Health Coaching for Cancer Survivorship

(HealthScore Trial)

BC
CB
Overseen ByCarly Bailey, MA
Age: Any Age
Sex: Any
Trial Phase: Academic
Sponsor: UNC Lineberger Comprehensive Cancer Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a 6-month health coaching program for cancer patients and survivors at the UNC Cancer Hospital. The program aims to maintain physical health and address needs such as nutrition, emotional well-being, and social support. Participants receive personalized coaching and complete regular health surveys. Ideal candidates are those currently undergoing cancer treatment or in survivorship with appointments at the hospital and who are comfortable using digital tools like email and wearable sensors. As an unphased trial, it offers participants personalized support to enhance overall well-being.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems likely that you can continue your medications, but you should confirm with the trial coordinators.

What prior data suggests that this health coaching program is safe for cancer patients?

Research has shown that health coaching is generally safe and well-tolerated. Reviews of various studies have found that it can help reduce anxiety and depression in cancer patients. These mental health issues often link to a higher risk of cancer-related problems, so managing them is important.

Several studies have examined health coaching for cancer patients, focusing on its practicality and acceptability. The findings suggest that patients usually find health coaching beneficial. Notably, health coaching doesn't involve medication or medical procedures, often resulting in fewer side effects. Overall, the evidence suggests that health coaching is a safe option for people dealing with cancer.12345

Why are researchers excited about this trial?

Researchers are excited about health coaching for cancer survivorship because it offers a personalized, holistic approach to post-cancer care. Unlike standard treatments that focus primarily on medical interventions like chemotherapy and radiation, health coaching emphasizes lifestyle changes and emotional support to improve quality of life. This method empowers participants by providing a dedicated health coach for six months, which can lead to better adherence to healthy habits and potentially reduce the risk of cancer recurrence. By focusing on the overall well-being of survivors, health coaching addresses gaps in traditional care and fosters long-term health management.

What evidence suggests that health coaching is effective for cancer survivorship?

Research has shown that health coaching can be very beneficial for cancer patients and survivors. Studies have found that it improves overall health, fitness, and well-being. For instance, a mobile health coaching program significantly reduced symptoms and enhanced the quality of life for participants. Group health coaching has also supported cancer patients and survivors in making healthy lifestyle changes. These findings suggest that health coaching can effectively address various needs, such as physical, nutritional, and emotional, for cancer survivors. In this trial, all participants will receive health coaching for six months to evaluate its impact on cancer survivorship.34678

Who Is on the Research Team?

WA

William A Wood, MD, MPH

Principal Investigator

UNC Lineberger Comprehensive Cancer Center

Are You a Good Fit for This Trial?

This trial is for cancer patients and survivors at UNC Cancer Hospital who can participate in a 6-month health coaching program. They must be over 15, able to use email, provide electronic survey responses, wear a sensor device at home, and their insurance must allow research study participation.

Inclusion Criteria

I am over 15 and have a cancer center appointment.
Patients must have a working email address and have the ability to check and respond to email
I am currently in treatment or have completed cancer treatment with no time restrictions.
See 5 more

Exclusion Criteria

The patient has concurrent medical or psychiatric conditions that may preclude participation (i.e. moderate to severe dementia, uncontrolled schizophrenia, or other conditions that would render them unable to provide informed consent or complete questionnaires)

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Health Coaching

Participants receive 1:1 home-based health coaching to improve physical function and address unmet needs

6 months
Weekly symptom surveys, monthly supportive care questionnaires, and physical assessments at baseline, 3 months, and 6 months

Follow-up

Participants are monitored for safety and effectiveness after the health coaching intervention

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Health Coaching
Trial Overview The HealthScore Program provides personalized health coaching to cancer patients and survivors. It includes weekly symptom surveys, monthly care questionnaires, and physical assessments at the start, middle, and end of the six-month period.
How Is the Trial Designed?
1Treatment groups
Experimental Treatment
Group I: Health CoachingExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

UNC Lineberger Comprehensive Cancer Center

Lead Sponsor

Trials
377
Recruited
95,900+

Published Research Related to This Trial

A review of 13 studies on health coaching combined with telehealth for older adults showed that 10 of these studies reported effective outcomes, such as reduced hospital admissions and improved quality of life.
While telehealth health coaching is a promising method for managing chronic conditions in older adults, most interventions still rely on human coaches, indicating a potential for further development of automated coaching technologies.
The Use of Telehealth Technology to Support Health Coaching for Older Adults: Literature Review.Markert, C., Sasangohar, F., Mortazavi, BJ., et al.[2021]
Health coaching significantly reduced outpatient and total healthcare expenditures for high-risk participants, with estimated savings of $286 and $412 per person per month, respectively.
While health coaching did not impact emergency room costs, it did lead to a significant decrease in the probability of incurring inpatient expenditures, highlighting its potential effectiveness in managing healthcare costs.
How effective is health coaching in reducing health services expenditures?Jonk, Y., Lawson, K., O'Connor, H., et al.[2022]
The UNC HealthScore intervention, a six-month health coaching program for cancer patients, demonstrated high feasibility with 66% enrollment and 71% completion rates among 50 participants, indicating strong interest and engagement.
Participants showed significant improvements in physical function, with scores increasing by 4.3 points from baseline to 6 months, surpassing the minimal clinically important difference, along with notable reductions in anxiety and depression.
Piloting HealthScore: Feasibility and acceptability of a clinically integrated health coaching program for people living with cancer.Wood, WA., Bailey, C., Castrogivanni, B., et al.[2023]

Citations

Preliminary Effectiveness Study of a Community-Based ...The purpose of this study was to determine the preliminary effectiveness of health coaching for the improvement of health, fitness, and overall well-being of ...
What Do We Know About Group Health Coaching and ...Group health coaching (GHC) may be a suitable method for supporting healthy lifestyle behaviors in cancer patients and survivors.
Comprehensive Outcomes for After Cancer HealthThis study intends to explore feasibility, acceptability, and outcomes related to the use of a digital health coaching intervention for individuals who have ...
Comprehensive Outcomes for After Cancer Health - NCIThis study intends to explore feasibility, acceptability, and outcomes related to the use of a digital health coaching intervention for individuals who have ...
Effects of a mobile health coaching intervention on ...The 12-week mobile health coaching program significantly reduced symptoms, improved self-management, and enhanced overall QOL and emotional well-being in ...
Comprehensive Outcomes for After Cancer Health (COACH)This study intends to explore feasibility, acceptability, and outcomes related to the use of a digital health coaching intervention for individuals who have ...
The Case for Integration of Health Coaching within ...Systematic reviews indicate that health coaching can reduce anxiety and depression in cancer patients, conditions linked with increased cancer ...
Clinical Trials DetailThis study intends to explore feasibility, acceptability, and outcomes related to the use of a digital health coaching intervention for individuals who have ...
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