ClinicalTrials.gg
CompletedNCT03364673Updated Oct 13, 2023Results posted

Stepping Into Survivorship: Harnessing Behavioral Economics to Improve Quality of Life in Ovarian Cancer

An interventional study of Fitness Tracker and Social Incentive (Way to Health) in Ovarian Cancer, sponsored by Dana-Farber Cancer Institute. Completed at 1 site in United States. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2023-10-13.

Sponsored by Dana-Farber Cancer Institute · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
29
Allocation
Not applicable
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 36 studies in Ovarian Neoplasms by Dana-Farber Cancer Institute — 6 open to participants now, 8 under way, none of them phase 3. Ovarian Neoplasms · Dana-Farber Cancer Institute.

Enrollment
19th of 35
29 · median 30
Started
2018
with 3 others
No phase
13 of 36
3 open now
Registered
23rd of 36
by date

Among the 36 studies in Ovarian Neoplasms by Dana-Farber Cancer Institute, this one is the 19th largest by enrollment of the 35 interventional ones that give a count, is one of 4 that started in 2018, is one of 13 with no phase, and was the 23rd registered.

Ovarian Neoplasms

3,381 studies on the registry are indexed under Ovarian Neoplasms; 790 are open to participants now.

Browse Ovarian Neoplasms studies →

Open to participants now

6 of the 36 studies in Ovarian Neoplasms by Dana-Farber Cancer Institute are open now, in 1 country. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 6 open studies →

Where they have run

Who these studies take

Of the 606 Ovarian Neoplasms studies recruiting now, 443 (73%) set no upper age limit and 107 (18%) stop at 75 or younger; 39 take children under 18; 45 take healthy volunteers.

This study: 18 Years and older · female · healthy volunteers too.

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02

Study summary

This research study will test whether using wearable fitness trackers with a social incentive, delivered through a game-based mobile health intervention, increases physical activity and quality of life in ovarian cancer survivors.

Read the detailed description

Nearly 50% of ovarian cancer survivors experience poor quality of life, fatigue, and anxiety after completing surgery and chemotherapy to treat their disease. Moreover, many ovarian cancer survivors become deconditioned during treatment; 40% report significant drops in activity during the year after diagnosis, and only 20% meet the recommended guidelines for physical activity.

Interventional exercise studies are urgently needed to determine whether increasing physical activity improves outcomes in ovarian cancer survivors. In other cancers, physical activity improves quality of life and mental health, while reducing the risk of cancer recurrence and death. To date, however, most studies have focused on patients with curable breast and prostate cancers. The effects of physical activity on understudied populations, including ovarian cancer survivors, are unknown. Furthermore, although ovarian cancer survivors report an interest in participating in home-based walking programs, few formal programs exist.

Stepping into Survivorship is a single-arm study designed to test the effectiveness of a wearable fitness tracker with a game-based mobile health intervention that leverages social support to increase physical activity in ovarian cancer survivors. At the start of the study all participants will track their daily step counts using a wearable fitness tracker (e.g. Fitbit) to determine how many steps they walk in an average day. Next, they will set an increased step-goal and receive daily, individualized feedback based upon their performance.

Participants will also choose a team partner (i.e. family or friend) to receive a wearable fitness tracker and together they will track their steps, earning non-financial micro-incentives (e.g. points, levels, badges) when they achieve their collaborative goals. This game-based mobile health intervention is designed to enhance collaboration, accountability, peer support, and ultimately physical activity among ovarian cancer survivors and their friends/family members.

This research is being done to improve participants' quality of life. The investigators hope that the use of wearable fitness trackers with a game-based mobile health intervention will help participants increase their physical activity and improve quality of life.

03

Conditions studied

  • Ovarian Cancer

Keywords

  • Ovarian Cancer
  • Physical Activity
  • Mobile Health
  • Fitness Tracker
  • Survivorship
  • Quality of Life
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients will be eligible if they have newly diagnosed ovarian cancer
  • Are ≤6 months of completing chemotherapy
  • Read English
  • Do not have cognitive, visual, or orthopedic impairments that would preclude participation
  • Plan to continue treatment at Dana-Farber Cancer Institute

Exclusion criteria

Exclusion Criteria:

  • Participants will be excluded if they are already participating in an mHealth intervention
  • Are unable to ambulate
  • Do not have a smartphone to transmit data from the wearable tracker
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
29 participants (actual)

Study arms

  • Experimental
    Fitness Tracker + Social Incentive Intervention

    Participants will enroll with a teammate (i.e. family or friend) and collaborate together. Teams will set a daily step goal, receive daily feedback on whether they achieved their goal, and receive a social incentive intervention.

