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CompletedNCT05161312OncovoxUpdated Feb 28, 2024

A Guided Online Intervention to Improve Quality of Life in Breast Cancer Patients - a Randomised Clinical Trial

An interventional study of iACT-BC: Oncovox in Cancer, Breast, Quality of Life and Distress, Emotional, sponsored by Babes-Bolyai University. Completed at 1 site in Romania. Open to female participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2024-02-28.

Sponsored by Babes-Bolyai University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
18 Years to 80 Years
Sex
Female
01

Study summary

Background: Online interventions can be a fast, cost-efficient, and convenient medium for providing breast cancer patients (BCP) with access to evidence-based interventions that address their emotional needs. As true as that may be, online interventions are still a novel research area that struggles in implementation.

Objectives: This study aims to determine the acceptability, feasibility, and efficacy of Oncovox, an iACT-BC, a guided internet delivered ACT intervention designed to improve psychosocial outcomes in BCP diagnosed within the last two years when compared to treatment as usual. The primary outcomes in this study are health related quality of life, behavioural activation, symptom interference and reward observation. The secondary outcomes are psychosocial distress, anxiety and depression and psychological flexibility.

Methods: A two-arm, parallel, open label, waiting list randomised controlled trial will investigate the effectiveness, feasibility, and acceptability of Oncovox.

Expected results: It is anticipated that Oncovox will show to be effective, feasible and acceptable programme in improving health related quality of life, behavioural activation, symptom interference, reward observation, psychological distress, anxiety, depression, and psychological flexibility in BCP diagnosed in the last two years, as opposing to a waiting list control under treatment as usual.

An exploratory moderator analysis will be employed to the assess the significance of Time x Group as well as Time x Group x Surgery type interactions for all outcome and process variables. A mediation analysis to assess the effect of psychological flexibility on the outcomes will also be applied.

The results of this research will be published in accordance with CONSORT 2010 and CONSORT-EHEALTH guidelines and should be available for publication in September 2022.

02

Conditions studied

  • Cancer, Breast
  • Quality of Life
  • Distress, Emotional

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Keywords

  • Acceptance and Commitment Therapy (ACT)
  • Online intervention
  • Psychosocial intervention
  • Breast cancer
  • Quality of life
  • Randomized controlled trial
03

In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 150 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Babes-Bolyai University is the lead sponsor of 48 studies on the registry; 12 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 80 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Signed written informed consent.
  • Age ≥ 18 years
  • Ability to read and write in Romanian
  • History of histologically or cytologically confirmed breast cancer
  • An interval of \< 24 months from histologically or cytologically confirmed breast cancer
  • Ongoing curative cancer treatment
  • Ongoing regular psychoactive medication only accepted if dosage has been stable during the last 3 months
  • Daily access to the Internet by computer and/or smartphone
  • Ability to use a computer and/or smartphone and the internet
  • No participation on any other interventional study or clinical trial

Exclusion criteria

Exclusion Criteria:

  • Age ≤ 18 years
  • Inability to co-operate and give informed consent
  • Breast cancer not histologically or cytologically confirmed
  • History of other malignancy within the last 5 years
  • Current severe, uncontrolled systemic disease or mental disorder
  • Absence of clinically significant symptoms
  • Parallel ongoing psychological treatment
  • Ongoing regular psychoactive medication if dosage has been changed during the last 3 months
  • No access to the internet
  • Inability to use a computer and/or smartphone and the internet
  • Parallel ongoing participation in other interventional study or clinical trial
  • Assessment by the investigator to be unable or unwilling to comply with the requirements of the protocol
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
150 participants (actual)

Study arms

  • Experimental
    iACT-BC: Oncovox experimental

    A guided internet-delivered ACT intervention to improve psychosocial outcomes in BCP diagnosed in the past two years.

    Behavioral: iACT-BC: Oncovox

  • No intervention
    Wait list control group

    Wait list, treatment as usual

Interventions

  • BehavioraliACT-BC: Oncovox

    A guided internet-delivered ACT intervention to improve psychosocial outcomes in BCP diagnosed in the past two years

06

What researchers measure

Primary outcomes

  1. Quality of life - Functional Assessment of Cancer Therapy - Breast (FACT-B)

    A a 37-item instrument designed to measure five domains of HRQOL in breast cancer patients: Physical, social, emotional, functional well-being as well as a breast-cancer subscale (BCS).

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

  2. Behavioral activation - Behavioral activation scale (BAS)

    Assessing the appetitive-motivational system that is activated by reward consumption and conditioned signals of reward or non-punishment, triggering approach behaviour.

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

  3. Symptom interference - MD Anderson Symptom Inventory (MDASI)

    Severity of symptoms experienced by patients with cancer and the interference with daily living caused by these symptoms.

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

  4. Reward observation - Environmental reward observation scale (EROS)

    Reports on quantity and availability of reinforcement received by patient from environment

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

Secondary outcomes

  1. Distress - Distress Thermometer (DT)

    a multifactorial unpleasant experience of a psychological (i.e., cognitive, behavioral, emotional), social, spiritual and/or physical nature that may interfere with the ability to cope effectively with cancer, its physical symptoms, and its treatment.

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

  2. Anxiety & depression - Hospital Anxiety and Depression Scale (HADS)

    Measures anxiety and depression in a general medical population of patients

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

  3. Psychological flexibility - Acceptance and Action Questionnaire for Cancer (AAQ-II-C)

    Scale used to assess psychological inflexibility.

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

Other outcomes

  1. Participants' attitudes towards internet interventions

    Attitudes towards internet interventions survey (ATTIS) Attitudes towards internet interventions survey (ATTIS)

    Time frame: Change from baseline to post-intervention (10 weeks after enrollment), Follow ups at 1, 2 and 12 months

07

Study locations

1 site
  • Babes-Bolyai University
    Cluj-Napoca, 400015, Romania
08

References and documents

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 28, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05161312
Lead sponsor
Babes-Bolyai University
Responsible party
Silvia Nicolescu (Phd. Candidate, Babes-Bolyai University) — Principal investigator
First posted
Dec 17, 2021
Start date
Nov 15, 2021
Primary completion
Feb 25, 2022
Completion
May 25, 2022
Last update
Feb 28, 2024

Study contacts

Silvia M Nicolescu, Ms
principal investigator · Babes-Bolyai University

Oversight

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

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