- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00905086
Psychosocial Adjustment After Radiation Therapy in Patients With Cancer
Psychosocial Adjustment During the Post-Radiation Treatment Transition
RATIONALE: Gathering information about psychological and social adjustment after radiation therapy in patients with cancer may help doctors plan the best treatment.
PURPOSE: This clinical trial is studying psychosocial adjustment after radiation therapy in patients with breast cancer, colorectal cancer, lung cancer, or prostate cancer.
Study Overview
Status
Conditions
Detailed Description
OBJECTIVES:
- To describe psychosocial adjustment after radiotherapy in patients with stage I, II, or III breast, colorectal, lung, or prostate cancer.
- To determine if cognitive appraisal of health predicts psychosocial adjustment of these patients after radiotherapy.
- To examine whether social support moderates the relationship between cognitive appraisal of health and psychosocial adjustment of these patients after radiotherapy.
- To examine whether self-efficacy for coping with cancer moderates the relationship between cognitive appraisal of health and psychosocial adjustment of these patients after radiotherapy.
- To measure the effect of symptom distress, uncertainty, medical factors, and personal factors on cognitive appraisal of health of these patients before ending radiotherapy.
OUTLINE: Two weeks before completing planned radiotherapy, patients undergo assessment of stress appraisal and other factors predictive of post-radiotherapy psychosocial adjustment. Patients complete psychosocial assessments, including measures of patient perceptions of their illness (i.e., cognitive appraisal) and of the factors influencing their perceptions (i.e., uncertainty by the Mishel Uncertainty in Illness Scale-Community Form; symptom distress by the Memorial Symptom Assessment Scale Short Form; and comorbidity by the Charlson Comorbidity Index). Measures of patient social support and self-efficacy for coping are also assessed. At 1 month after completion of radiotherapy, patients undergo repeat assessment of stress appraisal and psychosocial adjustment.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Ohio
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Cleveland, Ohio, United States, 44106-5065
- Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
DISEASE CHARACTERISTICS:
Diagnosis of breast, colorectal, lung, or prostate cancer
- Stage I, II, or III disease
- Nonmetastatic disease
Undergoing first course of curative radiotherapy, as indicated in the medical record
- Receiving treatment as an outpatient
- Hormone receptor status not specified
PATIENT CHARACTERISTICS:
- Menopausal status not specified
- Able to receive treatment as an outpatient
- Lives in northeastern Ohio
- Cognitively intact, as evidenced by orientation to person, place, and time
- Has a telephone
- No hearing impairment (must be able to hear instructions)
- No malignancy expected to require surgery or chemotherapy ≤ 2 months after treatment
PRIOR CONCURRENT THERAPY:
- See Disease Characteristics
- No prior radiotherapy for another type of cancer
- No concurrent or planned chemotherapy or surgery for at least 2 months after radiotherapy
- No concurrent treatment for recurrent cancer
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Relationship between stress appraisal (as assessed by CAHS at baseline) and psychosocial adjustment (as assessed by PAIS-SR at 1 month after radiotherapy)
Time Frame: one month after radiotherapy
|
one month after radiotherapy
|
Relationship between stress appraisal and uncertainty, symptom distress, cancer stage, comorbidities, age, gender, race/ethnicity, and education at 2 weeks prior to completing radiotherapy
Time Frame: 2 weeks prior to radiotherapy
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2 weeks prior to radiotherapy
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Social support (as assessed by MOS-SSS) and self-efficacy (as assessed by CBI-L v2.0) as moderators of the relationship between cognitive appraisal and adjustment
Time Frame: At 1 month after completion of radiotherapy
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At 1 month after completion of radiotherapy
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Barbara Daly, PhD, RN, Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center
- Principal Investigator: Susan Mazanec, RN, Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
- stage IIIA breast cancer
- stage IIIB breast cancer
- extensive stage small cell lung cancer
- stage III prostate cancer
- stage IIIA non-small cell lung cancer
- stage IIIB non-small cell lung cancer
- stage I non-small cell lung cancer
- stage II non-small cell lung cancer
- stage III colon cancer
- stage II breast cancer
- stage IIIC breast cancer
- stage I breast cancer
- limited stage small cell lung cancer
- cognitive/functional effects
- psychosocial effects of cancer and its treatment
- stage I prostate cancer
- stage II prostate cancer
- stage II rectal cancer
- stage III rectal cancer
- stage II colon cancer
- stage I rectal cancer
- stage I colon cancer
Additional Relevant MeSH Terms
Other Study ID Numbers
- CASE3Z08 (Other Identifier: Case Comprehensive Cancer Center)
- P30CA043703 (U.S. NIH Grant/Contract)
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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