ClinicalTrials.gg
RecruitingNCT07706556Updated Oct 27, 2026

Pilot SMART of a Remotely Delivered, Physical Activity Intervention for Breast Cancer Survivors

An interventional study of Affect-based Exercise Prescription and Effort-based exercise prescription in Breast Cancer, sponsored by Dartmouth-Hitchcock Medical Center. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-27.

Sponsored by Dartmouth-Hitchcock Medical Center · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Started Jun 2026; still recruiting 4 months later.
Updated Oct 27, 2026Enrollment updatedGo to Updates ↓
Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 44 studies in Breast Neoplasms by Dartmouth-Hitchcock Medical Center — 6 open to participants now, 8 under way, none of them phase 3. Breast Neoplasms · Dartmouth-Hitchcock Medical Center.

Planned enrollment
12th of 34
40 · median 30
Started
2026
with 1 other
No phase
19 of 44
3 open now
Registered
44th of 44
by date

Among the 44 studies in Breast Neoplasms by Dartmouth-Hitchcock Medical Center, this one is the 12th largest by planned enrollment of the 34 interventional ones, is one of 2 that started in 2026, is one of 19 with no phase, and was the 44th registered.

By phase

44 studies; the count open now beside each. This study's row is marked.

No phasethis study19 · 3 open
Observational10 · 0 open
Phase 16 · 0 open
Phase 26 · 2 open
Phase 1/21 · 1 open
Phase 2/31 · 0 open
Phase 41 · 0 open

By the year they started

First in 1998; this study’s year is marked. 2 started in 2026.

Size and results

Median enrollment 30 across the 34 interventional studies, 19 across the 10 observational. Of the 35 that completed or were terminated, 10 (29%) have results posted.

Was this useful?
Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 44 studies in Breast Neoplasms by Dartmouth-Hitchcock Medical Center, or all of them as a file.
02

Study summary

The goal of this clinical trial is to evaluate the feasibility of randomizing participants to a "step-up" intervention pathway when they perform \<150 minutes of MVPA at the 6-week data collection burst. Participants who performed \<150 minutes of MVPA at the 6-week data collection burst will be randomized to either continue with the standard intervention or advance to the step-up intervention. The main questions it aims to answer are:

  1. What percentage of participants who are eligible for the intervention phase enroll in the intervention phase?
  2. Will participants assigned to the "step-up" intervention pathway demonstrate equal or greater rates of study retention and intervention engagement relative to those assigned to the standard intervention arm?
  3. What percentage of the sample is performing >150 minutes accelerometer measured MVPA/week at the intervention mid-point (week 6-data collection burst) and end-of-study (week 12-data collection burst)?
  4. Do at least 50% of participants assigned to the "step-up" intervention pathway achieve a clinically meaningful volume of weekly MVPA by 12-weeks follow-up?

All participants will:

  • Be assigned to either the Affect-based exercise prescription or the Effort-based exercise prescription.
  • Participate in three meetings with the interventionist (an exercise specialist) meant to help them get started increasing weekly exercise. These meetings are the same for all participants.
  • Be asked to wear an activity monitor and respond to brief surveys for 10 consecutive days at 4 points in time: Baseline, 2weeks, 6weeks, and 12weeks.

Some participants (those performing \<150 minutes of MVPA at the 6-week data collection burst) will be assigned to the step-up intervention pathway. Participants assigned to the step-up intervention pathway will complete 3 additional follow-up meetings with the interventionist. During these meetings, the interventionist will help participants identify opportunities to be more active, set goals, and problem solve barriers to action.

03

Conditions studied

  • Breast Cancer

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
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

-≥18 years old

  • Within 5 years of completing primary cancer treatment (surgery, chemotherapy, and radiation) for Stage 0-III breast cancer
  • \<60 mins/week moderate-vigorous physical activity (MVPA) with no major changes for the past 6- months
  • Own an Android or iPhone smartphone (or tablet) and willing to use it to complete app-based surveys during assessment periods
  • Willing to wear the ActiGraph monitor during assessment periods
  • Access to internet to complete REDCap survey assessments

Exclusion criteria

Exclusion Criteria:

