ClinicalTrials.gg
RecruitingNCT07501637Updated Oct 16, 2026

Mind-Body Group Interventions for Psychological Distress in Young Breast Cancer Survivors

An interventional study of Breath-Body-Mind (BBM) and Survivorship education program (SEP) in Breast Cancer, sponsored by University of Alabama at Birmingham. Recruiting at 2 sites in United States. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-10-16.

Sponsored by University of Alabama at Birmingham · Not applicable, Interventional, and Supportive care

Updated Oct 16, 2026Now RecruitingStart date moved+2 moreGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

This is a two-arm randomized controlled trial (RCT) to determine the feasibility of a larger, fully powered trial in younger ER+ BCS undergoing endocrine therapy in the Deep South and to evaluate preliminary effectiveness of a breath-based group intervention- Breath-Body-Mind (BBM), a trauma-informed program emphasizing slow-paced coherent resonance breathing on psychological and physiological outcomes. The second arm, a survivorship education program (SEP), will serve as an attention-control to match contact time and group setting to control for placebo effects. This project will use multi-source and multimodal data to generate foundational insights into a stress-targeted intervention for an understudied survivorship population. Outcome measures will be assessed across all arms and will include self-reported measures, fMRI, neuro-endocrine-immune blood markers, multi-omics analyses, and physiological measures through a wrist-worn wearable device (GENEActiv).

Primary outcomes:

1) Feasibility of study as measured by rates of enrollment, randomization, retention, and study completion. We will also develop a data collection system and evaluate its usefulness and ability to scale for a future trial.

Secondary outcomes:

1) Change in psychological distress (Impact of Event Scale-Revised, IES-R) related to cancer diagnosis and treatment between baseline and 6 months after workshop.

Exploratory outcomes:

  1. Fatigue using the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F)
  2. Sleep quality using the Pittsburgh Sleep Quality Index (PSQI) and the GENEActive device
  3. Pain using the Brief Pain Index (BPI),
  4. Anxiety and depression symptoms using the Hospital Anxiety and Depression Scale (HADS)
  5. Medication adherence using the Morisky Medication Adherence Scale
  6. Interoceptive awareness using the Multidimensional Assessment of Interoceptive Awareness (MAIA)
  7. Perceived social support using the Multidimensional Scale of Perceived Social Support (MSPSS)
  8. Neurocognitive function (attention, working memory, processing speed, and executive functioning) using NIH toolbox
  9. Overall quality of life will be measured using the Whole Person Health Index (WPHI).
  10. Additional cancer-related outcomes will include the Functional Assessment of Cancer Therapy-Endocrine Symptoms (FACT-ES) and the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire-Breast 23 (EORTC QLQ-BR23) body image subscale.
  11. The Adverse Childhood Experiences Questionnaire (ACE-Q) and the Big Five Inventory-2 Short Form (BFI-2-S) will be used to assess early life stress and personality traits that may moderate response to the intervention.
  12. Peripheral biomarkers will be measured, including inflammatory cytokines (IL-6, TNF-α), neurotrophic factors (BDNF), neuroendocrine hormones (cortisol, oxytocin), fasting cardiometabolic markers (glucose, insulin), and blood pressure.
  13. Examine neurobiological mechanisms using resting-state fMRI (brain connectivity changes), and multi-omics profiling (epigenomics, transcriptomics, proteomics, metabolomics).
02

Conditions studied

  • Breast Cancer

Keywords

  • Breast cancer survivors
  • Breath-Body-Mind
  • survivorship education program
  • psychological distress
  • fatigue
  • breast cancer
  • endocrine therapy
03

In context

Breast Neoplasms

14,825 studies on the registry are indexed under Breast Neoplasms; 3,319 are open to participants now.

This study's planned enrollment of 30 is below the median of 72 across 10,896 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

University of Alabama at Birmingham is the lead sponsor of 1,421 studies on the registry; 277 are open to participants now.

Of its 164 completed or terminated interventional studies of FDA-regulated products, 130 (79%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No

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

  • The inclusion criteria for this study will be BCS who are between 18 and 50 years of age with early-stage breast cancer (stage I-III) treated with curative intent.
  • They should be within two years of initial diagnosis.
  • Patients scoring 0-1 on the (ECOG) scale will be accepted.
  • Patients should have completed chemo, surgery, and/or radiation components of their planned therapy regimen at least 6 months ago; they should be positive for estrogen-receptor breast cancer and currently on anti-estrogen therapy (tamoxifen, aromatase inhibitors: letrozole, anastrozole, exemestane).
  • Eligible patients will be screened for distress using the IES-R scale. Individuals with scores greater than or equal to 24, will be included in the study.
  • Individuals must also be motivated to attend a 3-day virtual workshop, which requires a total commitment of approximately 12 hours virtually.
  • They must be willing to participate in a weekly zoom group session for 8-weeks after attending the workshop and then once monthly afterwards up until the 6-month follow up data collection.
  • They must be willing to do a 10-20-minute daily practice at home, at least 3 times a week, during the 6-month follow-up period.
  • They should also be prepared for three clinical visits (one hour each) for specimen and blood collection at baseline, week 8, and 6 months, as well as three additional visits (15 minutes each) for wearable data upload.
  • A subset of participants (n=10) selected for MRI will be screened for claustrophobia and those qualifying (CLQ \<25) will be selected for MRI sub-study (exploratory aim of this study).
  • If selected for MRI sub-study, two additional clinical visits (one hour each) will be required.

Exclusion criteria

Exclusion Criteria:

  • Male patients are excluded.
  • Individuals with a recent history (within past three months) of cardiac arrhythmia, unstable or uncontrolled respiratory disorders such as or asthma, or myocardial infarction, angina.
  • Individuals with a recent history (within past three months) of schizophrenia or bipolar disorder, those currently engaging in active substance abuse involving illicit drugs (excluding marijuana), those experiencing active violent ideation, or those on lithium-based medication regimens will also be excluded. Current or recent (within three months) suicidal impulse or suicide attempt is exclusionary, although suicidal ideation without intent or impulse is not.
  • Participants with an (ECOG) score of 2 or higher
  • Breast cancer patients receiving CDK 4/6 inhibitor-based regimens or GnRH antagonist regimens, will not be eligible.
  • Patients with IES-R scores less than or equal to 23 will be excluded from the study.
  • Recent surgery (within 3 months) is not excluded unless, in the opinion of the research team, it would substantially interfere with the ability of the person to participate in the intervention.
  • Prisoners, pregnant women, and non-English-speaking individuals will not be included.
  • A subset of participants (n=10) selected for MRI will be screened for claustrophobia and those with a tendency towards claustrophobic events (CLQ >25) will be excluded from MRI scanning.
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Experimental
    Intervention

    This arm receives the Breath-body-mind intervention

    Behavioral: Breath-Body-Mind (BBM)

  • Placebo comparator
    Control

    This arm receives survivorship education program

    Behavioral: Survivorship education program (SEP)

Interventions

  • BehavioralBreath-Body-Mind (BBM)

    The BBM program involves a 12-hour structured training provided virtually, 4 hours/day for 3 consecutive days, followed by 8 weeks of once-a-week online group practice (45 min per session) and daily home practice (20 min per day of coherent breathing with some movement practices). From week 9 onwards, online group practice will be offered once a month for 4 months. BBM entails qigong movements and gentle, coherent breathing (also called Resonance Breathing) through the nose at 5 breath cycles per minute (cpm), with an equal length of inhalation and exhalation, optimizing HRV. The BBM workshop teaches participants how to become aware of their psychophysiological states and how to use BBM techniques to balance their stress response systems.

  • BehavioralSurvivorship education program (SEP)

    This survivorship education program will serve as the control arm. It comprises informational modules focused on recovery after cancer treatment, including managing fatigue and side effects and navigating follow-up care, communication strategies, body image, and planning for long-term wellness. Control participants will have a contact and data acquisition protocol similar to those in the BBM group. The control intervention will also be administered virtually over 3 consecutive days with the same number of contact hours as the BBM intervention. Participants will be asked to reflect on and apply the strategies discussed (e.g., goal setting, self-monitoring) during an 8-week remote follow-up. Participants will meet once a week with the facilitator online in a group education format to discuss challenges and reinforce learning. From week 9 onwards, online group meetings will be offered once a month for 4 months.

06

What researchers measure

Primary outcomes

  1. Overall percentage rate of recruitment.

    To assess the overall percentage rate of recruitment.

    Time frame: baseline, 6 months

Secondary outcomes

  1. Change in psychological distress

    Psychological distress will be measured by the Impact of Event Scale-Revised (IES-R). IES-R scale is based on a 22-item scale questionnaire with a cumulative value from 0 to 88, where anything greater than or equal to 24 is considered to have more cancer-related traumatic stress.

    Time frame: Baseline, 6 months

07

Study locations

2 of 2 sites recruiting
  • UAB School of Health Professions
    Birmingham, Alabama 35233, United States
    Recruiting
  • University of Alabama at Birmingham O'Neal Cancer Center
    Birmingham, Alabama 35294, United States
    Recruiting
08

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 16, 2026
Sites
2 sites added, 1 site removed
Show 2 added (2 United States)
  • UAB School of Health Professions · Birmingham, United States
  • University of Alabama at Birmingham O'Neal Cancer Center · Birmingham, United States
Show 1 removed
  • University of Alabama at Birmingham · Birmingham, United States
Oct 16, 2026
Start date
Oct 1, 2026→Oct 13, 2026 (actual)
Oct 16, 2026
Show all 1 update
  1. Oct 16, 2026
    Not yet recruiting→Recruiting
    2 sites added, 1 site removed
    Show 2 added (2 United States)
    • UAB School of Health Professions · Birmingham, United States
    • University of Alabama at Birmingham O'Neal Cancer Center · Birmingham, United States
    Show 1 removed
    • University of Alabama at Birmingham · Birmingham, United States
    Start date Oct 1, 2026→Oct 13, 2026 (now actual)
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07501637
Responsible party
Ritu Aneja (Professor, Associate Dean, University of Alabama at Birmingham) — Principal investigator
First posted
Mar 30, 2026
Start date
Oct 13, 2026
Primary completion
Dec 31, 2027 (estimated)
Completion
Jan 31, 2028 (estimated)
Last update
Oct 16, 2026

Study contacts

Ritu Aneja Professor, Associate Dean, PhD
Contact
raneja@uab.edu
205-934-2277
Vinitha Ganesan, PhD
Contact
vganesan@uab.edu
205-934-1868
Ritu Aneja, PhD
principal investigator · University of Alabama at Birmingham

Oversight

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

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