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Trial Title: Optimization of Adaptive Text Messages for Cancer Survivors (OATS II)

NCT ID: NCT05746195

Condition: Colon Adenocarcinoma
Colorectal Carcinoma
Rectal Adenocarcinoma

Conditions: Official terms:
Adenocarcinoma
Colorectal Neoplasms
Colonic Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Dietary intervention via Text Messaging
Description: Text messages will be sent to participants cell phones using the HealthySMS platform
Arm group label: Text message intervention

Intervention type: Other
Intervention name: Survey Administration
Description: Various questionnaires evaluating participants dietary habits and use of study intervention will be administered
Arm group label: Text message intervention

Intervention type: Behavioral
Intervention name: Nutrition Education
Description: Participants will receive nutrition education materials
Arm group label: Text message intervention

Summary: This clinical trial evaluates whether an adaptive text-message intervention is useful in helping survivors of colorectal cancers (CRC) eat more whole grain foods and less refined grain foods. Most CRC survivors don't achieve the recommended intakes of whole grains or fiber, even though there is strong evidence that a high-fiber diet rich in whole grains lowers the risk of death from CRC. Dietary interventions are a promising approach for reducing death from CRC, and text message interventions specifically are a promising tool for reaching diverse populations. This trial evaluates a text-message based dietary intervention that continuously adapts message content to be specifically tailored for the participant for increasing whole grain consumption.

Detailed description: PRIMARY OBJECTIVE: I. Determine the intervention's feasibility and acceptability. SECONDARY OBJECTIVES: I. Estimate the effect of the intervention on the percent of grains consumed that are whole. II. Estimate the effect of the intervention on total fiber intake (grams per day [g/d]). EXPLORATORY OBJECTIVE: I. Assess convergence of the reinforcement learning (RL) algorithm. OUTLINE: Patients receive nutrition education materials and then receive the adaptive text message intervention for 12 weeks on study. Patients who are food insecure also receive resources for food banks, information about meal delivery programs, and support for applying for Supplemental Nutrition Assistance Program (SNAP) benefits.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Age > 18 years. 2. Subject has provided informed consent. 3. Diagnosis of colon or rectal adenocarcinoma. 4. Not on active treatment at the time of screening and not expected to receive active anticancer therapy (e.g., surgery, radiation, chemotherapy) during the study period. 5. At least 6 weeks since a major surgery and fully recovered. 6. Owns a mobile phone and is willing and able to receive and send text messages. 7. Able to speak/read English or Spanish. 8. Based on a screening survey, eat grains and =<50% of total grains are whole grains. Exclusion Criteria: 1. Does not meet any of the above inclusion criteria.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Zuckerberg San Francisco General

Address:
City: San Francisco
Zip: 94110
Country: United States

Status: Recruiting

Contact:
Last name: Paige Steiding

Phone: 415-514-6314
Email: Paige.Steiding@ucsf.edu

Investigator:
Last name: Erin Van Blarigan, ScD
Email: Principal Investigator

Facility:
Name: University of California, San Francisco

Address:
City: San Francisco
Zip: 94143
Country: United States

Status: Recruiting

Contact:
Last name: Paige Steiding

Phone: 415-514-6314
Email: Paige.Steiding@ucsf.edu

Contact backup:

Phone: 877-827-3222
Email: cancertrials@ucsf.edu

Investigator:
Last name: Erin Van Blarigan, ScD
Email: Principal Investigator

Start date: November 3, 2023

Completion date: November 30, 2024

Lead sponsor:
Agency: University of California, San Francisco
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: University of California, San Francisco

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05746195

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