What Impact Does an Initial Psycho-oncological Contact Have on People With Cancer? (PICS)
The Impact of a Standardised Initial Contact by a Psycho-oncological Counsellor on Anxiety and Depression, Quality of Life and the Use of Psycho-oncological Support in Cancer Patients: A Patient-initiated Multicentre Randomised Controlled Study - the Psycho-oncological Initial Contact Study (PICS)
When diagnosed with cancer, patients or their relatives may, if they wish, on the recommendation of the treatment team and/or in cases of high stress, seek psycho-oncological support.
This study investigates whether an initial consultation with a psycho-oncological specialist reduces anxiety and depression, improves quality of life, and whether patients subsequently make greater use of support services.
Participants will be randomised, meaning they will be assigned to groups at random to ensure that the results are comparable. In the intervention group, participants will receive a detailed initial consultation with a psycho-oncology specialist and standard treatment. In the control group, participants receive standard treatment. To gather results, questionnaires are administered at regular intervals (at the start, after 3 and 6 months). The study lasts a total of 6 months.
The study was developed by patients. It is being conducted simultaneously at several hospitals.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Janine Antonov, PhD, eMBA
- Phone Number: +41 79 359 29 99
- Email: janine.antonov@lindenhofgruppe.ch
Study Contact Backup
- Name: Forschungszentrum Lindenhofgruppe
- Phone Number: +41 31 366 36 66
- Email: forschungszentrum@lindenhofgruppe.ch
Study Locations
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-
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Basel, Switzerland, 4058
- St. Claraspital
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Contact:
- Arnoud Templeton, Prof. Dr. med.
- Phone Number: +41 61 685 84 39
- Email: arnoud.templeton@claraspital.ch
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Principal Investigator:
- Arnoud Templeton, Prof. Dr. med.
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Bern, Switzerland, 3010
- University Hospital Insel Gruppe AG
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Contact:
- Alexander Wünsch, Prof. Dr. phil.
- Phone Number: +41 31 632 27 05
- Email: alexander.wuensch@insel.ch
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Principal Investigator:
- Alexander Wünsch, Prof. Dr. phil.
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Bern, Switzerland, 3012
- Lindenhofgruppe
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Contact:
- Janine Antonov, PhD, eMBA
- Phone Number: +41 79 359 29 99
- Email: janine.antonov@lindenhofgruppe.ch
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Principal Investigator:
- Janine Antonov, PhD, eMBA
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Horgen, Switzerland, 8810
- See-Spital
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Contact:
- Michael Kiessling, Dr. med. Dr. rer. nat.
- Phone Number: +41 44 728 17 40
- Email: michael.kiessling@see-spital.ch
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Principal Investigator:
- Michael Kiessling, Dr. med. Dr. rer. nat.
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Zurich, Switzerland, 8032
- Klinik für Hämatologie und Onkologie Hirs landen Zürich AG
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Contact:
- Karin Hohloch, PD Dr.
- Phone Number: + 41 44 387 37 92
- Email: karin.hohloch@kho.ch
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Principal Investigator:
- Karin Hohloch, PD Dr.
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients with an oncological disease diagnosed within the last 3 months with planned or ongoing systemic oncologic treatment (e.g. chemotherapy, immunotherapy, hormone therapy) or a planned or ongoing radiotherapy
- Patient is ≥18 years of age and legally competent
- Patients must have understood and signed the study information and the informed consent form
- Patients are willing and able to complete scheduled follow-up evaluations / questionnaires as described in the informed consent
- No previous contact with psycho-oncological services
Exclusion Criteria:
- Documented severe functional impairment according to the ECOG Performance Status (ECOG 3-4)
- Patients receiving or planned to receive treatments associated with a severe risk of toxicity (e.g., CAR-T cell therapy, myeloablative therapy)
- Insufficient language skills in German
- Inability to give informed consent
- Refusal to participate in the study, unsigned informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Initial psycho-oncological contact
Participants in the Intervention Arm will be contacted by a psycho-oncological counsellor.
The study intervention is a 45 minutes psycho-oncological counselling and a 3 months follow-up contact.
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initial psycho-oncological contact and a 3 months follow-up contact
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|
Active Comparator: Standard
Participants in the Control Arm will receive actual standard of care psycho- oncological support according to local processes.
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actual standard of care psycho-oncological support according to local processes
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in anxiety and depression
Time Frame: 6 months follow-up
|
Change in anxiety and depression from study entry to the 6 months follow-up survey, measured using a summary measure of the entire HADS
|
6 months follow-up
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in anxiety and depression components
Time Frame: 6 months follow-up
|
Change in anxiety and depression components, from study entry to the 6 months follow-up survey, measured using the HADS subscales anxiety / depression
|
6 months follow-up
|
|
Change in quality of life
Time Frame: 6 months follow-up
|
Change in quality of life, from study entry to the 6 months follow-up survey, measured using a summary measure of the entire EORTC QLQ C30
|
6 months follow-up
|
|
Change in quality-of-life components
Time Frame: 6 months follow-up
|
Change in quality-of-life components, from study entry to the 6 months follow-up survey, measured using the EORTC QLQ C30 subscales global / functional / symptoms
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6 months follow-up
|
|
Change in patient's global distress
Time Frame: 6 months follow-up
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Change in patient's global distress, from study entry to the 6 months follow-up survey, measured using the distress thermometer
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6 months follow-up
|
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Use of psycho-oncological support
Time Frame: 6 months follow-up
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Use of psycho-oncological support, measured as quantity of psycho oncological support from study entry to 6 months follow-up
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6 months follow-up
|
|
Reasons for seeking or not seeking psycho-oncological support
Time Frame: 6 months follow-up
|
Reasons for seeking or not seeking psycho-oncological support
|
6 months follow-up
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Chair: Janine Antonov, PhD, eMBA, Forschungszentrum Lindenhofgruppe
Publications and helpful links
General Publications
- Zwahlen D, Tondorf T, Rothschild S, Koller MT, Rochlitz C, Kiss A. Understanding why cancer patients accept or turn down psycho-oncological support: a prospective observational study including patients' and clinicians' perspectives on communication about distress. BMC Cancer. 2017 May 30;17(1):385. doi: 10.1186/s12885-017-3362-x.
- Fang L, Chuang DM, Al-Raes M. Social support, mental health needs, and HIV risk behaviors: a gender-specific, correlation study. BMC Public Health. 2019 May 28;19(1):651. doi: 10.1186/s12889-019-6985-9.
- Hecht K, Gunther MP, Kirchebner J, Gotz A, von Kanel R, Schulze JB, Euler S. Predictive Factors Associated with Declining Psycho-Oncological Support in Patients with Cancer. Curr Oncol. 2023 Nov 4;30(11):9746-9759. doi: 10.3390/curroncol30110707.
- Singer S, Wunsch A, Ihrig A, Bruns G, Holz F, Jakob J, Besseler M, Engesser D, Blettner M, Konig J, Bayer O. Men's Access to Outpatient Psychosocial Cancer Counseling-a Cluster-Randomized Trial. Dtsch Arztebl Int. 2024 Feb 23;121(4):121-127. doi: 10.3238/arztebl.m2024.0005.
- Senf B, Fettel J, Demmerle C, Maiwurm P. Physicians' attitudes towards psycho-oncology, perceived barriers, and psychosocial competencies: Indicators of successful implementation of adjunctive psycho-oncological care? Psychooncology. 2019 Feb;28(2):415-422. doi: 10.1002/pon.4962. Epub 2018 Dec 21.
- Mizuno K, Watanabe T. Sarcoid granulomatous cyclitis. Am J Ophthalmol. 1976 Jan;81(1):82-5. doi: 10.1016/0002-9394(76)90195-1.
- Mehnert A, Brahler E, Faller H, Harter M, Keller M, Schulz H, Wegscheider K, Weis J, Boehncke A, Hund B, Reuter K, Richard M, Sehner S, Sommerfeldt S, Szalai C, Wittchen HU, Koch U. Four-week prevalence of mental disorders in patients with cancer across major tumor entities. J Clin Oncol. 2014 Nov 1;32(31):3540-6. doi: 10.1200/JCO.2014.56.0086. Epub 2014 Oct 6.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- Schobinger_24-02_PIP_PICS
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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