{ "FullStudy":{ "Rank":218151, "Study":{ "ProtocolSection":{ "IdentificationModule":{ "NCTId":"NCT01512069", "OrgStudyIdInfo":{ "OrgStudyId":"NCCNCS-11-501" }, "Organization":{ "OrgFullName":"National Cancer Center, Korea", "OrgClass":"OTHER_GOV" }, "BriefTitle":"Efficacy of a Web-based Tailored Self-management Program", "OfficialTitle":"Efficacy of a Web-based Self-management Exercise and Diet Intervention Program With Tailored Motivation and Action Planning for Breast Cancer Survivors: A Randomized Controlled Trial" }, "StatusModule":{ "StatusVerifiedDate":"April 2014", "OverallStatus":"Completed", "ExpandedAccessInfo":{ "HasExpandedAccess":"No" }, "StartDateStruct":{ "StartDate":"October 2011" }, "PrimaryCompletionDateStruct":{ "PrimaryCompletionDate":"March 2012", "PrimaryCompletionDateType":"Actual" }, "CompletionDateStruct":{ "CompletionDate":"August 2012", "CompletionDateType":"Actual" }, "StudyFirstSubmitDate":"January 4, 2012", "StudyFirstSubmitQCDate":"January 13, 2012", "StudyFirstPostDateStruct":{ "StudyFirstPostDate":"January 19, 2012", "StudyFirstPostDateType":"Estimate" }, "LastUpdateSubmitDate":"April 23, 2014", "LastUpdatePostDateStruct":{ "LastUpdatePostDate":"April 24, 2014", "LastUpdatePostDateType":"Estimate" } }, "SponsorCollaboratorsModule":{ "ResponsibleParty":{ "ResponsiblePartyType":"Principal Investigator", "ResponsiblePartyInvestigatorFullName":"YoungSung Lee", "ResponsiblePartyInvestigatorTitle":"Head", "ResponsiblePartyInvestigatorAffiliation":"National Cancer Center, Korea" }, "LeadSponsor":{ "LeadSponsorName":"National Cancer Center, Korea", "LeadSponsorClass":"OTHER_GOV" }, "CollaboratorList":{ "Collaborator":[ { "CollaboratorName":"Seoul National University", "CollaboratorClass":"OTHER" },{ "CollaboratorName":"Asan Medical Center", "CollaboratorClass":"OTHER" },{ "CollaboratorName":"Korea University Anam Hospital", "CollaboratorClass":"OTHER" } ] } }, "OversightModule":{ "OversightHasDMC":"Yes" }, "DescriptionModule":{ "BriefSummary":"Life style interventions that promote exercise and a healthy diet, which have the potential to improve health-related quality of life (HRQOL), may be particularly appropriate for cancer survivors. The previous studies suggested that a key strategy to implement sustainable healthy behavior and improve health was providing appropriate feedback and promoting self-efficacy. Web-based program enables to provide the feedback in a timely manner on a daily basis, to continue the healthy behaviors.\n\nTherefore, the investigators developed a web-based, stage-matched Exercise and Diet Planning program, and whether the program can promote significantly greater changes in behavioral outcomes [goal of exercise (energy expenditure of aerobic exercise ≥ 12.5 kcal/kg/week) and diet (intake of vegetables ≥ 5 serv/day and intake of fruit ≥ 1 serv/day)], stage of changes for exercise and diet, psychosocial outcomes (HRQOL, fatigue, anxiety and depression) and self-efficacy in implementing goal of exercise and diet among breast cancer survivors in Korea was examined.\n\nHypotheses were following:\n\nSurvivors of a group participating in a web-based, stage-matched Exercise and Diet Planning program (hereinafter called the 'intervention group') will show a more advanced stage of change for exercise and diet compared to survivors in the control group.\nThe intervention group will show a higher proportion of attaining goal of exercise (or higher level of energy expenditure of aerobic exercise) compared to the control group.\nThe intervention group will show a higher proportion of attaining goal of diet (or higher level of diet quality) compared to the control group.\nThe intervention group will show a better HRQOL level compared to the control group.\nThe intervention group will show a better self-efficacy level compared to the control group.\nThe intervention group will show a lower fatigue level compared to the control group.\nThe intervention group will show less anxiety compared to the control group.\nThe intervention group will show less depression compared to the control group.", "DetailedDescription":"The purpose of the study was to develop a web-based, stage-matched Exercise and Diet Planning program and to examine effects of the program on implementation of exercise and diet, self-efficacy, HRQOL, fatigue, anxiety and depression among breast cancer survivors.