How to Prevent Lost in Transition? Adaptive Randomised Controlled Trial of a Self-management Based Survivorship Intervention for Chinese Cancer Survivors

What this Trial Is About

Researchers are evaluating a cancer survivorship care intervention designed to help Chinese patients who have recently finished curative cancer treatment. This study uses a sequential multiple assessment randomized controlled trial (SMART) to assess how the intervention affects physical symptom distress, weight management, self-confidence in managing cancer, and overall health-related quality of life. The trial compares different approaches to survivorship care to find better ways to support patients after treatment. Participants are divided into groups receiving different types of support. One group attends a 120-minute survivorship clinic with a team including a nurse, dietitian, exercise physiologist, and psychologist, where they get personalized advice on symptom management, diet, exercise, and psychosocial issues. Another group receives skill-based pamphlets covering symptom management and lifestyle recommendations. Some participants who continue to struggle with symptoms or weight after initial care may receive a more personalized, step-up intervention focused on coaching to improve symptom relief and weight control. During the study, participants will be assessed at baseline and again at 4 and 12 months. Researchers will measure symptom distress, weight control, self-efficacy, fear of cancer recurrence, illness perception, and health-related quality of life. Participants will be monitored to see how their symptoms and quality of life change over time, helping to understand which care approaches work best. The total study period extends to the end of 2026, including follow-up assessments to track long-term effects.

A Self-management Based Survivorship Intervention for Chinese Cancer Survivors