RecruitingNot ApplicableNCT05687604

Scalable TELeheaLth Cancer CARe: The STELLAR Program to Treat Cancer Risk Behaviors

Sponsor

Northwestern University

Enrollment

1,500 participants

Start Date

Sep 24, 2024

Study Type

INTERVENTIONAL

Conditions

Obesity Physical Inactivity Smoking Cessation

Summary

The goal of this clinical trial is to improve cancer patient's health, survival, and quality of life by dispelling risk behaviors for Northwestern Memorial Health Care (NMHC) patients who are cancer survivors. The main question\[s\] STELLAR aims to answer are: * How best to combine three behavior interventions (physical activity promotion, smoking cessation, obesity treatment) into one treatment. * Evaluate the reach of the program. We will look at the number, proportion, and representativeness of participants in terms of disease characteristics, socioeconomic status, telehealth readiness, and race/ethnicity. * Evaluate the effects of the STELLAR program relative to enhanced usual care (information provision) on cancer risk behaviors, patient care access, care quality, and communication. Participants will be provided goals related to their physical activity, smoking, and/or weight loss and asked to track their health behaviors via an app, excel file, or on paper. At baseline, 3 months, 6 months and 9 months into the study, participants will provide survey responses and physical measurements like height and weight. Additionally, those in the Facilitated group will complete 12 telehealth sessions with study staff to discuss progress towards their study goals. Researchers will compare the Facilitated group to the Self Guided group to see if the Facilitated intervention group is able to reach more participants that enhances care only.

Eligibility

Min Age: 18 Years

Inclusion Criteria10

Northwestern Medicine patient
Over 18 years old
Meet at least 1 of the following 3 criteria:
Engage in <150 min/week of physical activity
BMI of ≥25
Report that they currently smoke or smoked within the last year
Diagnosed with any cancer (except non-melanoma skin)
Ability to attend telehealth visits either via landline, cell phone, smartphone, tablet, laptop, or desktop computer
months post curative intent treatment if BMI of ≥25 or engage in <150 min/week of physical activity
Post curative intent treatment if they currently smoke or smoked within the last year

Exclusion Criteria8

Currently in another dietary, weight loss, smoking cessation (including cessation pharmacotherapy), or physical activity treatment/intervention.
Limited level of oral and written English or Spanish
Cognitively impaired adults
Prisoners
Participants will be excluded from the physical activity and weight loss interventions (but not the smoking cessation component) for:
Absolute contraindications to exercise (i.e., acute myocardial infarction, complete heart block, acute congestive heart failure, unstable angina, uncontrolled hypertension), metastatic disease or planned elective surgery
Pregnant or plans to become pregnant.
Individuals engaging in the physical activity or weight loss interventions must pass pre- physical activity participation screening or obtain medical clearance

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Interventions

BEHAVIORALmultiple behavior change therapy

goals related to their physical activity, smoking, and/or obesity, and will be asked to meet those goals weekly/daily. Participants will also be asked to record their weight, activity, and/or cigarette smoking daily, and will complete 16 telehealth sessions with study staff across the 12 months of the study. Will have physical measures taken or extracted from the medical record at baseline, 3 months, 6 months, and 12 months.