An Escape Room Intervention to Help Improve Breast Cancer Patients' Ability to Navigate Online Access to Nutrition Information

Anatomic Stage III Breast Cancer AJCC v8 Clinical Trial

Official title:

Escape Room: A Gamified Approach to Learning About Cancer Nutrition Information

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT06193070
• Other study ID #: RG1123830
• Secondary ID: NCI-2023-0842420
• Status: Recruiting
• Phase: N/A
• Start date: March 7, 2024
• Est. completion date: August 31, 2024

Study information

• Verified date: February 2024
• Source: Fred Hutchinson Cancer Center
• Contact: Megan Shen
• Phone: 206-667-4172
• Email: mshen2[@]fredhutch.org
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This clinical trial evaluates an educational escape room intervention for improving awareness of and concern about breast cancer misinformation and reducing vulnerability to believing cancer misinformation among patients with stage I-III breast cancer. Misinformation, or communication about health information that is inaccurate or false, can have serious health consequences for those that believe it. The rise of the access to and use of various sources of information on the internet such as websites and social media has caused the spread of misinformation and disinformation to grow rapidly, resulting in negative consequences on health outcomes. Cancer misinformation, in particular, has become an increasingly prevalent issue that poses a real threat to the many cancer patients in the United States. The educational escape room intervention is a game designed to teach participants how to discern whether cancer nutrition information is accurate or may potentially be misinformation. Participants are immersed in the narrative while solving puzzles to learn key themes such as the need to talk to their doctors, looking for scientific studies, as well as avoiding fads and trends, miracle cures, anecdotal evidence, and targeted and clickbait ads.

Description:

OUTLINE:

Patients complete a baseline before playing the virtual cancer nutrition information escape room game. Patients then play the virtual misinformation escape room game consisting of 5 puzzles and a final task over 30-45 minutes on study. Following the escape room game, patients complete a post-game survey and debrief interview (15 minutes).

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 40
• Est. completion date: August 31, 2024
• Est. primary completion date: August 31, 2024
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Age 18 years of age or older

• English speaking

• Able to provide informed consent

• Have access to a computer (desktop or laptop)

• Have been previously diagnosed with breast cancer (Stages I-III) and currently in active treatment for breast cancer

Related Conditions & MeSH terms

• Anatomic Stage I Breast Cancer AJCC v8
• Anatomic Stage II Breast Cancer AJCC v8
• Anatomic Stage III Breast Cancer AJCC v8
• Breast Neoplasms

Intervention

Other:
• Educational Intervention
Play virtual misinformation escape room game
• Interview
Ancillary studies
• Survey Administration
Ancillary studies
• Telemedicine
Play virtual misinformation escape room game

Locations

Country	Name	City	State
United States	Fred Hutch/University of Washington Cancer Consortium	Seattle	Washington

Sponsors (2)

Lead Sponsor	Collaborator
Fred Hutchinson Cancer Center	National Cancer Institute (NCI)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Behaviors done based on information consumed online	Will be assessed with a 6-item checklist asking which behaviors participants have done because of something they saw on the internet.	At baseline
Primary	Rates of accrual to the study (Feasibility)	The percentage of patients who accrue to the study among those who are eligible and approached.	At enrollment
Primary	Rates of completion of game sessions (feasibility)	The percentage of patients who complete the game.	Up to 1 week
Primary	Satisfaction (Acceptability)	Will be assessed using a Likert-type question to assess satisfaction with the game (1 = not at all satisfied, 10 = very satisfied)	Up to 1 week
Primary	Likelihood to recommend the game to someone else (Acceptability)	Will be assessed using a Likert-type question to assess likelihood to recommend the game to someone else (1 = not at all likely, 5 = very likely).	Up to 1 week
Primary	Usability (System Usability Scale)	Usability will be assessed using the System Usability Scale (SUS). The SUS is a reliable, 10-item measure 10-item scale, scored on a 5-point Likert scale (1=strongly disagree; 5=strongly agree), with previously reported excellent internal reliability (Cronbach's a = 0.91).	Up to 1 week
Secondary	Types of online information	Will be assessed using a 6-item checklist that asks which resources participants or their family members have used to find nutrition information in the past 3 months.	At baseline
Secondary	Concern about misinformation and confidence in identifying misinformation	Will be assessed using our 4-item scale in which patients indicate degree to which they agree with statements using a 5-point Likert scale (1=strongly disagree, 5=strongly agree).	Up to 1 week
Secondary	Cancer nutrition information beliefs	Will be assessed using a 15-item checklist of common cancer nutrition misinformation and credible nutrition advice, using a 5-point Likert Scale (1=definitely false, 5 = definitely true).	At baseline and up to 1 week