Trial Outcomes & Findings for Women's Health Communication Study (NCT NCT05359952)

NCT ID: NCT05359952

Last Updated: 2024-09-25

Results Overview

Study enrollment, defined as the number of participants randomized out of the number of eligible patients approached for participation

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

32 participants

Primary outcome timeframe

Baseline

Results posted on

2024-09-25

Participant Flow

Participant milestones

Participant milestones
Measure
Starting the Conversation
Participants are asked to watch an educational video along with an accompanying workbook (called "Starting the Conversation"). Participants are also asked to review a list of resources about sexual and menopausal health relevant to gynecologic cancer. Starting the Conversation: The Starting the Conversation intervention consists of a brief educational video and accompanying workbook with activities to help prepare patients to discuss sexual and menopausal types of health concerns effectively with gynecologic cancer providers, including prioritizing concerns, tips for effective communication, communication practice, and self-feedback. In addition, participants receive a list of sexual and menopausal resources. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Sexual and Menopausal Health Resources Only
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Overall Study
STARTED
21
11
Overall Study
COMPLETED
20
11
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Starting the Conversation
Participants are asked to watch an educational video along with an accompanying workbook (called "Starting the Conversation"). Participants are also asked to review a list of resources about sexual and menopausal health relevant to gynecologic cancer. Starting the Conversation: The Starting the Conversation intervention consists of a brief educational video and accompanying workbook with activities to help prepare patients to discuss sexual and menopausal types of health concerns effectively with gynecologic cancer providers, including prioritizing concerns, tips for effective communication, communication practice, and self-feedback. In addition, participants receive a list of sexual and menopausal resources. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Sexual and Menopausal Health Resources Only
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Overall Study
Lost to Follow-up
1
0

Baseline Characteristics

Women's Health Communication Study

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Starting the Conversation
n=21 Participants
Participants are asked to watch an educational video along with an accompanying workbook (called "Starting the Conversation"). Participants are also asked to review a list of resources about sexual and menopausal health relevant to gynecologic cancer. Starting the Conversation: The Starting the Conversation intervention consists of a brief educational video and accompanying workbook with activities to help prepare patients to discuss sexual and menopausal types of health concerns effectively with gynecologic cancer providers, including prioritizing concerns, tips for effective communication, communication practice, and self-feedback. In addition, participants receive a list of sexual and menopausal resources. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Total
n=32 Participants
Total of all reporting groups
Age, Continuous
60.6 years
STANDARD_DEVIATION 9.5 • n=99 Participants
65.4 years
STANDARD_DEVIATION 10.2 • n=107 Participants
62.2 years
STANDARD_DEVIATION 9.9 • n=206 Participants
Sex: Female, Male
Female
21 Participants
n=99 Participants
11 Participants
n=107 Participants
32 Participants
n=206 Participants
Sex: Female, Male
Male
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
20 Participants
n=99 Participants
11 Participants
n=107 Participants
31 Participants
n=206 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Asian
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Race (NIH/OMB)
White
17 Participants
n=99 Participants
7 Participants
n=107 Participants
24 Participants
n=206 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Region of Enrollment
United States
21 participants
n=99 Participants
11 participants
n=107 Participants
32 participants
n=206 Participants
Education
High school or less
3 Participants
n=99 Participants
2 Participants
n=107 Participants
5 Participants
n=206 Participants
Education
Some college
4 Participants
n=99 Participants
4 Participants
n=107 Participants
8 Participants
n=206 Participants
Education
Completed college/graduate school
14 Participants
n=99 Participants
5 Participants
n=107 Participants
19 Participants
n=206 Participants
Sexual Orientation
Heterosexual/straight
20 Participants
n=99 Participants
11 Participants
n=107 Participants
31 Participants
n=206 Participants
Sexual Orientation
Don't know
1 Participants
n=99 Participants
0 Participants
n=107 Participants
1 Participants
n=206 Participants
Partnered Status
Married or partnered
18 Participants
n=99 Participants
5 Participants
n=107 Participants
23 Participants
n=206 Participants
Partnered Status
Not partnered
3 Participants
n=99 Participants
6 Participants
n=107 Participants
9 Participants
n=206 Participants
Disease Site
Endometrial
11 Participants
n=99 Participants
6 Participants
n=107 Participants
17 Participants
n=206 Participants
Disease Site
Ovarian
8 Participants
n=99 Participants
3 Participants
n=107 Participants
11 Participants
n=206 Participants
Disease Site
Cervical
0 Participants
n=99 Participants
2 Participants
n=107 Participants
2 Participants
n=206 Participants
Disease Site
Other
2 Participants
n=99 Participants
0 Participants
n=107 Participants
2 Participants
n=206 Participants
Disease Stage
Stage I-II
10 Participants
n=99 Participants
8 Participants
n=107 Participants
18 Participants
n=206 Participants
Disease Stage
Stage III
9 Participants
n=99 Participants
2 Participants
n=107 Participants
11 Participants
n=206 Participants
Disease Stage
Stage IV
2 Participants
n=99 Participants
1 Participants
n=107 Participants
3 Participants
n=206 Participants
Primary Surgery
Hysterectomy/oophorectomy
20 Participants
n=99 Participants
10 Participants
n=107 Participants
30 Participants
n=206 Participants
Primary Surgery
None
1 Participants
n=99 Participants
1 Participants
n=107 Participants
2 Participants
n=206 Participants
Chemotherapy Received
Chemotherapy received
15 Participants
n=99 Participants
6 Participants
n=107 Participants
21 Participants
n=206 Participants
Chemotherapy Received
No chemotherapy received
6 Participants
n=99 Participants
5 Participants
n=107 Participants
11 Participants
n=206 Participants
Radiation Therapy Received
Radiation therapy received
6 Participants
n=99 Participants
5 Participants
n=107 Participants
11 Participants
n=206 Participants
Radiation Therapy Received
No radiation therapy received
15 Participants
n=99 Participants
6 Participants
n=107 Participants
21 Participants
n=206 Participants
Immunotherapy Received
Immunotherapy received
9 Participants
n=99 Participants
4 Participants
n=107 Participants
13 Participants
n=206 Participants
Immunotherapy Received
No immunotherapy received
12 Participants
n=99 Participants
7 Participants
n=107 Participants
19 Participants
n=206 Participants
Hormonal Therapy Received
Hormonal therapy received
1 Participants
n=99 Participants
3 Participants
n=107 Participants
4 Participants
n=206 Participants
Hormonal Therapy Received
No hormonal therapy received
20 Participants
n=99 Participants
8 Participants
n=107 Participants
28 Participants
n=206 Participants

