6533b82cfe1ef96bd128f6c2
RESEARCH PRODUCT
Lifestyle and Empowerment Techniques in Survivorship of Gynaecologic Oncology (LETSGO study): A study protocol for a multicentre longitudinal interventional study using mobile health technology and biobanking
Mette SkorstadLonneke V. Van De Poll-franseMilada Cvancarova SmåstuenKristina LindemannKristina LindemannIngvild VistadIngrid DemmelmaierSveinung BerntsenTorbjørn Wisløffsubject
protocols & guidelinesSurvivorship0302 clinical medicineinformation technologyHealth careMulticenter Studies as Topichealth economics030212 general & internal medicine1506Empowermentmedia_commonBiological Specimen BanksRandomized Controlled Trials as TopicRHealth technologyPublic Health Global Health Social Medicine and EpidemiologyGeneral MedicineBiobankOncologyVDP::Medisinske Fag: 700::Helsefag: 800030220 oncology & carcinogenesisCancer treatmentMedicineFemale1717Hälso- och sjukvårdsorganisation hälsopolitik och hälsoekonomimedicine.medical_specialtyGenital Neoplasms Femalemedia_common.quotation_subjectHealth-related empowermentBiomedical Technologyquality in health care03 medical and health sciencesQuality of life (healthcare)medicineHumansLife StyleConsequencesGynaecological cancerHealth economicsbusiness.industryVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Oncology: 762gynaecological oncologychange managementRepeated measures designHealth Care Service and Management Health Policy and Services and Health EconomyVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Onkologi: 762Folkhälsovetenskap global hälsa socialmedicin och epidemiologiFamily medicineQuality of LifeFollow-up careNeoplasm Recurrence LocalbusinessPatient educationdescription
IntroductionThe number of gynaecological cancer survivors is increasing and there is a need for a more sustainable model of follow-up care. Today’s follow-up model is time-consuming and patients have reported unmet needs regarding information about their cancer and strategies for managing the consequences of treatment. The main aim of this study is to assess health-related empowerment—in terms of patient education, psychosocial support, and promotion of physical activity—in a new follow-up model by comparing it to standard follow-up in a quasi-randomised study involving intervention hospitals and control hospitals.Methods and analysisAt the intervention hospitals, patients will be stratified by risk of recurrence and late effects to either 1 or 3 years’ follow-up. Nurses will replace doctors in half of the follow-up visits and focus in particular on patient education, self-management and physical activity. They will provide patients with information and guide them in goal setting and action planning. These measures will be reinforced by a smartphone application for monitoring symptoms and promoting physical activity. At the control hospitals, patients will be included in the standard follow-up programme. All patients will be asked to complete questionnaires at baseline and after 3, 6, 12, 24 and 36 months. Blood samples will be collected for biobanking at 3, 12 and 36 months. The primary outcome is health-related empowerment. Secondary outcomes include health-related quality of life, adherence to physical activity recommendations, time to recurrence, healthcare costs and changes in biomarkers. Changes in these outcomes will be analysed using generalised linear mixed models for repeated measures. Type of hospital (intervention or control), time (measurement point), and possible confounders will be included as fixed factors.Ethics and disseminationThe study is approved by the Regional Committee for Medical Research Ethics (2019/11093). Dissemination of findings will occur at the local, national and international levels.Trial registration numberNCT04122235.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2021-07-01 |