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NCT05473026

Grateful Strides Toward Physical Activity and Well-Being for Black Breast Cancer Survivors

Completed NA Results posted Last updated 19 September 2024
What this trial tests

NA trial testing Gratitude Intervention in Cancer Survivors in 26 participants. Completed in 25 July 2023.

Timeline
8 November 2022
Primary endpoint
25 July 2023
25 July 2023

Quick facts

Lead sponsorUniversity of Florida
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposeprevention
Enrollment26
Start date8 November 2022
Primary completion25 July 2023
Estimated completion25 July 2023
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

University of Florida

Who can join

Adults 50 to 99, female only, with Cancer Survivors or African Americans. 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.

Participants Who Met Inclusion Criteria Compared to Participants Approached Primary · 8 months

Percentage of women who meet the inclusion criteria relative to the number of women approached.

GroupValue95% CI
Gratitude Intervention13
Attention Control13
Participant Completion of Baseline Assessment Measures Primary · Week 0

Percentage of participants completing baseline assessment measures.

GroupValue95% CI
Gratitude Intervention13
Attention Control13
Participant Completion of Both Baseline Assessments and Post-intervention Assessments Primary · Week 0, Week 8

Percentage of participants who completed baseline assessments and completed the post-intervention assessments.

GroupValue95% CI
Gratitude Intervention8
Attention Control11
Treatment Satisfaction Using Client Satisfaction Questionnaire (CSQ-8) Primary · Week 8

We assessed treatment satisfaction using the mean Client Satisfaction Questionnaire(CSQ-8) scores. An overall score is calculated by summing the respondent's rating score for each scale item. Scores range from 8 to 32, with higher values indicating higher satisfaction.

GroupValue95% CI
Gratitude Intervention29.8± 3.7
Attention Control29.2± 3.0
Change in Dispositional Gratitude From Baseline to Post-intervention Secondary · Week 0, Week 8

The mean change of dispositional gratitude measured at week 0/baseline and post-intervention/week 8 was measured using the Gratitude Questionnaire-6 designed to measure four facets of dispositional gratitude: (a) intensity, (b) frequency, (c) span, and (d) density. The scale consists of six items, each rated on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). To calculate the GQ-6 score, each item's score is summed to yield a total score. The minimum possible score is 6, indicating the lowest level of gratitude, and the maximum possible score is 42, indicating t

GroupValue95% CI
Gratitude Intervention0.5± 1.3
Attention Control-0.3± 1.0
Change in Spiritual Well-being From Baseline to Post-intervention Secondary · Week 0, Week 8

The Functional Assessment of Chronic Illness Therapy - Spiritual Well-Being is a self-report measure designed to assess spiritual well-being in individuals with chronic illness. It was used to report mean change from week 0/baseline and post-intervention/week 8. The scale comprises 12 items divided into two subscales: Meaning/Peace and Faith. Each item is rated on a 5-point Likert scale ranging from 0 (not at all) to 4 (very much). To calculate the FACIT-Sp-12 score, each item's score is summed. The Meaning/Peace subscale score is obtained by summing the scores of items 1 to 8, with a range of

GroupValue95% CI
Gratitude Intervention3.6± 8.0
Attention Control-1.8± 3.1
Change in Distress From Baseline to Post-intervention Secondary · Week 0, Week 8

The mean change of distress baseline/week 0 and post-intervention/week 8 was measured using the Perceived Stress Scale designed to measure stress during the last month. The scale consists of 10 items, each rated on a 5-point Likert scale ranging from 0 (never) to 4 (very often). To calculate the PSS score, each item's score is summed, with items 4, 5, 7, and 8 being reverse-scored to account for their positive phrasing. The reversed scoring for these items means that a response of 0 becomes 4, 1 becomes 3, 2 remains 2, 3 becomes 1, and 4 becomes 0. The total score, ranging from 0 to 40, reflec

GroupValue95% CI
Gratitude Intervention-2.1± 4.9
Attention Control-1.3± 4.5
Change in Superwoman Schema (Racial and Gender Identity) From Baseline to Post-intervention Secondary · Week 0, Week 8

