Developing and Testing the Effectiveness of Smart Healthcare Assisted Individualized Symptom Management Education and Home-based Exercise on Frailty, Treatment-related Adverse Events and Quality of Life in Advanced Gastric Cancer Patients Receiving Immunotherapy
NCT07732543 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 110
Last updated 2026-07-29
Summary
The goal of this randomized controlled intervention is to develop and evaluate the effectiveness of the nurse-led with AI chatbot Individualized Symptom Management Education and Home-based Exercise (AI-ISME\&HE) based on The Theory of Symptom Self-Management (TSSM) on frailty, self-efficacy in cancer care, trAE, and quality of life in advanced gastric cancer patients receiving immunotherapy. The main questions it aims to answer are:
* Can AI-ISME\&HE reduces frailty in advanced gastric cancer patients receiving immunotherapy?
* Can AI-ISME\&HE increases quality of life in advanced gastric cancer patients receiving immunotherapy?
* Can AI-ISME\&HE increases self-efficacy in advanced gastric cancer patients receiving immunotherapy?
* Can AI-ISME\&HE reduces all-caused death in advanced gastric cancer patients receiving immunotherapy within two years? Researchers will compare usual routine care to see if AI-ISME\&HE can reduce frailty, all-caused death and increase quality of life and self-efficacy.
Participants will not be blinded, but the outcome evaluator will be blinded. The participants will be asked to complete three tasks for 12 weeks:
* Self-reporting treatment-related adverse events
* Interacting with AI-ISME\&HE for seeking information related to self-management educational materials, including symptom management with the most reported trAEs and prevention from frailty
* ViviFrail-based exercise
Conditions
- Gastric Cancer (GC)
- Immunotherapy
Interventions
- BEHAVIORAL
-
AI-ISME&HE
* Self-reporting treatment-related adverse events * Interacting with AI-ISME\&HE for seeking information related to self-management educational materials, including symptom management with the most reported trAEs and prevention from frailty * ViviFrail-based exercise
Sponsors & Collaborators
-
National Yang Ming Chiao Tung University
collaborator OTHER -
Taipei Veterans General Hospital, Taiwan
lead OTHER_GOV
Principal Investigators
-
I-Wen Chang, PhD · Department of Nursing, Taipei Veterans General Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- OTHER
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2026-07-21
- Primary Completion
- 2029-07-31
- Completion
- 2030-07-31
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