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Trial registered on ANZCTR
Registration number
ACTRN12615000156583
Ethics application status
Approved
Date submitted
6/02/2015
Date registered
18/02/2015
Date last updated
28/07/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Feasibility of Translating the “ReCog” Cognitive Rehabilitation Intervention for Cancer Survivors to a Clinical Setting
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Scientific title
Does the "ReCog" Cognitive Rehabilitation Intervention improve cognitive function for cancer survivors when delivered in a clinical setting?
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Secondary ID [1]
286122
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Nil known
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Universal Trial Number (UTN)
U1111-1167-0110
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Neurocognitive problems
294123
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Breast cancer
294124
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Condition category
Condition code
Mental Health
294440
294440
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0
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Other mental health disorders
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Cancer
294441
294441
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0
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Breast
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Physical Medicine / Rehabilitation
294555
294555
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0
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Occupational therapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The program to be evaluated is a group education and skills training intervention, called “Responding to Cognitive Concerns” (ReCog), which has previously successfully improved subjective and objective cognitive function in survivors of breast cancer and other types of cancer. The program is based on self -regulatory cognitive rehabilitation and cognitive behavioural principles, and employs manuals for clinicians and participants. The program is run in small groups of approximately 4-9 participants. There will be four sessions run at weekly intervals by an occupational therapist, with assistance from an occupational therapy assistant and occupational therapy student, and each session will last for 2 hours. Patients will be asked to practise the learnt strategies and skills in and between sessions, with the ultimate goal of generalising these strategies to their everyday life. Home tasks are expected to take approximately 15 minutes per day. Adherence to the intervention will be monitored via attendance at sessions and completion of home tasks.
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Intervention code [1]
291119
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Rehabilitation
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Comparator / control treatment
The main comparison for this study is pre-treatment performance. Effect sizes for pre-treatment/post-treatment differences (if any) will also be compared to other studies of ReCog that have been conducted in research settings. Historical data for one comparison study were collected at Griffith University, Gold Coast, Australia in 2009-2010 (published as Schuurs, A., & Green, H. J. (2012). A feasibility study of group cognitive rehabilitation for cancer survivors: Enhancing cognitive function and quality of life. Psycho-Oncology. doi 10.1002/pon.3102). Data for a second comparison study were collected at Griffith University, Gold Coast, Australia in 2012-2013 (trial ACTRN12615000009516).
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Control group
Historical
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Outcomes
Primary outcome [1]
294233
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Cognitive performance on WebNeuro computerised battery
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Assessment method [1]
294233
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Timepoint [1]
294233
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Within 2 weeks after completing treatment
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Primary outcome [2]
294234
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Self-reported cognitive function on FACT-Cog 3
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Assessment method [2]
294234
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Timepoint [2]
294234
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Within 2 weeks after completing treatment
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Secondary outcome [1]
312854
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Psychological distress, as measured by Kessler-10
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Assessment method [1]
312854
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Timepoint [1]
312854
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Within 2 weeks after completing treatment
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Secondary outcome [2]
312855
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Quality of life, as measured by EORTC-QLQ-C30
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Assessment method [2]
312855
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Timepoint [2]
312855
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Within 2 weeks after completing treatment
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Secondary outcome [3]
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Psychological Needs, as measured by the Balanced Measure of Psychological Needs Scale
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Assessment method [3]
312856
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Timepoint [3]
312856
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Within 2 weeks after completing treatment
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Secondary outcome [4]
312857
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Participant satisfaction, as measured by self-report Participant Satisfaction Scale
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Assessment method [4]
312857
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Timepoint [4]
312857
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Within 2 weeks after completing treatment
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Eligibility
Key inclusion criteria
Participants will meet the following inclusion criteria: (a) Previous diagnosis of breast cancer; (b) age 18 years or more; (c) previous treatment with chemotherapy for breast cancer at the Mater Cancer Care Centre, Brisbane; (d) completion of all major cancer treatments (such as surgery, chemotherapy, and radiotherapy) 6 to 60 months before participating in the research; (e) no current or anticipated cancer treatments apart from hormonal medications, if prescribed; (f) self-reported cognitive complaints; and (g) ability to speak, read, and write English fluently.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
The following exclusion criteria will be used: (a) Childhood cancer history; (b) known primary or secondary tumour involving the central nervous system; (c) history of intracranial radiotherapy or intrathecal chemotherapy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All participants will receive the same treatment, after giving informed consent (single-arm study)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/a
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Repeated measures t-tests for pre-post comparisons; Effect size calculations; Frequencies for analysis of participant satisfaction. Previous studies of ReCog have found within-group effect sizes of Cohen’s d = 0.5 to 1.5 for changes pre to post intervention on objective and subjective cognitive measures that show statistically significant effects. To detect an effect at the lower end of this range (d = 0.5), 27 participants tested in a pre-post design would give power of 80% to detect the effect (one-tailed testing, alpha = 0.05).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
7/04/2015
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Actual
15/06/2015
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Date of last participant enrolment
Anticipated
8/11/2016
