- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04659993
Cancer Within a Pandemic: A Telemental Health Intervention
Cancer Within a Pandemic: A Telemental Health Intervention Designed to Augment Psychological Resilience Amidst Dual Health Threats
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Primary Objective: To improve self-efficacy for young adult cancer survivors navigating pandemic conditions.
Secondary Objective: To reduce depression and anxiety levels through meaning-making.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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North Carolina
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Winston-Salem, North Carolina, United States, 27157
- Wake Forest Baptist Health Sciences
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Documented cancer diagnosis within the Wake Forest Baptist Medical Center medical record;
- Outpatient Cancer Survivor (diagnosis, treatment, or post-treatment);
- Aged 18-39
- Must speak English
- Must have computer with audio and visual capabilities.
- Must live within North Carolina
- Must have experienced health-related anxiety and/or distress in last 3 months.
Exclusion Criteria:
- Exclusion criteria will be determined by pre-screening data and medical chart reviews
- Active inpatient hospitalization
- Major cognitive impairment, marked concerns with working memory, concentration, or word finding difficulties that significantly impairs daily functioning documented in most recent clinic note or self-reported
- Recent suicide attempt(s), psychiatric hospitalization, or psychotic processing (last 3 years)
- Bipolar disorder (I or II) diagnosis, as evidenced by an ICD-10 code within the past year or revealed during subject interview
- Moderate to severe alcohol or drug abuse; as evidenced by an ICD-10 codes related to alcohol or illicit substance abuse in the medical record within the past year or revealed during subject interview.
- Severe eating disorders; as evidenced by an ICD-10 code in the medical record such as anorexia nervosa or bulimia within the past year or revealed during patient interview
- Repeated "acute" crises for example: repeated acute crises consisting of marked psychological distress that impairs function and warrants clinician intervention (e.g., occurring once a month or more frequently); this we be evaluated by the clinician screener.
Study Plan
How is the study designed?
Design Details
- Observational Models: Cohort
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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Telemental Group
The virtual group will be conducted within a secure platform such as Microsoft WebEx.
Assessments (pre-, post-, mid-way) will be distributed through REDCap, a secure virtual platform, as will session handouts and forms.
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Participants will complete initial online questionnaires lasting about 25-30 minutes as well as attend weekly support group meetings online.
After 4 weeks, participants will complete seven online follow-up questionnaires that should take no longer than 30 minutes and again at the end of the study.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Self-Efficacy in Pandemic Conditions
Time Frame: At baseline up to 8 weeks
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The improvement of self-efficacy for young adult cancer survivors navigating pandemic conditions will be assessed by comparing the change in the Cancer Behaviour Inventory-Brief (CBI-B) version (a 12-item validated questionnaire used widely as a measure of self-efficacy for coping with cancer) from baseline to Visit 8. To test the change over the 8 weeks, a paired t-test (using the baseline and Visit 8 scores within the same patient) will be used; the expected difference in the CBI-B between the two scores would be no change.
Score range is 1 (not at all confident) to 9 (totally confident) (minimum score of 12, maximum score of 108).
Sum the scores for the 12 items with higher scores indicating greater coping efficacy.
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At baseline up to 8 weeks
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Depression and Anxiety Levels
Time Frame: At baseline up to 10 weeks
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Three instruments will provide information on baseline, Visit 8, and change over time. 1) The Coronavirus Anxiety Scale (CAS) - 5-item mental health screener of dysfunctional anxiety associated with the coronavirus. Scoring is on a 5-point scale of 0 (not at all) to 4 (nearly every day). Scores greater than or equal to 9 indicates probable dysfunctional coronavirus-related anxiety. 2) Mini-Mental Adjustments to Cancer - 29-items that measures present experiences using a 4-point Likert scale - ''Definitely does not apply to me'' (1) to ''Definitely apply to me'' (4). Five subscales include: Helpless-Hopeless, Anxious Preoccupation, Cognitive Avoidance, Fighting Spirit and Fatalism), AND 3) Purpose in Life Test - 20-items that measures sense of purpose and meaning in life will be utilized to estimate anxiety levels. Score range 20-100. Scores less than 50 may indicate a lack of meaning or purpose in life. A paired t-test will be used to assess the change in the scores. |
At baseline up to 10 weeks
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Katie Duckworth, Ph.D, Wake Forest University Health Sciences
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IRB00070150
- P30CA012197 (U.S. NIH Grant/Contract)
- WFBCCC01520 (Other Identifier: Wake Forest Baptist Comprehensive Cancer Center)
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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