Purpose

The goal of this study is to find the best way to help participants and families manage the stress of facing a serious illness and be better able to "bounce back" or be resilient after a difficult situation. Participants will take part in the "Promoting Resilience in Stress Management" PRISM program, which is designed to provide skills to change or improve the impact of stress in everyday life. The name of the intervention used in this research study is: -PRISM (a mobile app program comprised of 6 sessions of skills-based, manualized resilience education)

Conditions

Eligibility

Eligible Ages
Between 12 Years and 25 Years
Eligible Genders
All
Accepts Healthy Volunteers
Yes

Criteria

Participants that have completed their main cancer-directed therapy at one of the study
sites affiliated centers who meet all the eligibility criteria will be eligible for
participation in this study.

Inclusion Criteria:

- All genders ≥ 12 and ≤ 25 years of age at baseline

- Participant is able to speak English or Spanish language (for PRISM sessions)

- Participant is able to read English or Spanish language (for completion of surveys)

- Participant is cognitively able to participate in PRISM sessions and complete
written questionnaires and surveys, as judged by the site investigator

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Health Services Research
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
PRISM Program Mobile App
Participants will be randomized to "app-only" group and will complete: - Baseline questionnaire. - mPRISM App self guided modules - 3 month questionnaire. - mPRISM App self guided modules until final survey at 6 months and end of participation.
  • Behavioral: mPRISM Program App
    6 static modules to practice skills-based, manualized, resilience education program delivered via PRISM Program mobile app. For participants who do not have smartphones, temporary equipment will be provided.
    Other names:
    • Promoting Resilience in Stress Management
Active Comparator
PRISM Program Video Coach
Participants will be randomized to "video" group and will complete: - Baseline questionnaire. - PRISM sessions. - 3 month questionnaire with re-randomization to either "app-only" or "text" groups or referral to specialty psychosocial support. - After re-randomization, participants will complete PRISM sessions until final survey at 6 months and end of participation.
  • Behavioral: PRISM Program Video Coach
    A 6-session, skills-based, manualized resilience education program delivered via video coaching by trained English or Spanish speaking PRISM coaches. Participants will have complete access to the PRISM Program mobile app. Sessions will be delivered by a HIPAA compliant videoconferencing platform, Zoom, approximately every 1-2 weeks based on participant preference. For participants who do not have smartphones, temporary equipment will be provided.
    Other names:
    • Promoting Resilience in Stress Management
  • Behavioral: mPRISM Program App
    6 static modules to practice skills-based, manualized, resilience education program delivered via PRISM Program mobile app. For participants who do not have smartphones, temporary equipment will be provided.
    Other names:
    • Promoting Resilience in Stress Management
Active Comparator
PRISM Program Text Coach
Participants will be randomized to "text" group and will complete: - Baseline questionnaire. - PRISM sessions. - 3 month questionnaire with re-randomization to "app-only," "text," or "video" groups. - After re-randomization, participants will complete PRISM sessions until final survey at 6 months and end of participation.
  • Behavioral: PRISM Program Text Coach
    A 6-session, skills-based, manualized, resilience education program delivered via text coaching by trained English or Spanish speaking PRISM coaches. Participants will have complete access to the PRISM Program mobile app. Sessions will be delivered by HIPAA compliant SMS text-messaging service, Zoom, approximately every other week. For participants who do not have smartphones, temporary equipment will be provided.
    Other names:
    • Promoting Resilience in Stress Management
  • Behavioral: mPRISM Program App
    6 static modules to practice skills-based, manualized, resilience education program delivered via PRISM Program mobile app. For participants who do not have smartphones, temporary equipment will be provided.
    Other names:
    • Promoting Resilience in Stress Management

Recruiting Locations

More Details

Status
Recruiting
Sponsor
Dana-Farber Cancer Institute

Study Contact

Abby Rosenberg, MD
206-987-6892
AbbyR_Rosenberg@DFCI.HARVARD.EDU

Detailed Description

In this sequential, multiple assignment, randomized trial participants will be randomly selected to participate in PRISM program sessions with a trained research coach either by text or by video sessions, or participants will use the PRISM mobile app program in a self-guided way. Randomization means the group participants are placed in will be decided by chance. All groups will continue to receive all the same care from primary medical, social work, and other care teams. In this two-stage study, participants will be randomly assigned to either the "app-only" (20% chance), "text" (40% chance) or "video" (40% chance) groups for the first stage. In the second stage, participants may be re-randomized again to the "app-only," or "text," groups, or will be referred to a specialty psychosocial support, social worker or counselor, based on responses to questionnaires. Participants randomized to the "app-only" group in the first stage will not be re-randomized. The research study procedures include screening for eligibility and completion of questionnaires. Participation in this research study is expected to last for up to 6 months. It is expected about 325 people will take part in this research study. The National Institute for Health (NIH) is funding this research study.

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.