Clinical trial · Interventional
Self-Advocacy Serious Game in Advanced Cancer
Piloting a Serious Game to Improve Self-Advocacy Among Women With Advanced Cancer
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Self-advocacy, defined as the ability of a patient to get her needs and priorities met in the face of a challenge, is an essential skill but not all women with advanced cancer are able to do it. We want to instruct women with advanced cancer who have low self-advocacy to self-advocate for their health and well-being. We will test a new "serious game" or video program that teaches self-advocacy skills through interactive, situation-based activities. The goal of the Strong Together serious game is to engage participants in challenges commonly experienced by women with advanced cancer, offer them choices to self-advocate or not, and directly show them the health and social benefits of self-advocating and the negative consequences of not self-advocating. Through engaging in the Strong Together program, participants vicariously learn the essential skills of self-advocacy, understand the downstream effects of using or not using these skills, and learn distinct behaviors that they can then use to address their own challenges.
Conditions
Conditions (13)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Breast Cancer Stage IV | Malignant Breast Neoplasm | CURATED_BROADER | 0.78 |
| Cervical Cancer Stage IIIB | Malignant Cervical Neoplasm | CURATED_BROADER | 0.78 |
| Cervical Cancer Stage IVA | Malignant Cervical Neoplasm | CURATED_BROADER | 0.78 |
| Cervical Cancer Stage IVB | Malignant Cervical Neoplasm | CURATED_BROADER | 0.78 |
| Endometrial Cancer Stage III | Malignant Endometrial Neoplasm | CURATED_BROADER | 0.80 |
| Endometrial Cancer Stage IV | Malignant Endometrial Neoplasm | CURATED_BROADER | 0.80 |
| Ovarian Cancer Stage III | Malignant Ovarian Neoplasm | CURATED_BROADER |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Strong Together serious game | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Serious game intervention
- description
- Participants randomized to the intervention will receive the Strong Together serious game program on a tablet computer. The goal of this serious game is to teach the participant how to advocate for her needs relate to her cancer and treatment. The research team will send participants weekly notifications for 12 weeks to alert them that a new serious game session is available and encourage them to complete one session per week.
- interventionNames
- Behavioral: Strong Together serious game
- type
- NO_INTERVENTION
- label
- Enhanced care as usual
- description
- If randomized to the enhanced care as usual arm, the research team will give participants a paper-based self-advocacy patient brochure published by the National Coalition for Cancer Survivorship. This guide is not a part of usual care, but is freely available on the Internet.
Primary outcomes (2)
- measure
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Female -≥18 years * Diagnosed with Stage III or IV gynecological or Stage IV breast cancer within the past 3 months being treated with non-curative intent * Have at least a 6-month life expectancy (as determined by their oncologist) * Eastern Cooperative Oncology Group performance score of 0 to 2 (per health record or oncologist) * Able to read and write in English Exclusion Criteria: * On hospice at the time of recruitment * Impaired cognition (per health record) * Other active, unstable mental health disorder
References
Publications (0)
Data not yet available