Living Well: Protocol for a web-based program to improve quality of life in rural and urban ovarian cancer survivors

Contemp Clin Trials. 2024 Sep:144:107612. doi: 10.1016/j.cct.2024.107612. Epub 2024 Jun 22.

Abstract

Background: Ovarian cancer (OC) survivors commonly experience chronic symptoms including anxiety, depression, sleep disturbances, fatigue, physical symptoms, poor health-related quality of life (HRQOL), and a generally poor prognosis. Additionally, factors such as social isolation, stress, and depression are associated with key biological processes promoting tumor progression and poorer survival. Accessible psychosocial interventions to improve HRQOL and clinical outcomes are needed. This need is particularly true in rural settings where survivors may have less access to clinic-based support systems.

Methods: The Living Well Study, a cluster-randomized Phase II multi-site clinical trial, is designed to evaluate the efficacy of a group-based, web-delivered psychosocial intervention (Mindful Living) verses a Health Promotion active control (Healthy Lifestyles) in increasing HRQOL and decreasing perceived stress (primary outcomes), depressive mood, anxiety, and fatigue (secondary outcomes) for 256 OC survivors who are <5 years post-primary therapy. Mindful Living targets key concerns of OC survivors and teaches stress reduction skills and coping strategies utilizing cognitive behavioral, mindfulness, and acceptance and commitment therapies. Healthy Lifestyles provides lifestyle information including exercise, nutrition, sleep, and other survivorship topics. Interventions consist of 11 consecutive weekly group sessions lasting 1.5-2 h led by trained facilitators and two booster sessions. Participants complete psychosocial questionnaires at baseline, post-intervention, at 6-months, and at 12-months. A subset completes bloodspots for analysis of inflammatory biology.

Conclusion: Easily accessible psychosocial interventions addressing key concerns of OC survivors are an unmet need. The Mindful Living intervention has the potential to substantially enhance HRQOL and decrease distress in OC survivors. Trial registrationclinicaltrials.gov Identifier: NCT04533763.

Keywords: Cognitive behavioral therapy; Health promotion; Mindfulness; Ovarian cancer; Quality of life; Rural; Survivorship; Web-based intervention.

Publication types

  • Clinical Trial Protocol

MeSH terms

  • Adaptation, Psychological
  • Anxiety / psychology
  • Anxiety / therapy
  • Cancer Survivors* / psychology
  • Clinical Trials, Phase II as Topic
  • Depression* / epidemiology
  • Depression* / psychology
  • Depression* / therapy
  • Fatigue* / psychology
  • Fatigue* / therapy
  • Female
  • Healthy Lifestyle
  • Humans
  • Internet-Based Intervention*
  • Middle Aged
  • Mindfulness / methods
  • Multicenter Studies as Topic
  • Ovarian Neoplasms* / psychology
  • Ovarian Neoplasms* / therapy
  • Quality of Life*
  • Randomized Controlled Trials as Topic
  • Rural Population*
  • Stress, Psychological / psychology
  • Stress, Psychological / therapy
  • Urban Population

Associated data

  • ClinicalTrials.gov/NCT04533763