A randomized controlled trial testing a virtual program for Asian American women breast cancer survivors

Eun-Ok Im (), Wonshik Chee, Sudeshna Paul, Mi-Young Choi, Seo Yun Kim, Janet A. Deatrick, Jillian Inouye, Grace Ma, Salimah Meghani, Giang T. Nguyen, Marilyn M. Schapira, Connie M. Ulrich, SeonAe Yeo, Ting Bao, David Shin and Jun J. Mao
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Eun-Ok Im: The University of Texas at Austin
Wonshik Chee: The University of Texas at Austin
Sudeshna Paul: Emory University
Mi-Young Choi: Emory University
Seo Yun Kim: Emory University
Janet A. Deatrick: University of Pennsylvania
Jillian Inouye: University of Hawaii
Grace Ma: Temple University
Salimah Meghani: University of Pennsylvania
Giang T. Nguyen: Harvard University Health Services
Marilyn M. Schapira: University of Pennsylvania
Connie M. Ulrich: University of Pennsylvania
SeonAe Yeo: University of North Carolina
Ting Bao: Memorial Sloan Kettering Cancer Center
David Shin: University of California
Jun J. Mao: Memorial Sloan Kettering Cancer Center

Nature Communications, 2023, vol. 14, issue 1, 1-9

Abstract: Abstract A culturally tailored virtual program could meet the survivorship needs of Asian American women breast cancer survivors (AABC). This study aims to determine the efficacy of a culturally tailored virtual information and coaching/support program (TICAA) in improving AABC’s survivorship experience. A randomized clinical trial (NCT02803593) was conducted from January 2017 to June 2020 among 199 AABC. The intervention group utilized TICAA and the American Cancer Society [ACS] website while the control group used only ACS website for 12 weeks. The outcomes were measured using the SCNS-34SF (needs; primary), the MSAS-SF (symptoms; secondary), and the FACT-B (quality of life; secondary). The data were analyzed using an intent-to-treat approach. The intervention group showed significant reductions in their needs from the baseline (T0) to post 4 weeks (T1) and to post 12 weeks (T2). Although the changes were not statistically significant, the intervention group had decreased symptoms from T0 to T2 while the control group had an increase in their symptoms. The intervention group had a significant increase in their quality of life from T0 to T2. A culturally tailored virtual program could therefore improve quality of life in AABC patients. Trial Registration: To Enhance Breast Cancer Survivorship of Asian Americans (TICAA), NCT02803593, https://clinicaltrials.gov/ct2/show/NCT02803593?titles=TICAA&draw=2&rank=1

Date: 2023
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DOI: 10.1038/s41467-023-42132-6

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