Rectal Cancer Clinical Trial
— PATHWAYSOfficial title:
PATHWAYS: An Informational and Supportive Care Intervention to Enhance Self-Efficacy for Patients With Locally Advanced Rectal Cancer
The aim of this study is to evaluate the efficacy of a brief psychoeducational intervention to improve the self-efficacy of patients with locally advanced rectal cancer who are initiating multimodality treatment (e.g., total neoadjuvant therapy).
Status | Recruiting |
Enrollment | 120 |
Est. completion date | September 2026 |
Est. primary completion date | September 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. Age=18 years 2. Within 4 weeks after documented decision to pursue multi-modality therapy for newly diagnosed LARC (i.e., stage II or III disease) 3. Able to complete study procedures English or with the assistance of an interpreter Exclusion Criteria: 1. Comorbid health condition that would interfere with study participation, as identified by cancer care team 2. Has undergone treatment for a prior colorectal cancer |
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Proportion of participants retained in the intervention (feasibility) | The primary outcome for Study Phase I will be feasibility, defined as =60% retention of participants over the four-week intervention. | 4 weeks (study phase I only) | |
Primary | Self-Efficacy (CASE-Cancer) | The primary outcome for Study Phase II will be self-efficacy, assessed using the Communication and Attitudinal Self-Efficacy Scale for Cancer (CASE-Cancer). CASE-Cancer scores range from 12-48, with higher scores indicating greater self-efficacy. | 12 weeks (study phase II only) | |
Secondary | Proportion of participants reporting acceptability of the intervention (acceptability) | The secondary outcome for Study Phase II will be acceptability of the intervention, defined as =80% of participants reporting Client Satisfaction Questionnaire (CSQ-8) scores of =20 (scale from 8-32, higher scores indicate higher satisfaction). | 12 weeks (study phase I only) | |
Secondary | Self-Efficacy (PROMIS) | A secondary outcome for Study Phase II will be a different measure of self-efficacy, assessed using the Patient-Reported Outcomes Measurement Information System (PROMIS) Self-Efficacy Measures for Managing Chronic Conditions. PROMIS scores range from 8-40, with higher scores indicating greater self-efficacy. | 12 weeks (study phase II only) | |
Secondary | Coping | A secondary outcome for Study Phase II will be coping, assessed using the Brief Cope (B-COPE). B-COPE scores range from 28-112, with higher scores indicating greater coping ability. | 12 weeks (study phase II only) | |
Secondary | Resilience | A secondary outcome for Study Phase II will be resilience, assessed using the Brief Resilience Scale (BRS). BRS scores range from 6-30, with higher scores indicating greater resilience. | 12 weeks (study phase II only) | |
Secondary | Social Isolation | A secondary outcome for Study Phase II will be social isolation, assessed using the Patient-Reported Outcomes Measurement Information System Social Isolation (PROMIS SI). PROMIS SI scores range from 4-20, with higher scores indicating greater social isolation. | 12 weeks (study phase II only) | |
Secondary | Decisional Regret | A secondary outcome for Study Phase II will be decisional regret, assessed using the Decision Regret Scale (DRS). DRS scores range from 5-25, with higher scores indicating greater decisional regret. | 12 weeks (study phase II only) | |
Secondary | Symptom Burden | Assessed using the Edmonton Symptom Assessment Scale (ESAS). ESAS scores range from 0-90, with higher scores indicating greater symptom burden. | 12 weeks (study phase II only) | |
Secondary | Psychological Distress | A secondary outcome for Study Phase II will be psychological distress, assessed using the Patient Health Questionnaire (PHQ-4). ESAS scores range from 0-12, with higher scores indicating greater psychological distress. | 12 weeks (study phase II only) | |
Secondary | Quality of Life (FACT-C) | A secondary outcome for Study Phase II will be quality of life, assessed using the Functional Assessment of Cancer Therapy-Colorectal (FACT-C). FACT-C scores range from 0-136, with higher scores indicating greater quality of life. | 12 weeks (study phase II only) |
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