Cooperative Extension and Cancer Survivorship: Supportive Care Via Cooperative Extension Services (SUCCESS)
Summary
The goal of this clinical trial is to learn if a cancer survivor program, delivered via Cooperative Extension, is feasible and if it can improve health outcomes in cancer survivors who are post-active treatment. Aim 1: Evaluate the feasibility and acceptability of SUCCESS. Hypothesis 1: SUCCESS will be feasible and acceptable as evidenced by delivery of the intervention among Educators (implementation), including in agreement with the curriculum in Phase 1 (fidelity) with \>85% attendance (demand) among participants with \>80% rating the intervention as acceptable or highly acceptable on 5-point Likert-type scale (acceptability). Aim 2: Determine the preliminary efficacy of SUCCESS for improving HRQOL (primary outcome) and other psychosocial and health-related endpoints (e.g., financial toxicity) (secondary outcomes). Hypothesis 2: Compared to matched controls, adults LWBC who complete SUCCESS will have significant improvements in HRQOL per the PROMIS Global Health v1.2 at follow-up (i.e., after 6 weeks). Aim 3: Examine changes in conserved transcriptional response to adversity (CTRA) gene expression in a subset of interventions participants at follow-up. Hypothesis 3: Adults LWBC who complete SUCCESS will experience significant CTRA down-regulation. This is a single arm trial and there is no comparison group. Participants will be asked to do survey- and Zoom-based data collection before and after completing the 6-week program.
Arms & interventions
- BehavioralSUCCESS
6 group-based sessions with 25 minutes of didactic content, 25 minutes of facilitated support group, and 10 minutes of group physical activity
Outcome measures
Primary
Delivery of sessions
We will measure the percent of SUCCESS sessions delivered as planned by Educators
Time frame: Once per week for six weeks
Fidelity to SUCCESS protocol
We will measure what percentage of planned SUCCESS content is delivered as instructed.
Time frame: Once per week for six weeks
Participant attendance
We will measure how many enrolled participants attend each SUCCESS session
Time frame: Once per week for six weeks
Acceptability of SUCCESS
We will administer a feasibility survey after SUCCESS for participants to rate how much they liked it. Rating will be on a 5-point Likert Scale ("How would you rate this program?" 1=poor, 5=excellent)
Time frame: Measured after SUCCESS (week 7-8 of the clinical trial)
Secondary
Diet quality
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Physical function
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Depressive symptoms
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Anxiety symptoms
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Loneliness
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Social isolation
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Financial Toxicity
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Health-related quality of life
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Food insecurity
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Basic psychological needs
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Self-reported pain
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Conserved Transcriptional Response to Adversity (CTRA) gene expression
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Physical function
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Financial Toxicity
Time frame: Baseline (week 1) and post-SUCCESS (week 7-8)
Eligibility criteria
Study locations (1)
University of Oklahoma
Tulsa, Oklahoma, 74135
References
- Pitasi O, Hildebrand D, Liebe R, Joyce J, Nagykaldi Z, Robertson MC, Braun A. Hiding in plain sight: Cooperative Extension as an underutilized approach to improving cancer survivorship outcomes in underserved populations. J Cancer Surviv. 2026 Apr;20(2):792-803. doi: 10.1007/s11764-024-01687-z. Epub 2024 Oct 10.(PubMed)