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Trial Title: Development and Initial Application of a Combined Exercise and Psychological Intervention Program for Patients After Esophagectomy

NCT ID: NCT06366685

Condition: Esophageal Cancer
Exercise Training
Psychotherapy
Rehabilitation

Conditions: Official terms:
Esophageal Neoplasms

Conditions: Keywords:
Esophageal cancer
Esophagectomy
Rehabilitation

Study type: Interventional

Study phase: N/A

Overall status: Not yet recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: Double (Investigator, Outcomes Assessor)

Intervention:

Intervention type: Behavioral
Intervention name: Exercise and Psychological Intervention
Description: To address the symptoms and severity experienced by esophageal cancer patients after surgery, providing them with exercise or psychological interventions to improve their rehabilitation outcomes.
Arm group label: Exercise combined with Mindfulness-Based Stress Reduction Therapy
Arm group label: Exercise training
Arm group label: Mindfulness-Based Stress Reduction Therapy

Summary: Esophageal cancer imposes a significant burden in China, accounting for over 60% of the global disease burden. While surgery remains a common and highly effective treatment for esophageal cancer, patients often experience multiple physical and psychological symptoms postoperatively, severely affecting their recovery outcomes and quality of life. Although existing exercise or psychological intervention programs have shown some effectiveness, issues such as relatively singular intervention content, imprecise intervention timing, and vague intervention details persist. This project, based on previous research foundations (including the development of symptom measurement tools and the identification of key recovery periods), is guided by symptom management theory and knowledge translation models. Taking a perspective of the synergistic impact of physical and psychological symptoms, the study focuses on patients undergoing esophageal cancer surgery. Initially, evidence-based literature review, focus group interviews, and expert consultations were conducted to develop a combined exercise and psychological intervention program, integrating subjective (CSCA_EC) and objective (6MWT) measurement indicators, named "Recovery For EC." Subsequently, the program was preliminarily applied in clinical settings using a mixed-methods approach, combining quantitative quasi-experimental design (108 cases) and qualitative interviews to assess its acceptability. The final clinical trial version of the Recovery For EC program was developed to provide patients with a tool for self-monitoring recovery outcomes and offer clinical healthcare professionals guidance for implementing precise and personalized rehabilitation management.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Confirmed diagnosis of esophageal cancer by pathological biopsy. 2. Undergoing surgical treatment. 3. Age ≥ 18 years old. 4. The patient is able to communicate effectively in language. 5. The patient is fully aware of their condition and willingly participates in the investigation. Exclusion Criteria: 1. Patients with consciousness disorders. 2. Patients with severe physical illnesses who are unable to cooperate with the investigation. 3. Participation in other studies.

Gender: All

Minimum age: 18 Years

Maximum age: 80 Years

Healthy volunteers: No

Locations:

Facility:
Name: Anhui Medical University

Address:
City: Hefei
Zip: 234000
Country: China

Contact:
Last name: Mengmeng Yuan, Graduate

Phone: 18205575607
Email: 2510950595@qq.com

Contact backup:
Last name: Shaoxue Li, Graduate

Phone: 18712335223
Email: 2581558674@qq.com

Investigator:
Last name: Shuwen Li, Professor
Email: Principal Investigator

Start date: May 1, 2024

Completion date: February 1, 2025

Lead sponsor:
Agency: Mengmeng Yuan
Agency class: Other

Collaborator:
Agency: Anhui Medical University
Agency class: Other

Source: Anhui Medical University

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06366685

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