PRIMARY outcome

Timeframe: Baseline

Study enrollment, defined as the number of participants randomized out of the number of eligible patients approached for participation

Outcome measures

Outcome measures
Measure
Study Candidates
n=131 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Feasibility - Enrollment
32 Participants

PRIMARY outcome

Timeframe: 2 months

Number of enrolled participants that complete the final study survey.

Outcome measures

Outcome measures
Measure
Study Candidates
n=21 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Feasibility - Retention
20 Participants
11 Participants

PRIMARY outcome

Timeframe: 2 weeks

Population: Only Starting the Conversation participants were asked about engagement with materials.

Number of participants randomized to receive the Starting the Conversation intervention who report having engaged at least somewhat with the video and/or accompanying workbook.

Outcome measures

Outcome measures
Measure
Study Candidates
n=21 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Feasibility - Intervention Completion
Engaged with workbook and/or video
21 Participants
Feasibility - Intervention Completion
Did not engage with workbook or video
0 Participants

PRIMARY outcome

Timeframe: 2 weeks

Population: Acceptability only measured in Starting the Conversation participants. One Starting the Conversation participant did not return the 2 week follow-up survey which measured acceptability.

The number of participants randomized to receive the Starting the Conversation intervention who endorse at least 6 of 8 core components of the Starting the Conversation Intervention (defined as satisfaction with the intervention, informativeness of the intervention, helpfulness of the intervention, relevance of the intervention, ease of participation, approval of the intervention format, likelihood of recommending the intervention to others, and perceived importance of the intervention for people with gynecologic cancer).

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Acceptability
20 Participants

SECONDARY outcome

Timeframe: 2 weeks

Population: One Starting the Conversation participant did not complete the 2-week follow-up assessment

Patients' confidence that they can discuss sexual concerns with their provider and ask their provider about sexual concerns. Scale ranges from 0-10, with higher scores indicating higher self-efficacy. Means will be reported.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Self-Efficacy - Post-Intervention
8.18 units on a scale
Interval 6.99 to 9.35
9.18 units on a scale
Interval 8.15 to 10.22

SECONDARY outcome

Timeframe: 2 months

Population: One Starting the Conversation participant did not complete the 2-month follow-up assessment.

