Digital Health Coaching to Support Self-Management in Cancer Survivors After Primary Therapy A Randomized Study of Feasibility and Outcomes

What this Trial Is About

Researchers are evaluating a digital health coaching program designed to support individuals who have completed primary cancer therapy. This study focuses on cancer survivors within one year of finishing their treatment or those with metastatic cancer. The goal is to explore how digital coaching might improve health self-efficacy, physical and psychosocial well-being, and the restoration of gut microbiome health after cancer therapy. Participants will be randomly assigned to either receive six months of digital health coaching followed by six months of monitoring, or six months of monitoring followed by six months of coaching. The coaching includes weekly personal calls and up to four digital messages per week covering topics such as symptom management, diet, exercise, fatigue, financial concerns, medication adherence, and mental health. All participants will wear Fitbit devices to track physical activity and provide fecal microbiome samples at the start and after six months. Over 12 months, participants will complete patient-reported outcomes at multiple time points to assess quality of life, symptom burden, mental health, cognitive function, sleep, sexual health, and financial toxicity. Clinical data, wearable activity data, and microbiome analysis will be collected to examine associations between health behaviors, symptoms, and gut flora. This comprehensive approach aims to better understand the needs of cancer survivors beyond clinical care and how digital coaching might support their ongoing health management.

Comprehensive Outcomes for After Cancer Health