An interventional study of Household Contribution and Outside Contribution in Cancer, sponsored by M.D. Anderson Cancer Center. Completed at 1 site in United States. Open to participants aged 25 Years to 75 Years. Per ClinicalTrials.gov, last updated 2026-08-13.
Sponsored by M.D. Anderson Cancer Center · Not applicable, Interventional, and Supportive care
Positive Activities for Asian American Cancer Patients and Caregivers
Primary Objectives:
The overall objective of this project is to design and test the feasibility of two positive activities, household contribution and outside contribution, to increase quality of life in AA cancer patients.
Secondary Objectives:
Aim 1: To assess the acceptability and feasibility of household and outside contribution positive activities for AAs through a mixed qualitative and exploratory quantitative investigation.
Aim 2: To use the qualitative and quantitative data from Aim 1, in collaboration with the mentorship team, AA community members, and clinicians, to develop one or both positive activity intervention(s) (i.e., household or outside contribution) specifically for AA cancer patients.
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Inclusion criteria for patients will be:
Exclusion criteria for patients will be:
Inclusion criteria for caregivers will be:
Exclusion criteria for caregivers will be:
Do something thoughtful or nice for your caregiver that would provide them with tangible support
Behavioral: Household Contribution
Do something outside your home/household that contributes to the larger society
Behavioral: Outside Contribution
Keep track of your daily activities
Behavioral: Control
Questionnaires
Questionnaires
Questionnaires
Affect-Adjective Scale
Positive and negative affect were measured using a modified 12-item Affect-Adjective Scale (AAS) (Diener \& Emmons, 1984) that included low-arousal emotion items (e.g., peaceful/serene, dull/bored). Participants rated the extent to which they experienced positive and negative emotions over the past week on a scale from 0 ("not at all") to 6 ("extremely").
Time frame: End-of-study (4 weeks)
Health-Related Quality of Life
HRQOL was measured using the 10-item Patient-Reported Outcomes Measurement Information System Global-10 (PROMIS-10) (Cella et al., 2010), with physical and mental health subscales. The scale ranges from 5 to 20 with higher scores indicating better health-related quality of life.
Time frame: End-of-study (4 weeks)
Perceived Stress
Perceived stress was measured using the 4-item Perceived Stress Scale (PSS) (Cohen \& Willliamson, 1988), which assessed the frequency of stressful experiences over the past month. The scale ranges from 0 to 16 with higher scores indicating greater perceived stress.
Time frame: End-of-study (4 weeks)
Psychological Needs
Psychological needs were measured with a 9-item version of the Balanced Measure of Psychological Needs (BMPN) (Sheldon \& Hilpert, 2012), which includes subscales for autonomy, competence, and connectedness. The subscales range from 1 to 5 with higher scores indicating greater satisfaction of the respective need.
Time frame: End-of-study (4 weeks)
Self-Perceived Burden
Self-perceived burden was measured using the 10-item Self-Perceived Burden Scale (SPBS) (Cousineau et al., 2003), which assessed the extent to which patients felt that they were a burden on caregivers. The scale ranges from 10 to 50 with higher scores indicating greater self=perceived burden.
Time frame: End-of-study (4 weeks)
Data were collected from August 2022 to October 2023, Participants were recruited in person in outpatient clinics or over the phone.
| Milestone | Household Contribution | Outside Contribution | Control |
|---|---|---|---|
| Started | 15 | 19 | 14 |
| Patients | 10 | 12 | 10 |
| Caregivers | 5 | 7 | 4 |
| Completed | 14 | 13 | 14 |
| Not completed | 1 | 6 | 0 |
| Withdrew: Withdrawal by subject | 1 | 4 | 0 |
| Withdrew: Lost to follow-up | 0 | 2 | 0 |
Positive and negative affect were measured using a modified 12-item Affect-Adjective Scale (AAS) (Diener \& Emmons, 1984) that included low-arousal emotion items (e.g., peaceful/serene, dull/bored). Participants rated the extent to which they experienced positive and negative emotions over the past week on a scale from 0 ("not at all") to 6 ("extremely").
| score on a scale | Household Contribution | Outside Contribution | Control |
|---|---|---|---|
| Positive Affect Patients | 3.44 ± 1.14 | 3.57 ± 1.04 | 3.83 ± 1.23 |
| Positive Affect Caregivers | 3.6 ± 0.99 | 3.21 ± 1.01 | 4.25 ± 1.02 |
| Negative Affect Patients | 0.96 ± 3.14 | 0.87 ± 1.06 | 0.77 ± 0.7 |
| Negative Affect Caregivers | 1.2 ± 1.05 | 1.46 ± 0.63 | 0.96 ± 0.57 |
HRQOL was measured using the 10-item Patient-Reported Outcomes Measurement Information System Global-10 (PROMIS-10) (Cella et al., 2010), with physical and mental health subscales. The scale ranges from 5 to 20 with higher scores indicating better health-related quality of life.