The Giscombe Superwoman Schema Questionnaire (GSSQ) measured the mean change in Superwoman Schema between baseline and post-intervention at weeks 0 and 8. The GSSQ consists of 35 items across five dimensions: obligation to manifest strength (6 items), obligation to suppress emotions (7 items), resistance to being vulnerable (7 items), intense motivation to succeed (6 items), and obligation to help others (9 items). Items are rated on a Likert scale from 0 (not true) to 3 (true all the time). The total score ranges from 0 to 105, with subscale ranges as follows: Strength (0-18), Suppress (0-21)

Strength subscale
GroupValue95% CI
Gratitude Intervention-0.4± 1.9
Attention Control-0.9± 3.9
Suppress emotions subscale
GroupValue95% CI
Gratitude Intervention-0.8± 4.2
Attention Control0.5± 5.2
Resistance to vulnerability subscale
GroupValue95% CI
Gratitude Intervention-2.1± 4.2
Attention Control-0.3± 7.6
Motivation to succeed subscale
GroupValue95% CI
Gratitude Intervention-1.3± 3.2
Attention Control-1.0± 4.4
Care for others subscale
GroupValue95% CI
Gratitude Intervention0.1± 5.5
Attention Control1.3± 6.8
Total score
GroupValue95% CI
Gratitude Intervention-4.4± 11.4
Attention Control1.1± 23.9
Change in Exercise Readiness From Baseline to Post-intervention Secondary · Week 0, Week 8

The Exercise Readiness Scale measured the stages of exercise behavior change at baseline and post-intervention. The scale consists of five items assessing exercise behavior and intentions. Participants choose one statement that best describes their current level of physical activity, with options ranging from 1 (no participation in physical activity and no intention to start) to 5 (exercising regularly for more than 6 months). Scores range from 1 to 5, with higher scores indicating greater readiness for regular physical activity and higher stages of exercise behavior change.

GroupValue95% CI
Gratitude Intervention0.8± 1.5
Attention Control-0.2± 0.6
Change in Tumor Necrosis Factor Alpha (TNF-α), Interleukin 6 (IL-6), Growth/Differentiation Factor-15 (GDF15) From Baseline to Post-intervention Secondary · Week 0, Week 8

The mean change of inflammatory biomarkers baseline/week 0 and post-intervention/week 8 was measured using a Luminex panel containing Tumor Necrosis Factor Alpha (TNF-α), Interleukin 6 (IL-6), Growth/Differentiation Factor-15 (GDF15).

TNF-a (pg/mL)
GroupValue95% CI
Gratitude Intervention-2.4± 5.1
Attention Control-0.2± 1.1
IL-6 (pg/mL)
GroupValue95% CI
Gratitude Intervention3.0± 4.1
Attention Control0.0± 15.3
GDF-15 (pg/mL)
GroupValue95% CI
Gratitude Intervention17.4± 89.4
Attention Control15.2± 696.4
Change in C-Reactive Protein From Baseline to Post-intervention Secondary · Week 0, Week 8

The mean change of inflammatory biomarkers baseline/week 0 and post-intervention/week 8 was measured using a Enzyme-linked immunosorbent assay (ELISA) kit containing C-Reactive Protein.

GroupValue95% CI
Gratitude Intervention3.1± 6.0
Attention Control0.6± 2.6

Sponsor's own description

This pilot study will assess the feasibility of a gratitude intervention to promote physical activity, and well-being and positively impact biomarkers of health among older African American breast cancer survivors. The intervention will also include a goal-setting component to promote exercise readiness and examine the cultural phenomena of the Superwoman schema among Black women.

Publications & conference data

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

  1. A pilot study of a gratitude journaling intervention to enhance spiritual well-being and exercise self-efficacy in Black breast cancer survivors.
    Cousin L, Braithwaite D, Anton S, Zhang Z, et al · · 2024 · cited 4× · PMID 39696111 · DOI 10.1186/s12888-024-06362-2
  2. Cardio-oncology disparities: Interplay of psychosocial stress, inflammation, and cardiometabolic health among Black breast cancer survivors.
    Cousin L. · · 2024 · cited 1× · PMID 38510748 · DOI 10.1016/j.ahjo.2024.100366
  3. A Pilot Study of a Gratitude Journaling Intervention to Enhance Spiritual Well-Being and Exercise Self-Efficacy in Black Breast Cancer Survivors
    Cousin L, Braithwaite D, Anton S, Zhang Z, et al · · 2024 · DOI 10.21203/rs.3.rs-4903270/v1

Verify or expand the search:

Other recruiting trials for Cancer Survivors

Currently open trials in the same condition.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing