Smartphone App-Based Mindfulness Intervention for French and English Speaker Cancer Survivors
SEAMLESS
The SEAMLESS Study: A Pragmatic Multi-Site Randomized Waitlist-Controlled Trial of a Smartphone App-Based Mindfulness Intervention for French and English Speaker Cancer Survivors
1 other identifier
interventional
345
1 country
7
Brief Summary
There is a need to develop, evaluate, and disseminate self-directed, easily accessible, safe, affordable, and effective psychosocial interventions to people living with cancer (PLWC) post-treatment. Smartphone app-based health interventions are an innovative way to deliver psychosocial cancer-care. The Mindfulness-Based Cancer Survivorship (MBCS) Journey app is a mobile app format of the Mindfulness-based Cancer Recovery program. In the SEAMLESS Study, the investigators aim to evaluate the MBCS Journey app (a 4 week mind-body intervention) in cancer survivors post-treatment. This is a randomized wait-list controlled trial. Participants will either be assigned into the immediate group (will receive intervention immediately after enrollment) or the waitlist group (wait for 3 months before receiving the intervention).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable cancer
Started Mar 2025
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 19, 2022
CompletedFirst Posted
Study publicly available on registry
July 22, 2022
CompletedStudy Start
First participant enrolled
March 7, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
March 27, 2026
February 1, 2026
1.2 years
May 19, 2022
March 24, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Calgary Symptoms of Stress Inventory (C-SOSI)
This is a 56 item scale. Each item is rated on a 5-point Likert scale (1-5). A higher score indicates higher levels of stress.
3 months
Secondary Outcomes (9)
Total symptoms of stress from the C-SOSI to determine the impact of the one-month MBCS Journey intervention on stress immediately after the therapeutic intervention at one month from randomization
1 month after randomization
Patient Reported Outcome Measurement Information System (PROMIS) - Anxiety
3 months
Patient Reported Outcome Measurement Information System (PROMIS) - Depression
3 months
Patient Reported Outcome Measurement Information System (PROMIS) - Fatigue
3 months
Patient Reported Outcome Measurement Information System (PROMIS) - Physical Function
3 months
- +4 more secondary outcomes
Study Arms (2)
Immediate Mindfulness
EXPERIMENTALA 4 week smartphone app-based mindfulness intervention program with in-app activities for 20-30 minutes everyday, with a minimum of 4 days of activity in a week.
Control Mindfulness
OTHERNo intervention and usual care for 4 weeks, after which there will be assessments immediately post-waiting and at 3 months post-baseline. After this, participants will get the same 4 week smartphone app-based mindfulness intervention program.
Interventions
A psychological behavioral intervention that trains participants in mindfulness techniques, which involves achieving a moment-to-moment non-judgmental awareness of their internal psychosocial-emotional state through meditation and gentle mindful movements.
Eligibility Criteria
You may qualify if:
- Adult ≥ 18 years
- Diagnosed with any type of cancer (stages I-IV)
- Have access to a smartphone with data or wifi connection.
- Willing to devote 20-30 mins of time to mindfulness practices daily during the 4-week intervention period.
- Participant consent must be appropriately obtained in accordance with applicable local and regulatory requirements. Each participant must sign a consent form (e-consent) prior to enrollment in the study to document their willingness to participate.
- Participant is able (i.e. sufficiently fluent) and willing to complete the MBCS Journey and outcome measures in either English or French. The baseline assessment must be completed within required timelines, prior to randomization.
- In accordance with CCTG policy, protocol intervention is intended to begin within 7 calendar days of patient randomization.
- Participants must be willing to complete the MBCS Journey and complete the follow-up questionnaires
You may not qualify if:
- Major communication difficulties at the time of recruitment, as assessed by the research team (e.g. severe hearing impairment or cognitive impairment (score of ≤ 6; as assessed by the centre CRA using the three questions from the Brief Screen for Cognitive Impairment (BSCI)) listed in the screening CRF, which could interfere with completing the intervention and/or the questionnaires (i.e. inability to read or write)
- Suffering from untreated Major Depressive Disorder or other psychiatric disorders that would interfere with participation. (Note: Participants will be referred for treatment and invited to call back once in remission).
- Previous experience practicing in-person or app-based mindfulness once a week or more within the last year.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Arthur J.E. Child Comprehensive Cancer Centre
Calgary, Alberta, T2N 5G2, Canada
BCCA - Kelowna
Kelowna, British Columbia, V1Y 5L3, Canada
BCCA - Prince George
Prince George, British Columbia, V2M 7E9, Canada
BCCA - Victoria
Victoria, British Columbia, V8R 6V5, Canada
Western Manitoba Cancer Centre
Brandon, Manitoba, R7A 2B3, Canada
Horizon Health Network
Fredericton, New Brunswick, E3B 5N5, Canada
Kingston Health Sciences Centre
Kingston, Ontario, K7L 2V7, Canada
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Linda E Carlson
University of Calgary
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- NETWORK
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 19, 2022
First Posted
July 22, 2022
Study Start
March 7, 2025
Primary Completion (Estimated)
May 31, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
March 27, 2026
Record last verified: 2026-02
Data Sharing
- IPD Sharing
- Will not share