  • Non-English speaking/not able to read English
  • Evidence of major for exercise (informed by the 2020 Physical Activity Readiness-Questionnaire (PAR-Q)+)
  • Currently pregnant
  • History of severe mental illness or currently taking mood stabilizing medications (antipsychotics, anticonvulsants, or lithium)
  • Evidence of moderate-severe depressive symptoms (indicated by a score≥ 10 on the Patient Health Questionnaire-8)
  • Evidence of moderate-severe cognitive impairment (indicated by a score \< 3 on a 6-item cognitive screener)
  • Evidence of substance use as indicated by a score of ≥ 2 on the CAGE- AID screener.
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.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
40 participants (estimated)

Study arms

  • Active comparator
    Effort-based Exercise Prescription (RPE-Rx) Standard

    Behavioral: Standard Exercise Promotion Program

  • Experimental
    Affect-based Exercise Prescription (Affect-Rx) Standard

    Behavioral: Affect-based Exercise Prescription · Behavioral: Standard Exercise Promotion Program

  • Active comparator
    Effort-based Exercise Prescription (RPE-Rx) Step-Up

    Behavioral: Effort-based exercise prescription · Behavioral: Standard Exercise Promotion Program · Behavioral: Step-up Exercise Promotion Program

  • Experimental
    Affect-based Exercise Prescription (Affect-Rx) Step-Up

    Behavioral: Affect-based Exercise Prescription · Behavioral: Standard Exercise Promotion Program · Behavioral: Step-up Exercise Promotion Program

Interventions

  • BehavioralAffect-based Exercise Prescription

    Participants assigned to Affect-Rx will receive instructions to "select a pace of exercise that makes you feel as good as possible." The exercise intensity prescription section of their exercise plan will include the Feeling Scale as an attachment and participants will be given the instruction to "stay in the green zone" on the Feeling Scale.

  • BehavioralEffort-based exercise prescription

    Participants assigned to RPE-Rx will receive instructions to "select a pace that would make it challenging for you to carry on more than a short conversation." The exercise intensity prescription section of their exercise plan will include the Rating of Perceived Exertion (RPE) scale as an attachment and participants will be given the instruction to "stay in the green zone" on the RPE Scale.

  • BehavioralStandard Exercise Promotion Program

    Core intervention content will be delivered during the Visit 1, 1-month, and 2-month-check-in meetings. Definitions of exercise will be provided, participants will be asked to discuss their past experiences with exercise, guidelines for being safe during exercise will be reviewed, and strategies for overcoming potential barriers to exercise will be discussed. All participants will be given an exercise plan organized according to the FIIT Principle (Frequency, Intensity, Time, and Type). The intensity component of the exercise plan will differ by study arm, all other elements will be delivered the same for all participants. All participants will be given the goal of increasing weekly time spent exercising to ≥150 minutes, consistent with recommended guidelines. All participants will be given a smartwatch to support self-monitoring of exercise and activity levels throughout the 12-week study period.

  • BehavioralStep-up Exercise Promotion Program

    Core intervention content will be delivered during check-in meetings scheduled during study weeks 7, 8, 9, and 10. During these visits, the interventionist will work with the participant to set weekly goals and problem-solving barriers to action. All participants will continue to receive instructions to follow their assigned exercise prescription (Affect-based Exercise Prescription or Effort-based exercise prescription). The step-up intervention calls are delivered the same regardless to which exercise prescription format the participant is assigned.

06

What researchers measure

Primary outcomes

  1. Rate of Intervention Enrollment

    Number of participants who enroll in the intervention phase out of the number of participants who are eligible for the intervention phase

    Time frame: Baseline assessment.

  2. Study Retention at 6-weeks Follow-up

    Number of participants who complete the 6-week follow-up assessment out of the number of participants who enroll in the study.

    Time frame: 6-weeks follow-up assessment.

  3. Study Retention at 12-weeks Follow-up

    Number of participants who complete the 12-week follow-up assessment out of the number of participants who enroll in the study.

    Time frame: 12-weeks follow-up assessment.

  4. Intervention Engagement

    Number of intervention sessions completed out of the number of intervention sessions scheduled

    Time frame: 12-weeks follow-up assessment.

Secondary outcomes

  1. Average Minutes of Daily Moderate-vigorous Physical Activity Measured Using the ActiGraph wGT3X-BT Accelerometer at 2 Weeks Follow-up

    The research grade ActiGraph wGT3X-BT model is a valid measure of physical activity intensity and duration among multiple populations, including breast cancer survivors. Minutes of moderate-vigorous physical activity will be collected from the ActiGraph wGT3X-BT every day for 10-days. Average minutes of moderate-vigorous physical activity completed per day of valid wear time will be calculated.