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Actual
4/11/2016
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Date of last data collection
Anticipated
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Actual
23/01/2017
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Sample size
Target
27
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Accrual to date
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Final
27
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
3426
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Mater Adult Hospital - South Brisbane
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Recruitment postcode(s) [1]
9191
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4101 - South Brisbane
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Funding & Sponsors
Funding source category [1]
290699
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Charities/Societies/Foundations
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Name [1]
290699
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Mater Foundation
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Address [1]
290699
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580 Stanley Street, South Brisbane QLD 4101 Australia
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Country [1]
290699
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Australia
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Funding source category [2]
290700
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University
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Name [2]
290700
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Griffith University
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Address [2]
290700
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Gold Coast campus, Parklands Drive, Southport Qld 4101
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Country [2]
290700
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Australia
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Funding source category [3]
297135
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Government body
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Name [3]
297135
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Department of Science, Information Technology and Innovation, Queensland Government
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Address [3]
297135
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GPO Box 5078, Brisbane 4001
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Country [3]
297135
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Australia
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Primary sponsor type
Individual
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Name
Dr Heather Green
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Address
School of Applied Psychology, Gold Coast campus, Griffith University, Parklands Drive, Southport Qld 4101
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Country
Australia
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Secondary sponsor category [1]
289391
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None
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Name [1]
289391
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Address [1]
289391
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Country [1]
289391
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292336
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Mater Health Services Human Research Ethics Committee
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Ethics committee address [1]
292336
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Room 294 Level 2 Aubigny Place Raymond Terrace South Brisbane QLD, 4101
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Ethics committee country [1]
292336
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Australia
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Date submitted for ethics approval [1]
292336
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30/01/2015
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Approval date [1]
292336
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26/03/2015
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Ethics approval number [1]
292336
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Summary
Brief summary
This study will determine whether a cognitive rehabilitation intervention, ReCog, has an effect on cognitive function in cancer survivors. Who is it for? You may be eligible to join this study if you are aged 18 years or above, have had a previous diagnosis of breast cancer, had chemotherapy treatment at Mater Cancer Care Centre, Brisbane, and completed all major cancer treatments. Study details All participants in this study will receive a group education and skills training intervention called “Responding to Cognitive Concerns” (ReCog). The program is based on self-regulatory cognitive rehabilitation and cognitive behavioural principles, and employs manuals for clinicians and participants. The program is run in small groups of approximately 4-9 participants. There will be four sessions run at weekly intervals by an occupational therapist and each session will last for 2 hours. Patients will be asked to practise the learnt strategies and skills in and between sessions, with the ultimate goal of generalising these strategies to their everyday life. Home tasks are expected to take approximately 15 minutes per day. Participants' performance on cognitive tasks (such as tests of memory and attention) will occur before and after the group program. Questionnaires on psychological distress, quality of life, psychological needs and satisfaction will be administered after the group program. It is hypothesised that both their cognitive performance on standard tests and reported everyday cognitive performance on questionnaires will improve.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Heather Green
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Address
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School of Applied Psychology, Gold Coast campus, Griffith University, Parklands Drive, Southport Qld 4101
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Country
54722
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Australia
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Phone
54722
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+61(0)7 56789086
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Fax
54722
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Email
54722
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[email protected]
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Contact person for public queries
Name
54723
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Heather Green
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Address
54723
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School of Applied Psychology, Gold Coast campus, Griffith University, Parklands Drive, Southport Qld 4101
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Country
54723
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Australia
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Phone
54723
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+61(0)7 56789086
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Fax
54723
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Email
54723
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[email protected]
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Contact person for scientific queries
Name
54724
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Heather Green
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Address
54724
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School of Applied Psychology, Gold Coast campus, Griffith University, Parklands Drive, Southport Qld 4101
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Country
54724
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Australia
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Phone
54724
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+61(0)7 56789086
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Fax
54724
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Email
54724
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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