. doi: 10.1002/cncr.33430. Epub 2021 Feb 4.

Reference Type DERIVED
PMID: 33539554 (View on PubMed)

Other Identifiers

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CASE2116

Identifier Type: -

Identifier Source: org_study_id

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