    Time frame: Time Frame: 2-weeks follow-up assessment.

  2. Average Minutes of Daily Moderate-vigorous Physical Activity Measured Using the ActiGraph wGT3X-BT Accelerometer at 6 Weeks Follow-up.

    The research grade ActiGraph wGT3X-BT model is a valid measure of physical activity intensity and duration among multiple populations, including breast cancer survivors. Minutes of moderate-vigorous physical activity will be collected from the ActiGraph wGT3X-BT every day for 10-days. Average minutes of moderate-vigorous physical activity completed per day of valid wear time will be calculated.

    Time frame: Time Frame: 6-weeks follow-up assessment

  3. Average Minutes of Daily Moderate-vigorous Physical Activity Measured Using the ActiGraph wGT3X-BT Accelerometer at 12 Weeks Follow-up

    The research grade ActiGraph wGT3X-BT model is a valid measure of physical activity intensity and duration among multiple populations, including breast cancer survivors. Minutes of moderate-vigorous physical activity will be collected from the ActiGraph wGT3X-BT every day for 10-days. Average minutes of moderate-vigorous physical activity completed per day of valid wear time will be calculated.

    Time frame: [Time Frame: 12-weeks follow-up assessment.

  4. Satisfaction With Study Participation as Measured by the Participant Satisfaction Questionnaire

    An 8-item self-report questionnaire used to assess participant satisfaction with study participation using a Likert scale ranging from 1 to 4 . Scores are summed and then averaged; total scores range from 1- 4. Higher scores indicate greater satisfaction.

    Time frame: 12-weeks follow-up assessment.

  5. Intervention Acceptability Measured Using the Treatment Acceptability and Preferences (TAP) Measure

    A 4-item self-report questionnaire used to measure intervention acceptability using a Likert scale ranging from 0 (not at all) to 4 (very much). Total scores range from 0 - 16. Higher scores indicate greater acceptability.

    Time frame: 12-weeks follow-up assessment.

  6. Change in Voluntary Exercise Behavior Measured Using The Voluntary Exercise Questionnaire

    A 6-item self-report measure of exercise performed over the last month and week. Two items range from 1 (never) to 7 (often) and four items range from 0 (0 days per week) to 7 (7 days per week). Total scores range from 2-21. Higher scores reflect higher levels of voluntary exercise behavior.

    Time frame: Baseline, 6-weeks follow-up, and 12-weeks follow-up.

  7. Change in Physical Activity Category Completed in the Past Month Measured Using the Stanford Leisure-Time Activity Categorical Item (L-Cat)

    A single item self-report measure that present six statements describing various levels of monthly physical activity. Response options range from 1 (I did not do much physical activity) to 6 (I did vigorous activities almost daily). Total scores range from 1-6. Higher scores reflect more vigorous, more frequent physical activities completed in the past month.

    Time frame: Baseline, 6-weeks follow-up, and 12-weeks follow-up.

  8. Change in Physical Activity using The International Physical Activity Questionnaire (IPAQ)-Short Form

    A 7-item self-report measure calculating the amount of health-related vigorous and moderate-intensity physical activity as well as sitting time performed by adult participants over a one-week period. The number of minutes per day participants report for 3 categories vigorous, moderate, and walking activities are multiplied by the average metabolic equivalent (METs) for each category (8.0 METs, 4.9 METs, and 3.3 METs, respectively). Scores for each category are summed to calculate a physical activity score for the past week quantified as total MET values. Higher METS demonstrate a higher total volume of physical activity completed in the prior week. MET values between 0-599 are considered "low active," MET values between 600-1499 are considered "moderately active," and MET values 1500 or higher are considered "High active." This measure also assesses participants' total sitting time in the past week. Total number of minutes reported for sitting time is not part of the physical activity

    Time frame: Baseline, 6-weeks follow-up, and 12-weeks follow-up.

Other outcomes

  1. Change Overtime in Cancer-related Fatigue Measured Using the PROMIS Fatigue Short Form 8a

    An 8-item self-report measure with response options ranging from 1 (not at all) to 5 (very much) and fatigue interference ranging from 1 (never) to 5 (always) over the past 7 days. Total scores range from 8 - 40. Higher scores reflect more fatigue.

