Title: multi-site randomized controlled trial of a novel digital application (SHIFT) to improve outcomes for hematopoietic stem cell transplant survivors

Active Project Grant Awarded Last action

Award ID
R01CA295109
Recipient
Awarding agency
Obligated
$2,939,034

Award facts

Assistance listing
93.393 Cancer Cause and Prevention Research
Completion date 46% complete
Place of performance
Boston, MA 02114, USA

Award details come from USAspending.gov.

Description

Abstract
Overview: the goal of this study is to examine the efficacy of a novel digital application (SHIFT) for improving sexual health outcomes, quality of life (QOL), and psychological outcomes in hematopoietic stem cell transplant (HCT) survivors. Background: sexual dysfunction is the most common and persistent complication post-HCT, with over 50% of male and 60-80% of female HCT survivors reporting long-term impairment in sexual function post-HCT. Impair- ment in sexual function is associated with worse QOL, relationship dissatisfaction, and psychological distress, which further contributes to the morbidity in this population. HCT survivors experience a unique and wide range of biologic, interpersonal, psychological, and social factors that impact their sexual function. Given the multifac- torial nature of sexual dysfunction, a multimodal approach is necessary to address patients' specific issues and concerns. Despite the increasing use of HCT and the prevalence of sexual dysfunction in HCT survivors, inter- ventions to improve sexual health outcomes are lacking. Limited availability of clinicians with expertise in ad- dressing sexual health concerns at most transplant centers hinders the scalability and dissemination of in-person supportive care interventions to address sexual health concerns. We developed a self-administered novel digital APP (SHIFT) for HCT survivors experiencing sexual health concerns. SHIFT includes five modules focused on empowering patients to address their sexual health concerns with attention to the biologic, interpersonal, PSY- chological, and social factors contributing to sexual dysfunction. We recently completed a pilot randomized trial demonstrating the feasibility of SHIFT and its promising efficacy for improving sexual health outcomes (i.e., sexual satisfaction, interest, and function), as well as QOL, and psychological distress compared to enhanced usual care. Research plan: we propose to conduct a multi-site randomized trial of SHIFT versus enhanced usual care in 300 HCT survivors to assess the efficacy of SHIFT for improving patient-reported sexual health outcomes. We will also assess the impact of SHIFT on patients' QOL and psychological outcomes as well as explore mediators and moderators of the intervention effect on patient-reported QOL. Environment: this project will be conducted at massachusetts general hospital, FOX chase, and the university of miami. These sites have the supportive care research and transplant experience, infrastructure, and pro- cesses to conduct this trial. The MGH research team has the expertise in developing and testing supportive care and digital health interventions for patients with serious illness and HCT survivors to ensure the successful IM- plementation of this trial across all study sites. Relevance of research: data from this project will be used to obtain FDA approval for SHIFT as a digital therapeutic that can be prescribed to address the sexual health needs of HCT survivors.

Transactions

Action Obligated Date
Amendment $1,753,318
Amendment $0
Amendment $583,190
Original award $602,526

Subawards

Subrecipient Amount Awarded
University Of Miami Statement of Work The proposed project is a multisite randomized clinical trial of a novel digital application (SHIFT) to improve outcomes for hematopoietic… $126,000
Subrecipient not on record The proposed project is a multisite randomized clinical trial of a novel digital application (SHIFT) to improve outcomes for hematopoietic stem cell… $169,200
University Of Miami The proposed project is a multisite randomized clinical trial of a novel digital application (SHIFT) to improve outcomes for hematopoietic stem cell… $252,000
Subrecipient not on record Statement Of Work The proposed project is a multisite randomized clinical trial of a novel digital application (SHIFT) to improve outcomes for hematopoietic… $338,400

Quick answers

Who received award R01CA295109?

R01CA295109 was awarded to The General Hospital Corporation by National Cancer Institute (National Institutes of Health) on July 17, 2024.

How much is award R01CA295109 worth?

$2,939,034 has been obligated on R01CA295109.

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