This clinical trial evaluates the impact of a patient-centered health and wellness coaching (HWC) intervention on adherence to treatment plans and healthy lifestyle practices in patients with papillary or follicular thyroid cancer. Treatment for thyroid cancer often involves surgery, radioactive iodine and/or lifelong levothyroxine with regular monitoring of thyroid stimulating hormone levels. Despite strong survival rates, patients frequently report fatigue, cognitive issues, mood changes, and disruptions in daily life. Treatment burden and psychosocial strain often impair the ability to follow the treatment plan and healthy lifestyle. Studies have shown that HWC motivates patients to take ownership and accountability to perform positive and healthy behavioral changes. HWC may have a positive impact on health-related goal-setting processes and improve self-care and healthcare outcomes in certain settings. It is not yet known how HWC impacts thyroid cancer patients. Incorporating HWC into survivorship care may improve adherence to treatment plans and healthy lifestyle practices in patients with papillary or follicular thyroid cancer.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
20
Mayo Clinic in Florida
Jacksonville, Florida, United States
Recruitment rate
Assessed by the number enrolled out of the number of eligible participants approached
Time frame: Up to 1 year
Retention rate
Assessed by the number of participants who complete follow-up sessions
Time frame: At 6 months
Session completion rates
Assessed by the number of sessions attended (out of 6). Success is defined as attendance at ≥ 4 of 6 sessions attended.
Time frame: Up to 6 months
Study completion rate
Assessed by the number of participants who complete study compared to the number of participants lost to-follow-up.
Time frame: At baseline and at 6 months
Intervention fidelity
Assessed by the number of sessions that meet ≥ 80% of checklist-defined core elements
Time frame: Up to 6 months
Adherence to medication schedule
Assessed using the Medication Adherence Report Scale-5 (MARS-5), which consists of 5 questions answered on a scale of 1 (always) to 5 (never). Higher scores indicate better adherence to medication schedule.
Time frame: Up to 6 months
Adherence to lifestyle care plan
Assessed by self-report during coaching sessions and exit interview.
Time frame: Baseline; 1-2 sessions per month (totaling up to 60 minutes per month); up to 6 months
Change in LMWPHI score
The Lifestyle Medicine Whole Person Health Index (LMWPHI) is a self-report questionnaire used to track lifestyle health. The questionnaire consists of 30 questions categorized under 5 areas: nutrition, movement, sleep/stress, substance use, and connection. Questions are Total scores range from 0- 50 with higher scores indicating better overall lifestyle health
Time frame: At baseline and at 6 months
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