Meaning Centered Psychotherapy for Palliative Care Patients (MCP-PC)

Palliative Care Clinical Trial

— MCP-PC  

Official title:

Development of Meaning Centered Psychotherapy for Palliative Care Patients

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03612050
• Other study ID #: R21 NR017728
• Status: Not yet recruiting
• Phase: N/A
• Start date: January 1, 2022
• Est. completion date: December 31, 2023

Study information

• Verified date: August 2021
• Source: Fordham University
• Contact: Barry D Rosenfeld, PhD
• Phone: 718-817-3794
• Email: rosenfeld[@]fordham.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This randomized, controlled trial evaluates the effectiveness of an adaptation of a well-established brief, structured existential psychotherapy (Meaning Centered Psychotherapy) specifically tailored to the needs of palliative care patients (MCP-PC). Terminally ill patients with cancer who have been hospitalized in a palliative care hospital will be randomly assigned to either MCP-PC or enhanced usual care. Patients will complete a very short battery of self-report measures before the 3-session intervention, and again 2 and 4 weeks later to determine whether treatment has bolstered spiritual and psychological well-being and improved quality of life.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 80
• Est. completion date: December 31, 2023
• Est. primary completion date: September 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

• Terminal illness with life expectancy of less than 6 months; hospitalized at a palliative care facility in Bronx NY, English speaking

Exclusion Criteria:

• Cognitive impairment or severe psychiatric symptoms that preclude informed consent or participation in treatment.

Related Conditions & MeSH terms

• Palliative Care

Intervention

Behavioral:
• Meaning Centered Psychotherapy
Manualized, 3-session existential psychotherapy (30-45 minutes/session) with an optional 4th "booster" session. Content focuses on enhancing patients sense of meaning and purpose in life.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Fordham University	Calvary Hospital, Bronx, NY

References & Publications (1)

Rosenfeld B, Saracino R, Tobias K, Masterson M, Pessin H, Applebaum A, Brescia R, Breitbart W. Adapting Meaning-Centered Psychotherapy for the palliative care setting: Results of a pilot study. Palliat Med. 2017 Feb;31(2):140-146. doi: 10.1177/0269216316651570. Epub 2016 Jul 21. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Spiritual Well Being	Overall spiritual well-being as measured through the self-report FACIT Spiritual Well Being scale	Through study completion (approx 6 weeks)
Secondary	Hopelessness	Self-report rating scale, the Hopelessness Assessment in Illness scale	Through study completion (approx 6 weeks)
Secondary	Acceptance of Death	Subscale derived from the Life Attitude Profile, a self-report measure of meaning and purpose	Through study completion (approx 6 weeks)
Secondary	Health related Quality of life	Single item rating of overall quality of life derived from the McGill Quality of Life Questionnaire	Through study completion (approx 6 weeks)
Secondary	Desire for hastened death	Abbreviated version of the Schedule of Attitudes towards Hastened Death, a measure of desire for hastened death	Through study completion (approx 6 weeks)