Promoting Resilience in Early Survivorship Among Adolescents and Young Adults With Cancer

NCT ID: NCT06038318

Last Updated: 2025-12-29

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

RECRUITING

Clinical Phase

NA

Total Enrollment

325 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-10-16

Study Completion Date

2027-05-01

Brief Summary

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The goal of this study is to find the best way to help participants and families manage the stress of facing a serious illness and be better able to "bounce back" or be resilient after a difficult situation. Participants will take part in the "Promoting Resilience in Stress Management" PRISM program, which is designed to provide skills to change or improve the impact of stress in everyday life.

The name of the intervention used in this research study is:

-PRISM (a mobile app program comprised of 6 sessions of skills-based, manualized resilience education)

Detailed Description

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In this sequential, multiple assignment, randomized trial participants will be randomly selected to participate in PRISM program sessions with a trained research coach either by text or by video sessions, or participants will use the PRISM mobile app program in a self-guided way. Randomization means the group participants are placed in will be decided by chance. All groups will continue to receive all the same care from primary medical, social work, and other care teams.

In this two-stage study, participants will be randomly assigned to either the "app-only" (20% chance), "text" (40% chance) or "video" (40% chance) groups for the first stage. In the second stage, participants may be re-randomized again to the "app-only," or "text," groups, or will be referred to a specialty psychosocial support, social worker or counselor, based on responses to questionnaires. Participants randomized to the "app-only" group in the first stage will not be re-randomized.

The research study procedures include screening for eligibility and completion of questionnaires.

Participation in this research study is expected to last for up to 6 months.

It is expected about 325 people will take part in this research study.

The National Institute for Health (NIH) is funding this research study.

Conditions

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Stress Anxiety

Keywords

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Stress Management

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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PRISM Program Mobile App

Participants will be randomized to "app-only" group and will complete:

* Baseline questionnaire.
* mPRISM App self guided modules
* 3 month questionnaire.
* mPRISM App self guided modules until final survey at 6 months and end of participation.

Group Type EXPERIMENTAL

mPRISM Program App

Intervention Type BEHAVIORAL

6 static modules to practice skills-based, manualized, resilience education program delivered via PRISM Program mobile app. For participants who do not have smartphones, temporary equipment will be provided.

PRISM Program Video Coach

Participants will be randomized to "video" group and will complete:

* Baseline questionnaire.
* PRISM sessions.
* 3 month questionnaire with re-randomization to either "app-only" or "text" groups or referral to specialty psychosocial support.
* After re-randomization, participants will complete PRISM sessions until final survey at 6 months and end of participation.

Group Type ACTIVE_COMPARATOR

PRISM Program Video Coach

Intervention Type BEHAVIORAL

A 6-session, skills-based, manualized resilience education program delivered via video coaching by trained English or Spanish speaking PRISM coaches. Participants will have complete access to the PRISM Program mobile app. Sessions will be delivered by a HIPAA compliant videoconferencing platform, Zoom, approximately every 1-2 weeks based on participant preference. For participants who do not have smartphones, temporary equipment will be provided.

mPRISM Program App

Intervention Type BEHAVIORAL

6 static modules to practice skills-based, manualized, resilience education program delivered via PRISM Program mobile app. For participants who do not have smartphones, temporary equipment will be provided.

PRISM Program Text Coach

Participants will be randomized to "text" group and will complete:

* Baseline questionnaire.
* PRISM sessions.
* 3 month questionnaire with re-randomization to "app-only," "text," or "video" groups.
* After re-randomization, participants will complete PRISM sessions until final survey at 6 months and end of participation.

Group Type ACTIVE_COMPARATOR

PRISM Program Text Coach

Intervention Type BEHAVIORAL

A 6-session, skills-based, manualized, resilience education program delivered via text coaching by trained English or Spanish speaking PRISM coaches. Participants will have complete access to the PRISM Program mobile app. Sessions will be delivered by HIPAA compliant SMS text-messaging service, Zoom, approximately every other week. For participants who do not have smartphones, temporary equipment will be provided.

mPRISM Program App

Intervention Type BEHAVIORAL

6 static modules to practice skills-based, manualized, resilience education program delivered via PRISM Program mobile app. For participants who do not have smartphones, temporary equipment will be provided.

Interventions

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PRISM Program Video Coach

A 6-session, skills-based, manualized resilience education program delivered via video coaching by trained English or Spanish speaking PRISM coaches. Participants will have complete access to the PRISM Program mobile app. Sessions will be delivered by a HIPAA compliant videoconferencing platform, Zoom, approximately every 1-2 weeks based on participant preference. For participants who do not have smartphones, temporary equipment will be provided.

Intervention Type BEHAVIORAL

PRISM Program Text Coach

A 6-session, skills-based, manualized, resilience education program delivered via text coaching by trained English or Spanish speaking PRISM coaches. Participants will have complete access to the PRISM Program mobile app. Sessions will be delivered by HIPAA compliant SMS text-messaging service, Zoom, approximately every other week. For participants who do not have smartphones, temporary equipment will be provided.

Intervention Type BEHAVIORAL

mPRISM Program App

6 static modules to practice skills-based, manualized, resilience education program delivered via PRISM Program mobile app. For participants who do not have smartphones, temporary equipment will be provided.

Intervention Type BEHAVIORAL

Other Intervention Names

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Promoting Resilience in Stress Management Promoting Resilience in Stress Management Promoting Resilience in Stress Management

Eligibility Criteria

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Inclusion Criteria

* All genders ≥ 12 and ≤ 25 years of age at baseline
* Participant is able to speak English or Spanish language (for PRISM sessions)
* Participant is able to read English or Spanish language (for completion of surveys)
* Participant is cognitively able to participate in PRISM sessions and complete written questionnaires and surveys, as judged by the site investigator
Minimum Eligible Age

12 Years

Maximum Eligible Age

25 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Dana-Farber Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Abby Rosenberg

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Abby Rosenberg, MD

Role: PRINCIPAL_INVESTIGATOR

Dana-Farber Cancer Institute

Locations

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Boston Children's Hospital

Boston, Massachusetts, United States

Site Status NOT_YET_RECRUITING

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Abby Rosenberg, MD

Role: CONTACT

Phone: 206-987-6892

Email: [email protected]

Facility Contacts

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Abby Rosenberg, MD

Role: primary

Abby Rosenberg, MD

Role: primary

Other Identifiers

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R01CA269574-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

22-652

Identifier Type: -

Identifier Source: org_study_id