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NCT03837496: STRIDE

Small-group, Virtual Program for Improving Symptoms and Distress Related to Hormonal Therapy for Breast Cancer Survivors

Completed NA Results posted Last updated 18 November 2022
What this trial tests

NA trial testing STRIDE in Breast Cancer in 100 participants. Completed in 1 December 2021.

Timeline
28 October 2019
Primary endpoint
17 August 2021
1 December 2021

Quick facts

Lead sponsorMassachusetts General Hospital
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposesupportive care
Enrollment100
Start date28 October 2019
Primary completion17 August 2021
Estimated completion1 December 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Massachusetts General Hospital

Who can join

21 Months and older, female only, with Breast Cancer or Adherence, Medication. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Feasibility and Acceptability Primary · 12 weeks

The investigators will evaluate program feasibility by examining rates of recruitment (enrollment rate \> 50%), retention (follow-up assessment completion rate \> 70% of all participants who complete baseline) and attendance of program sessions (attendance rate of at least 70% of participants completing at least 4 of 6 sessions \[67%\]). The investigators will evaluate program acceptability by examining satisfaction scores on the Client Satisfaction Questionnaire (CSQ). The program will be deemed acceptable if \>75% of participants report average satisfaction scores greater than the CSQ's mid

Feasibility - Retention at Week 12
GroupValue95% CI
STRIDE46
Medication Monitoring Control47
Feasibility - Session Attendance
GroupValue95% CI
STRIDE45
Medication Monitoring Control47
Acceptability
GroupValue95% CI
STRIDE41
Medication Monitoring ControlNA
Group Differences in Mean Medication Adherence Rates to Adjuvant Endocrine Therapy Across the 24-week Study Period Secondary · Mean medication adherence rates over 24 weeks

Medication Event Monitoring System (MEMS Caps): Participants will store medication in the MEMS bottles to electronically monitor adjuvant endocrine therapy daily dose and timing of dose administration. Prescribed medication, dose, and timing will be identified in the Electronic Health Record and verified by the patient. Adherence will be calculated as the percentage of medication taken of the total prescribed. A mean medication adherence rate will be calculated in each group to examine differences in adherence rates and changes across the 24-week study period between groups.

GroupValue95% CI
STRIDE84.7578.80 – 90.70
Medication Monitoring Control82.0075.98 – 88.03
Changes in Self-Reported Adjuvant Endocrine Therapy Adherence Between Groups on the Medication Adherence Report Scale (MARS-5) From Baseline to 12-weeks Post-baseline Secondary · Baseline, and post-intervention at 12-weeks post-baseline

Medication Adherence Report Scale (MARS-5): Changes in self-reported adherence to adjuvant endocrine therapy between groups will be explored using the MARS-5 at 3-months post-baseline. The MARS-5 assesses adherence to treatment and has been used specifically in the context of AET adherence. The scale consists of five items that ask about suboptimal adherence behaviors, such as "I stop taking my adjuvant endocrine therapy medicine for a while." Each item is answered on a scale of 1 (Always) to 5 (Never). Scores range from 5 to 25 points with scores less than 25 defined as low adherence to the m

GroupValue95% CI
STRIDE23.9923.61 – 24.36
Medication Monitoring Control23.8623.49 – 24.23
Changes in Satisfaction With Adjuvant Endocrine Therapy (AET) Between Groups on the Cancer Therapy Satisfaction Questionnaire (CTSQ) From Baseline to 12-weeks Post-baseline. Secondary · Baseline, and post-intervention at 12-weeks post-baseline

Cancer Therapy Satisfaction Questionnaire (CTSQ): Changes in self-reported satisfaction with AET will be explored between groups at 12 weeks post-baseline with the Cancer Therapy Satisfaction Questionnaire (CTSQ). The CTSQ is a previously published 21-item measure that evaluates patients' beliefs about the following aspects of medical care: expectations of the effectiveness of cancer therapy, feelings about side effects, oral cancer therapy adherence, satisfaction with cancer therapy, stopping cancer therapy, and reasons for non-adherence. We used the satisfaction with cancer therapy subscale.

