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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05914766
Other study ID # 23-115
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date September 21, 2023
Est. completion date September 2026

Study information

Verified date December 2023
Source Massachusetts General Hospital
Contact Kelsey Lau-Min, MD, MSCE
Phone 617-724-4000
Email klau-min@mgh.harvard.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

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).


Description:

This is a randomized control trial that will be split into two phases. Study Phase I will test the feasibility and acceptability of a study evaluating a psychoeducational intervention relative to a control condition for improving self-efficacy in patients with locally advanced rectal cancer who are initiating multimodality treatment. It is expected that this phase will enroll 20 participants. Study Phase II will test the efficacy of the psychoeducational intervention after it has been refined using findings from Study Phase I. It is expected this phase will enroll 100 participants. In this study, participants will complete survey questions and will be randomly assigned to either receive the intervention (consisting of 4 coaching sessions with a study clinician, a comprehensive patient education guidebook, and a coaching session workbook) or enhanced usual care (consisting of an information resource guide for navigating information online). It is expected that about 120 people will take part in this research study.


Recruitment information / eligibility

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

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
PATHWAYS
The PATHWAYS intervention is a psychoeducational intervention comprised of three components.
Other:
Enhanced usual care
The enhanced usual care condition consists of an information resource guide.

Locations

Country Name City State
United States Massachusetts General Hospital Boston Massachusetts

Sponsors (1)

Lead Sponsor Collaborator
Massachusetts General Hospital

Country where clinical trial is conducted

United States, 

Outcome

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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