\n\nAll participants were recruited from two tertiary university hospitals and the National Cancer Center in Korea." }, "ConditionsModule":{ "ConditionList":{ "Condition":[ "Breast Cancer" ] }, "KeywordList":{ "Keyword":[ "randomized controlled trial", "internet", "diet", "exercise", "health planning", "the TTM" ] } }, "DesignModule":{ "StudyType":"Interventional", "PhaseList":{ "Phase":[ "Not Applicable" ] }, "DesignInfo":{ "DesignAllocation":"Randomized", "DesignInterventionModel":"Parallel Assignment", "DesignPrimaryPurpose":"Supportive Care", "DesignMaskingInfo":{ "DesignMasking":"Single", "DesignWhoMaskedList":{ "DesignWhoMasked":[ "Outcomes Assessor" ] } } }, "EnrollmentInfo":{ "EnrollmentCount":"59", "EnrollmentType":"Actual" } }, "ArmsInterventionsModule":{ "ArmGroupList":{ "ArmGroup":[ { "ArmGroupLabel":"Web-based, Stage-matched Exercise and Diet Planning program", "ArmGroupType":"Experimental", "ArmGroupDescription":"The experimental arm is a group that assigned to use web-based, stage-matched exercise and diet planning program.", "ArmGroupInterventionList":{ "ArmGroupInterventionName":[ "Behavioral: Web-based Health Planner on diet and exercise" ] } },{ "ArmGroupLabel":"Non-tailored booklet on exercise and diet", "ArmGroupType":"Active Comparator", "ArmGroupDescription":"The control group is provided a booklet containing same information on exercise and diet as in the experimental group's web-based program, but the information on a booklet is not tailored to participants' stage of motivational readiness for exercise and diet based on the TTM.", "ArmGroupInterventionList":{ "ArmGroupInterventionName":[ "Behavioral: Non-tailored booklet on exercise and diet" ] } } ] }, "InterventionList":{ "Intervention":[ { "InterventionType":"Behavioral", "InterventionName":"Web-based Health Planner on diet and exercise", "InterventionDescription":"URL is closed\n\nThe program is 12-week program, provides tailored information on the exercise and diet based on the stage of motivational readiness of TTM. The program is designed to allow to plan a regular exercise of 12.5 MET per week and to recommend to eat number of portions from six food groups for balanced diet tailored to individual's BMI, ideal body weight, and calories needed per day. The program provide the feedback based on the achievement of goals of the behaviors.", "InterventionArmGroupLabelList":{ "InterventionArmGroupLabel":[ "Web-based, Stage-matched Exercise and Diet Planning program" ] }, "InterventionOtherNameList":{ "InterventionOtherName":[ "English name: Health Planner", "Korean name: 건강플래너" ] } },{ "InterventionType":"Behavioral", "InterventionName":"Non-tailored booklet on exercise and diet", "InterventionDescription":"The active control group is provided non-tailored booklet on exercise and diet, whose information is same as web-based program except stage-matching.", "InterventionArmGroupLabelList":{ "InterventionArmGroupLabel":[ "Non-tailored booklet on exercise and diet" ] } } ] } }, "OutcomesModule":{ "PrimaryOutcomeList":{ "PrimaryOutcome":[ { "PrimaryOutcomeMeasure":"Change from baseline in numbers of goal behaviors at 3 months", "PrimaryOutcomeDescription":"The primary outcomes of the study are to achieve goals of healthy behaviors as followed:\n\ni) exercising≥12.5kcal/kg/week; ii) eating vegetables≥5serv/day and fruits 1-2 serv/day; iii) healthy weight (18.5kg/m2 ≤ BMI < 25kg/m2) The primary outcome of the study is the increased number of goal behaviors.", "PrimaryOutcomeTimeFrame":"Baseline (pre-treatment) and after 12 weeks of intervention (post-treatment)" } ] }, "SecondaryOutcomeList":{ "SecondaryOutcome":[ { "SecondaryOutcomeMeasure":"Change from baseline in Stage of Change at 3 months", "SecondaryOutcomeDescription":"Stage of motivational readiness for exercise and diet based on the established TTM", "SecondaryOutcomeTimeFrame":"Baseline, 1month, 2 month, 3 month after starting the intervention" },{ "SecondaryOutcomeMeasure":"Change from baseline in self-efficacy at 3 months", "SecondaryOutcomeDescription":"The self-efficacy for exercising≥12.5kcal/kg/week, eating vegetables≥5serv/day and fruits 1-2 serv/day", "SecondaryOutcomeTimeFrame":"Baseline, 1month, 2 month, 3 month after starting the intervention" },{ "SecondaryOutcomeMeasure":"Change from baseline in psychosocial outcomes at 3 months", "SecondaryOutcomeDescription":"The psychosocial outcomes are HRQOL, fatigue, anxiety and depression", "SecondaryOutcomeTimeFrame":"Baseline, 1month, 2 month, 3 month after starting the intervention" },{ "SecondaryOutcomeMeasure":"Change from baseline in Diet quality at 3 months", "SecondaryOutcomeDescription":"Diet quality based on a three-day diet recall and the Diet Quality Index (DQI) revised for the Korean population", "SecondaryOutcomeTimeFrame":"Baseline, 1month, 2 month, 3 month after starting the intervention" } ] } }, "EligibilityModule":{ "EligibilityCriteria":"Inclusion Criteria:\n\nWomen aged 20 years and older\nHistologically confirmed stage 0 to III breast cancer who received curative breast cancer surgery within 12 months since completion of primary cancer treatment and 2 years since diagnosis\nSerum platelet ≥ 100,000/mm3\nSerum hemoglobin ≥ 10g/dl\nNot met one or more behavior goals: i) energy expenditure of aerobic exercise ≥ 12.5 kcal/kg/week; ii) intake of vegetables except kimchi ≥ 5 serv/day and intake of fruit 1-2 serv/day; iii) maintenance of healthy weight (18.5 kg/m2 ≤ BMI < 23 kg/m2)\nAbility to use internet, and being accessible internet at home\nMobile phone user\nConsent form to participate in the study\n\nExclusion Criteria:\n\nCurrently receiving any cancer treatment\nConditions that could limit adherence to an unsupervised exercise program such as uncontrolled congestive heart failure or angina, recent myocardial infarction, or breathing difficulties requiring oxygen use or hospitalization; walker or wheelchair use; or plans to have hip or knee replacement\nConditions that could interfere with a high vegetable and fruit diet, such as kidney failure or chronic warfarin use\nProgressive malignant disease or additional primary cancers\nInfectious condition (body temperature ≥ 37.2℃ or WBC ≥ 11,000mm3)\nInability to use computer or internet\nVisual and motor dysfunction", "HealthyVolunteers":"No", "Gender":"Female", "MinimumAge":"20 Years", "StdAgeList":{ "StdAge":[ "Adult", "Older Adult" ] } }, "ContactsLocationsModule":{ "OverallOfficialList":{ "OverallOfficial":[ { "OverallOfficialName":"YoungSung Lee, PhD", "OverallOfficialAffiliation":"National Cancer Center", "OverallOfficialRole":"Principal Investigator" } ] }, "LocationList":{ "Location":[ { "LocationFacility":"National Cancer Center", "LocationCity":"Gyenggi-do", "LocationState":"Goyang-si", "LocationZip":"410-769", "LocationCountry":"Korea, Republic of" },{ "LocationFacility":"Asan Medical Center", "LocationCity":"Seoul", "LocationCountry":"Korea, Republic of" },{ "LocationFacility":"Korea University Anam Hospital", "LocationCity":"Seoul", "LocationCountry":"Korea, Republic of" },{ "LocationFacility":"Seoul National University", "LocationCity":"Seoul", "LocationCountry":"Korea, Republic of" } ] } }, "ReferencesModule":{ "ReferenceList":{ "Reference":[ { "ReferencePMID":"24856854", "ReferenceType":"derived", "ReferenceCitation":"Lee MK, Yun YH, Park HA, Lee ES, Jung KH, Noh DY. A Web-based self-management exercise and diet intervention for breast cancer survivors: pilot randomized controlled trial. Int J Nurs Stud. 2014 Dec;51(12):1557-67. doi: 10.1016/j.ijnurstu.2014.04.012. Epub 2014 May 1." } ] } } }, "DerivedSection":{ "MiscInfoModule":{ "VersionHolder":"April 22, 2020" }, "ConditionBrowseModule":{ "ConditionMeshList":{ "ConditionMesh":[ { "ConditionMeshId":"D000001943", "ConditionMeshTerm":"Breast Neoplasms" } ] }, "ConditionAncestorList":{ "ConditionAncestor":[ { "ConditionAncestorId":"D000009371", "ConditionAncestorTerm":"Neoplasms by Site" },{ "ConditionAncestorId":"D000009369", "ConditionAncestorTerm":"Neoplasms" },{ "ConditionAncestorId":"D000001941", "ConditionAncestorTerm":"Breast Diseases" },{ "ConditionAncestorId":"D000012871", "ConditionAncestorTerm":"Skin Diseases" } ] }, "ConditionBrowseLeafList":{ "ConditionBrowseLeaf":[ { "ConditionBrowseLeafId":"M3802", "ConditionBrowseLeafName":"Breast Neoplasms", "ConditionBrowseLeafAsFound":"Breast Cancer", "ConditionBrowseLeafRelevance":"high" },{ "ConditionBrowseLeafId":"M3800", "ConditionBrowseLeafName":"Breast Diseases", "ConditionBrowseLeafRelevance":"low" },{ "ConditionBrowseLeafId":"M14257", "ConditionBrowseLeafName":"Skin Diseases", "ConditionBrowseLeafRelevance":"low" } ] }, "ConditionBrowseBranchList":{ "ConditionBrowseBranch":[ { "ConditionBrowseBranchAbbrev":"BC04", "ConditionBrowseBranchName":"Cancers and Other Neoplasms" },{ "ConditionBrowseBranchAbbrev":"BC17", "ConditionBrowseBranchName":"Skin and Connective Tissue Diseases" },{ "ConditionBrowseBranchAbbrev":"All", "ConditionBrowseBranchName":"All Conditions" } ] } } } } } }