GroupValue95% CI
STRIDE66.5363.82 – 69.23
Medication Monitoring Control63.9461.30 – 66.58
Changes in Symptom Distress Between Groups on the Breast Cancer Prevention Trial Symptom Scale (BCPT) From Baseline to 12-weeks Post-baseline Secondary · Baseline and post-intervention at 12 weeks post-baseline

Breast Cancer Prevention Trial Symptom Scale (BCPT): The investigators will examine changes in self-reported symptom distress on the BCPT between groups at 12 weeks post-baseline. The BCPT is a symptom checklist used to document physical and psychological symptoms associated with ET use. The measure includes several clinically-relevant symptom subscales and has been used broadly in previous studies on symptom distress in breast cancer patients. The BCPT asks participants to rate how much they have been bothered by several symptoms over the past week on a scale of 0 (Not at all bothered) to 4 (

GroupValue95% CI
STRIDE19.8917.98 – 21.79
Medication Monitoring Control20.6718.82 – 22.53

Sponsor's own description

The purpose of this study is to explore the feasibility and acceptability of a brief, virtual, group-based cognitive-behavioral intervention for breast cancer survivors taking hormonal therapy. The intervention (STRIDE) aims to alleviate symptoms related to hormonal therapy or breast cancer, optimize medication-taking (i.e., adherence), and reduce distress.

Publications & conference data

7 peer-reviewed publications reference this trial (live from Europe PMC):

  1. A telehealth intervention for symptom management, distress, and adherence to adjuvant endocrine therapy: A randomized controlled trial.
    Jacobs JM, Post K, Massad K, Horick NK, et al · · 2022 · cited 32× · PMID 35924869 · DOI 10.1002/cncr.34409
  2. Study protocol for a randomised controlled feasibility trial of a virtual intervention (STRIDE) for symptom management, distress and adherence to adjuvant endocrine therapy after breast cancer.
    Jacobs JM, Rapoport CS, Horenstein A, Clay M, et al · · 2021 · cited 13× · PMID 33397667 · DOI 10.1136/bmjopen-2020-041626
  3. Development and Refinement of a Telehealth Intervention for Symptom Management, Distress, and Adherence to Adjuvant Endocrine Therapy after Breast Cancer.
    Jacobs JM, Walsh EA, Rapoport CS, Antoni MH, et al · · 2021 · cited 11× · PMID 33219901 · DOI 10.1007/s10880-020-09750-4
  4. Managing Symptom Distress: Key Factors for Patients on Adjuvant Endocrine Therapy for Breast Cancer.
    Post KE, Ahmad Z, Jankauskaite G, Centracchio J, et al · · 2024 · cited 5× · PMID 37816436 · DOI 10.1016/j.jpainsymman.2023.10.001
  5. Identification of patient subgroups who benefit from a behavioral intervention to improve adjuvant endocrine therapy adherence: a randomized-controlled trial.
    Walsh EA, Post K, Massad K, Horick N, et al · · 2024 · cited 4× · PMID 38231313 · DOI 10.1007/s10549-023-07228-z
  6. Intervention-Related Changes in Coping Ability Drives Improvements in Mood and Quality of Life for Patients Taking Adjuvant Endocrine Therapy.
    Walsh LE, Dunderdale L, Horick N, Temel JS, et al · · 2024 · cited 2× · PMID 39706803 · DOI 10.1002/pon.70049
  7. Effects of Adjuvant Endocrine Therapy-Specific Perceptions on Response to a Behavioral Intervention for Adjuvant Endocrine Therapy Adherence in Patients With Breast Cancer.
    Willis KD, Walsh EA, Dunderdale LE, Post K, et al · · 2024 · PMID 39137385 · DOI 10.1200/op.24.00316

Verify or expand the search:

Other trials of STRIDE

Trials testing the same drug.

Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

Other Massachusetts General Hospital trials

Trials by the same sponsor.

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