Effects of an ritual training program in the head and neck cancer patients: a randomized controlled trial

ISRCTN ISRCTN11570710
DOI https://doi.org/10.1186/ISRCTN11570710
Secondary identifying numbers MOST 103-2629-B-255 -001
Submission date
17/11/2017
Registration date
21/11/2017
Last edited
14/02/2019
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Cancer
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Background and study aims
Head and neck cancer (HNC) is one of the most lethal cancers. It ranks as the fifth most common cancer worldwide and is the most common neoplasm in central Asia. Males are affected significantly more often than females. Radical excision (removal of tumors) and reconstruction is the primary treatment modality for patients with head and neck cancer. Surgical resection may involve anatomical destruction and lead to varying levels of physical and psychological disturbance, especially related to change in body image and facial disfigurement. The aim of this study is to evaluate if participants who undergo a ritual training program will have better body image, less disfigurement, better social interaction and higher self-esteem than those who do not undergo a ritual training program.

Who can participate?
Adults aged 20 to 70 years old who have completed treatment for first occurrence of male and female HNC

What does the study involve?
Participants are randomly allocated to one of two groups. Those in the first group receive the ritual training program twice a week for eight weeks. This includes education and demonstrations. Those in the second group receive their routine care. Participants are followed up for their quality of life at 6 months.

What are the possible benefits and risks of participating?
Ritual training program has been demonstrated to be a safe strategy for managing change in body image and facial disfigurement. This study will not involve any invasive intervention and does not carry any risks.

Where is the study run from?
Chang Gung Memorial Hospital (Taiwan)

When is the study starting and how long is it expected to run for?
January 2017 to December 2018

Who is funding the study?
The Ministry of Science and Technology (Taiwan)

Who is the main contact?
Professor Shu-Ching Chen
shuching@gw.cgust.edu.tw

Contact information

Prof Shu-Ching Chen
Scientific

61, Wen-Hua 1st Road
Kweishan
Taoyuan
Taoyuan
33303
Taiwan

ORCiD logoORCID ID 0000-0002-7921-1964
Phone +886 (0)3 2118999 ext. 3436
Email shuching@gw.cgust.edu.tw

Study information

Study designInterventional randomised controlled single-centre study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeQuality of life
Participant information sheet Not available in web format
Scientific titleEffects of an Ritual Training Program on body image, disfigurement, social interaction, depression, self-esteem
Study acronymRTP
Study objectivesPatients attend an Ritual Training Program will have better body image, disfigurement, social interaction, depression, self-esteem than those who not attend an Ritual Training Program.
Ethics approval(s)Chang Gung Institutional Review Board in Taiwan, 2012/07/31, ref: 100-4206B
Health condition(s) or problem(s) studiedHead and neck cancer, survival, psychosocial dimension and quality of life
InterventionParticipants are randomly allocated to one of two groups.

Experimental: Ritual training program ritual training program for 8 weeks, biweekly. The ritual training program includes education and demonstration.

Placebo comparator group: Participants receive routine care following hospital care.

Participants are followed up at six months to assess their quality of life, body image, disfigurement, social interaction, depression and self-esteem.
Intervention typeBehavioural
Primary outcome measureQuality of Life is measured using the UW-QOL Scale from baseline quality of life at 6 months
Secondary outcome measures1. Body Image is measured using Body Image Scale from baseline body image at 6 months
2. Disfigurement is measured using Observer-rated disfigurement scale from baseline body image at 6 months
3. Social Interaction is measured using Liebowitz Social Anxiety Scale from baseline social interaction at 6 months
4. Depression is measured using Hospital Anxiety and Depression Scale-Depression Subscale from baseline depression at 6 months
5. Self-esteem is measured using Rosenberg Self-Esteem Scale from baseline self-esteem at 6 months
Overall study start date01/01/2017
Completion date31/12/2018

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants100
Key inclusion criteria1. 20 to 70 years
2. Newly diagnosed first occurrence of male and female HNC
3. Completion of treatment and more than 3 months post-treatment
Key exclusion criteriaPatients with cancer recurrence during completion treatment
Date of first enrolment01/12/2017
Date of final enrolment30/06/2018

Locations

Countries of recruitment

  • Taiwan

Study participating centre

Chang Gung Memorial Hospital
Chang Gung Medical Foundation
#5, Fusing Street, Keiwshan
Taoyuan
33303
Taiwan

Sponsor information

The Ministry of Science and Technology, Taiwan
Government

Ministry of Science and Technology
106
Sec. 2
Heping E. Road
Taipei
10622
Taiwan

Website https://www.most.gov.tw
ROR logo "ROR" https://ror.org/02kv4zf79

Funders

Funder type

Government

Ministry of Science and Technology, Taiwan
Government organisation / National government
Alternative name(s)
Ministry of Science and Technology, R.O.C. (Taiwan), Ministry of Science and Technology of Taiwan, MOST
Location
Taiwan

Results and Publications

Intention to publish date01/08/2018
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planPlanned publication in a high-impact peer reviewed journal.
IPD sharing planThe datasets generated during and/or analysed during the current study are/will be available upon request from Principal investigator: Shu-Ching Chen, PhD, Professor Department of Nursing, Chang Gung University of Science and Technology at shuching@gw.cgust.edu.tw.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/02/2019 Yes No

Editorial Notes

14/02/2019: Publication reference added.
23/11/2017: Internal review.