    Time frame: Baseline and 12-weeks follow-up assessments.

  2. Change Overtime in Health-related Quality of Life Measured Using the PROMIS Global Health Scale

    A 10-item self-report measure with response options ranging from 1 (poor/never/not at all) to 5 (excellent/completely/always) for items 1-9 and 0 (no pain) to 10 (worst pain imaginable) for the item 10. Total scores range from 9 - 45. Higher scores represent better health-related quality of life.

    Time frame: Baseline and 12-weeks follow-up assessments.

  3. Change Overtime in Physical Functioning Measured Using The PROMIS Physical Function Short Form 8a

    An 8-item self-report measure with response options ranging from 1 (unable to do) to 5 (without any difficulty) and the degree to which health limits specific activities on a scale from 1 (cannot do) to 5 (not at all). Total scores range from 8 - 40. Higher scores reflect better physical function.

    Time frame: Baseline and 12-weeks follow-up assessments.

  4. Change Overtime in Anxiety measured using The PROMIS Anxiety Form

    An 8-item self-report measure with response options ranging from 1 (never) to 5 (always). Total scores range from 8 - 40. Higher scores reflect higher levels of anxiety.

    Time frame: Baseline and 12-weeks follow-up assessments.

  5. Change Overtime in Depressive Symptoms using The PROMIS Depression Form

    An 8-item self-report measure with response options ranging from 1 (never) to 5 (always). Total scores range from 8 - 40. Higher scores reflect higher levels of depressive symptoms.

    Time frame: Baseline and 12-weeks follow-up assessments.

  6. Change Overtime in Sleep Disturbance using The PROMIS Sleep Disturbance Scale

    An 8-item self-report measure with response options indicating the level of sleep disturbance a participant may experience. The first question asks about sleep quality and ranges from 1 (very good) to 5 (very poor). Questions 2-8 further inquire about the specifics of the sleep experience, ranging from 1 (not at all) to 5 (very much). Total scores range from 8 - 40. Higher scores reflect a greater degree of sleep disturbance or poorer quality of sleep.

    Time frame: Baseline and 12-weeks follow-up assessments.

  7. Change Overtime in Intentions for Exercise Measured Using The Exercise Intentions Scale

    A 5-item self-report measure of intentions to exercise in the next week. Response options range from 1 (not at all likely) to 7 (very likely). Responses are summed and then averaged; total scores range from 1-7. Higher scores represent stronger intentions to exercise in the next week.

    Time frame: Baseline, 6-weeks follow-up, and 12-weeks follow-up.

  8. Change Overtime in Physical Activity Enjoyment using the Physical Activity Enjoyment Scale-Short form (PACE-S)

    A 4-item self-report measure with response options ranging from 1 (Strongly disagree) to 5 (Strongly agree). Total scores range from 4 - 20. Higher scores reflect higher levels of pleasure when performing physical activity.

    Time frame: Baseline, 6-weeks follow-up, and 12-weeks follow-up.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update 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

Started Jun 2026 (actual). Primary completion is estimated for Apr 2027, 9 months after the start.

Of 2,661 non-industry interventional studies with no phase under Breast Neoplasms, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 66. This study's planned 9 months is below that.

Counting every sponsor, half of 2,771 studies reached it within 33 months; a quarter within 15 and three quarters within 66.

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

Registered
Jul 10, 2026
First posted
Jul 15, 2026
StartActual
Jun 30, 2026
Primary completionEst.
Apr 3, 2027
CompletionEst.
Jun 3, 2027
Last update
Oct 27, 2026
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.
Enrollment
55→40
Oct 27, 2026
Show all 1 update
  1. Oct 27, 2026
    Enrollment 55→40
    + 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 ↗

10

Registry details

Key details

Study ID
NCT07706556
Responsible party
Courtney J. Stevens (Assistant Professor of Psychiatry, Dartmouth-Hitchcock Medical Center) — Principal investigator
First posted
Jul 15, 2026
Start date
Jun 30, 2026
Primary completion
Apr 3, 2027 (estimated)
Completion
Jun 3, 2027 (estimated)
Last update
Oct 27, 2026

Study contacts

Courtney J Stevens, PhD
Contact
courtney.j.stevens@dartmouth.edu
6036509643
Aislinn Mitcham, BA
Contact
aislinn.e.mitcham@hitchcock.org
6036466545

Oversight

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

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