    Other: Fitness Tracker · Other: Social Incentive (Way to Health)

Interventions

  • OtherFitness Tracker

    Fitness trackers (e.g. Fitbit) are accelerometers that are worn on the wrist and tracks users' heart rate continuously in addition to steps, distance, calories, and active minutes

  • OtherSocial Incentive (Way to Health)

    The Way to Health platform is an automated information technology platform that integrates wireless devices, clinical trial randomization and enrollment processes, messaging (text, e-mail or voice), self-administered surveys, automatic transfers of financial incentives, and secure data capture for research purposes.

06

What researchers measure

Primary outcomes

  1. Feasibility of the Accelerometer + Social Support + Gamification

    Feasibility will be defined as ≥60% of patients who participate in the pilot study complete the 24-week intervention

    Time frame: 1 year pilot

  2. Acceptability

    Study burden: To what extent do you agree or disagree with: "Participating in this study placed a substantial burden on me." (Options: strongly agree, agree, neutral, disagree, strongly disagree)

    Time frame: 24 weeks

  3. Perceived Effectiveness

    To what extent do you agree or disagree with the following statements: "Participating in this study motivated me to increase my activity levels." Response options: strongly disagree, disagree, neutral, agree, strongly agree.

    Time frame: 24 weeks

Secondary outcomes

  1. Change in Daily Steps From Baseline to 12 Weeks

    To compare the change in daily steps from end of baseline to 12 weeks (after the end of baseline) to estimate outcome parameters for future study

    Time frame: 12 weeks [from end of baseline (day 15) to day 98]

  2. Change in Daily Steps From Baseline 24 Weeks

    To compare the change in daily steps from end of baseline to 24 weeks (after the end of baseline) to estimate outcome parameters for future study

    Time frame: 24 weeks [from end to baseline (day 15) to day 182]

07

Results

Posted Sep 17, 2021
Limitations and caveats
* Single-arm pilot study without a control group * Participants were recruited from a single academic center, were required to have a smartphone, and needed to be able to identify a teammate. This may have resulted in the selection of a more affluent, educated, and socially-connected population than is representative of ovarian cancer survivors nationwide. * We did not specifically measure other types of activity not captured by Fitbits (e.g., swimming or biking).

Participant flow

Participant flow — Overall Study
MilestoneFitness Tracker + Social Incentive Intervention
Started29
Completed24
Not completed5
Withdrew: Withdrawal by subject2
Withdrew: Injury unrelated to study3

Outcome measures

PrimaryFeasibility of the Accelerometer + Social Support + Gamification

Feasibility will be defined as ≥60% of patients who participate in the pilot study complete the 24-week intervention

Time frame:
1 year pilot
Reported as:
Count of participants · Participants
Feasibility of the Accelerometer + Social Support + Gamification
ParticipantsFitness Tracker + Social Incentive Intervention
Completed intervention and follow-up period24
Did not complete intervention and follow-up period5
PrimaryAcceptability

Study burden: To what extent do you agree or disagree with: "Participating in this study placed a substantial burden on me." (Options: strongly agree, agree, neutral, disagree, strongly disagree)

Time frame:
24 weeks
Reported as:
Count of participants · Participants
Acceptability
ParticipantsFitness Tracker + Social Incentive Intervention
Participants indicate that the study was burdensome1
Participants did not indicate that the study was burdensome23
PrimaryPerceived Effectiveness

To what extent do you agree or disagree with the following statements: "Participating in this study motivated me to increase my activity levels." Response options: strongly disagree, disagree, neutral, agree, strongly agree.