Patients' confidence that they can discuss sexual concerns with their provider and ask their provider about sexual concerns. Scale ranges from 0-10, with higher scores indicating higher self-efficacy. Means will be reported.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Self-Efficacy - 2-Month Follow Up
8.00 units on a scale
Interval 6.59 to 9.41
8.68 units on a scale
Interval 7.21 to 10.16

SECONDARY outcome

Timeframe: 2 weeks

Population: One Starting the Conversation participant did not complete the 2-week follow-up assessment.

Number of patients who discuss sexual health concerns in a clinic visit.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Clinical Communication - Discussion of Sexual Health
9 Participants
5 Participants

SECONDARY outcome

Timeframe: 2 weeks

Population: One Starting the Conversation participant did not complete the 2-week follow-up assessment

Number of patients who raise the topic of sexual health concerns in a clinic visit.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Clinical Communication - Raising Topic of Sexual Health
7 Participants
0 Participants

SECONDARY outcome

Timeframe: 2 weeks

Population: One Starting the Conversation participant did not complete the 2-week follow-up assessment

Number of patients who ask a question about sexual health concerns in a clinic visit.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Clinical Communication - Asking a Question About Sexual Health
9 Participants
3 Participants

SECONDARY outcome

Timeframe: baseline to 2 months

Population: One Starting the Conversation participant did not complete the 2-month follow-up assessment, and 6 Starting the Conversation participants did not have sufficient data on the scale to calculate a change score. Four Resources Only participants did not have sufficient data on the scale to calculate a change score.

Patients' self-reported sexual function will be measured using the 19-item Female Sexual Function Index (FSFI).Total scale scores range from 2 to 36, with higher scores indicating higher functioning. Positive mean change scores indicate increase in sexual functioning over time while negative mean change scores indicate decrease in sexual functioning over time.

Outcome measures

Outcome measures
Measure
Study Candidates
n=14 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=7 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Change in Sexual Function
1.3 score on a scale
Standard Deviation 3.9
4.5 score on a scale
Standard Deviation 9.0

SECONDARY outcome

Timeframe: 2 months

Population: One Starting the Conversation participant did not complete the 2-month follow-up assessment.

A single item asking (yes/no) whether the participant had any kind of sexual activity in the past 30 days. Percent reporting sexual activity is reported.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Sexual Activity
10 Participants
4 Participants

SECONDARY outcome

Timeframe: 2 months

Population: One Starting the Conversation participant did not complete the 2-month follow-up assessment.

Patients self-reported depression, as measured through depression subscale of the Hospital Anxiety \& Depression Scale (HADS). The depression subscale consists of 7 items that are scored from 0 to 3. Summed scores range from 0 to 21, with higher scores indicating higher levels of depression. Means will be reported.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Psychological Distress - Depression
5.4 score on a scale
Interval 3.45 to 7.35
4.55 score on a scale
Interval 2.15 to 6.94

SECONDARY outcome

Timeframe: 2 months

Population: One Starting the Conversation participant did not complete the 2-month follow-up assessment.

Patients self-reported anxiety, as measured through anxiety subscale of the Hospital Anxiety \& Depression Scale (HADS). The anxiety subscale consists of 7 items that are scored from 0 to 3. Summed scores range from 0 to 21, with higher scores indicating higher levels of anxiety. Means will be reported.

Outcome measures

Outcome measures
Measure
Study Candidates
n=20 Participants
All potentially eligible study candidates approached for participation.
Sexual and Menopausal Health Resources Only
n=11 Participants
Participants are given the list of resources about sexual and menopausal health only. Sexual and Menopausal Health Resources Only: A list of resources on sexual/menopausal health both within and outside the institution, including websites.
Psychological Distress - Anxiety
8.20 score on a scale
Interval 5.76 to 10.64
5.55 score on a scale
Interval 2.87 to 8.22

Adverse Events

Starting the Conversation

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Sexual and Menopausal Health Resources Only

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jennifer Reese, Associate Professor

Fox Chase Cancer Center

Phone: 215-214-3223

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place