| score on a scale | Household Contribution | Outside Contribution | Control |
|---|---|---|---|
| Physical QOL - Patients | 13.67 ± 2 | 14.67 ± 2.87 | 14.3 ± 1.57 |
| Mental QOL - Patients | 12.56 ± 3.17 | 13.22 ± 2.33 | 13.5 ± 2.07 |
Perceived stress was measured using the 4-item Perceived Stress Scale (PSS) (Cohen \& Willliamson, 1988), which assessed the frequency of stressful experiences over the past month. The scale ranges from 0 to 16 with higher scores indicating greater perceived stress.
| score on a scale | Household Contribution | Outside Contribution | Control |
|---|---|---|---|
| Patients | 5.11 ± 2.21 | 5.56 ± 2.56 | 5.1 ± 2.73 |
| Caregivers | 6.8 ± 1.92 | 7.5 ± 2.08 | 5.25 ± 3.86 |
Psychological needs were measured with a 9-item version of the Balanced Measure of Psychological Needs (BMPN) (Sheldon \& Hilpert, 2012), which includes subscales for autonomy, competence, and connectedness. The subscales range from 1 to 5 with higher scores indicating greater satisfaction of the respective need.
| score on a scale | Household Contribution | Outside Contribution | Control |
|---|---|---|---|
| Autonomy - Patients | 4.07 ± 0.7 | 4.11 ± 0.78 | 4.1 ± 0.74 |
| Autonomy - Caregivers | 3.73 ± 0.6 | 3.92 ± 1.1 | 4.33 ± 0.47 |
| Competence - Patients | 3.82 ± 0.78 | 3.81 ± 1.13 | 4 ± 0.85 |
| Competence - Caregivers | 3.73 ± 0.55 | 3.67 ± 1.41 | 4 ± 0.72 |
| Connectedness - Patients | 3.93 ± 0.6 | 3.96 ± 0.86 | 4.27 ± 0.63 |
| Connectedness - Caregivers | 3.87 ± 0.3 | 3.58 ± 1.45 | 4.5 ± 0.43 |
Self-perceived burden was measured using the 10-item Self-Perceived Burden Scale (SPBS) (Cousineau et al., 2003), which assessed the extent to which patients felt that they were a burden on caregivers. The scale ranges from 10 to 50 with higher scores indicating greater self=perceived burden.
| score on a scale | Household Contribution | Outside Contribution | Control |
|---|---|---|---|
| Self-Perceived Burden | 20.44 ± 9.89 | 17.33 ± 4.58 | 19.3 ± 4.74 |
Collected over baseline to study completion, an average of 5 weeks. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Household Contribution | 0/15 (0%) | 0/15 (0%) | 0/15 (0%) |
| Outside Contribution | 0/19 (0%) | 1/19 (5.3%) | 0/19 (0%) |
| Control | 0/14 (0%) | 0/14 (0%) | 0/14 (0%) |
| Event | Household Contribution | Outside Contribution | Control |
|---|---|---|---|
| Patient did not feel well enough to do study activitiesGeneral disorders | 0/15 | 1/19 | 0/14 |
| Age, Continuous(years) | Household Contribution | Outside Contribution | Control | Total |
|---|---|---|---|---|
| Patients | 53.0 ± 14.87 | 55.8 ± 12.76 | 55.10 ± 12.26 | 53.65 ± 12.35 |
| Caregivers | 57.0 ± 11.49 | 48.0 ± 9.47 | 51.00 ± 13.93 | 53.65 ± 12.35 |
| Sex: Female, Male(Participants) | Household Contribution | Outside Contribution | Control | Total |
|---|---|---|---|---|
| Patients — Female | 4 | 9 | 7 | 20 |
| Patients — Male | 6 | 3 | 3 | 12 |
| Caregivers — Female | 4 | 5 | 2 | 11 |
| Caregivers — Male | 1 | 2 | 2 | 5 |
| Race (NIH/OMB)(Participants) | Household Contribution | Outside Contribution | Control | Total |
|---|---|---|---|---|
| Patients — American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Patients — Asian | 10 | 11 | 10 | 31 |
| Patients — Native Hawaiian or Other Pacific Islander | 0 | 1 | 0 | 1 |
| Patients — Black or African American | 0 | 0 | 0 | 0 |
| Patients — White | 0 | 0 | 0 | 0 |
| Patients — More than one race | 0 | 0 | 0 | 0 |
| Patients — Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Caregivers — American Indian or Alaska Native | 0 | 0 | 0 | 0 |
| Caregivers — Asian | 5 | 7 | 4 | 16 |
| Caregivers — Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 | 0 |
| Caregivers — Black or African American | 0 | 0 | 0 | 0 |
| Caregivers — White | 0 | 0 | 0 | 0 |
| Caregivers — More than one race | 0 | 0 | 0 | 0 |
| Caregivers — Unknown or Not Reported | 0 | 0 | 0 | 0 |
| Region of Enrollment(participants) | Household Contribution | Outside Contribution | Control | Total |
|---|---|---|---|---|
| United States | 15 | 19 | 14 | 48 |
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M.D. Anderson Cancer Center