Time frame:
24 weeks
Reported as:
Count of participants · Participants
Perceived Effectiveness
ParticipantsFitness Tracker + Social Incentive Intervention
"strongly agree" or "agree"21
"strongly disagree", "disagree", or "neutral"3
SecondaryChange in Daily Steps From Baseline to 12 Weeks

To compare the change in daily steps from end of baseline to 12 weeks (after the end of baseline) to estimate outcome parameters for future study

Time frame:
12 weeks [from end of baseline (day 15) to day 98]
Reported as:
Mean · steps
Change in Daily Steps From Baseline to 12 Weeks
stepsFitness Tracker + Social Incentive Intervention
Baseline (Day 1-14)6210.7 ± 3328.1
Intervention (Day 15-98)7643.0 ± 3610.9
SecondaryChange in Daily Steps From Baseline 24 Weeks

To compare the change in daily steps from end of baseline to 24 weeks (after the end of baseline) to estimate outcome parameters for future study

Time frame:
24 weeks [from end to baseline (day 15) to day 182]
Reported as:
Mean · steps
Change in Daily Steps From Baseline 24 Weeks
stepsFitness Tracker + Social Incentive Intervention
Baseline (Day 1-15)6210.7 ± 3328.1
Follow-up (Day 98-182)6435.1 ± 3550.6

Adverse events

Collected over Adverse events were collected on an ongoing basis throughout the course of the study, Day 1-182.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Fitness Tracker + Social Incentive Intervention0/29 (0%)0/29 (0%)0/29 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Fitness Tracker + Social Incentive Intervention
Mean63 (37 to 79)
Sex: Female, Male
Sex: Female, Male(Participants)Fitness Tracker + Social Incentive Intervention
Female24
Male0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Fitness Tracker + Social Incentive Intervention
American Indian or Alaska Native0
Asian1
Native Hawaiian or Other Pacific Islander0
Black or African American0
White23
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)Fitness Tracker + Social Incentive Intervention
United States24
Marital status
Marital status(Participants)Fitness Tracker + Social Incentive Intervention
Married, partnered18
Single4
Widowed, separated2
International Federation of Gynecology and Obstetrics (FIGO) stage
International Federation of Gynecology and Obstetrics (FIGO) stage(Participants)Fitness Tracker + Social Incentive Intervention
IC5
II1
III1
IIIB3
IIIC6
IVA3
IVB5
Histology
Histology(Participants)Fitness Tracker + Social Incentive Intervention
Serous19
Endometrioid3
Carcinosarcoma1
Clear cell1
ECOG PS
ECOG PS(Participants)Fitness Tracker + Social Incentive Intervention
05
115
24

3 further baseline measures are reported on the registry.

08

Study locations

1 site
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02215, United States
09

References and documents

Publications

  • Schrier E, Xiong N, Thompson E, Poort H, Schumer S, Liu JF, Krasner C, Campos SM, Horowitz NS, Feltmate C, Konstantinopoulos PA, Dinardo MM, Tayob N, Matulonis UA, Patel M, Wright AA. Stepping into survivorship pilot study: Harnessing mobile health and principles of behavioral economics to increase physical activity in ovarian cancer survivors. Gynecol Oncol. 2021 May;161(2):581-586. doi: 10.1016/j.ygyno.2021.02.023. Epub 2021 Feb 23. PubMed 33637350 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jul 2018 to primary completion in Oct 2019, 15 months.

Results were first posted in Sep 2021, 1 year 10 months after primary completion.

Of 282 non-industry interventional studies with no phase under Ovarian Neoplasms, half reached primary completion within 46 months of starting (the median), counting those still running; a quarter within 23 and three quarters within 76. This study's 15 months is below that.

Counting every sponsor, half of 293 studies reached it within 46 months; a quarter within 23 and three quarters within 76.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 17, 2017
First posted
Dec 6, 2017
StartActual
Jul 20, 2018
Primary completionActual
Oct 31, 2019
CompletionActual
Dec 5, 2020
Results first posted
Sep 17, 2021
Last update
Oct 13, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 13, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03364673
Responsible party
Alexi A. Wright, MD (Prinicipal Investigator, Dana-Farber Cancer Institute) — Principal investigator
First posted
Dec 6, 2017
Start date
Jul 20, 2018
Primary completion
Oct 31, 2019
Completion
Dec 5, 2020
Results posted
Sep 17, 2021
Last update
Oct 13, 2023

Study contacts

Alexi A. Wright, MD, MPH
principal investigator · Dana-Farber Cancer Institute

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2023. You cannot join it, but the record below documents what was studied.

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