A Study of Mental Health Care in People With Cancer
Study Details
Study Description
Brief Summary
The purpose of this study is to look at mental health services for adults with depressed mood who were diagnosed with cancer at the age of 65 or older. This study will compare the usual approach for connecting older adults with depressed mood to mental health services with the Open Door for Cancer (OD-C) approach. We will find out if the OD-C approach is practical and useful for cancer patients who participate in the intervention and for providers who see or treat cancer patients.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Open Door for Cancer (OD-C) OD-C includes five components delivered in three 30-minute telephone or videoconference visits over six weeks and one booster telephone call. All sessions are audio-recorded. |
Other: 30-minute telephone or videoconference sessions
Includes five components delivered in three 30-minute telephone or videoconference visits over six weeks and one booster telephone call. All sessions are audio-recorded. The five components are:
Provide education about depression and treatment options
Identify treatment preferences and a personal goal achievable with mental health care
Assess barriers to treatment initiation
Recommend a referral using standardized referral options
Address barriers to accessing care
|
| Active Comparator: Usual Care Participants assigned to Usual Care (n=50) will receive standard care. MSK's current usual care for distress screening is that all patients are screened for distress when they initiate care at MSK. Additional distress screening is conducted based on the determination of the oncology team. In addition, patients are referred to social work, psychology, and/or psychiatry based on the judgment of the oncology team. |
Other: Questionnaires
Patient demographic characteristics, Clinical variables, Cornell Service Index-Short Form (CSI), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder scale-7 (GAD-7), Client Satisfaction Questionnaire (CSQ-8), Intention to Seek Help Scale, Health Beliefs about Mental Illness Instrument (HBMII) - Emotional/Nervous Severity Scale, Health Beliefs about Mental Illness Instrument (HBMII) - Emotional/Nervous Benefits Scale, Barriers to Mental Health Services Scale-Revised, Cues to action, Self-Efficacy to Seek Mental Health Care (SE-SMHC)
Other: Interviews
Interviews will be conducted by the qualitative methods specialist and trained study staff and will last 30-45 minutes.
|
Outcome Measures
Primary Outcome Measures
- Refusal rates [2 years]
≥75% of eligible patients enroll in the study
- Attrition rates [2 years]
≥80% of patients who enroll complete all study procedures
Secondary Outcome Measures
- Treatment satisfaction [2 years]
Client Satisfaction Questionnaire-8 mean score of ≥3
Eligibility Criteria
Criteria
Inclusion Criteria:
Patients
-
Per medical record, diagnosed with breast, colorectal, lung, or prostate cancer at age 65 years or older
-
Per medical record, undergoing active cancer treatment (e.g., radiation, chemotherapy, immunotherapy, surgery) or within six months of completing treatment
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Score of ≥3 on the Patient Health Questionnaire-2 (PHQ-2)
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Per self-report, fluent in English** ** Language verification: Prior to enrollment, patients will be asked the following two questions by a Clinical Research Coordinator (CRC) to verify English fluency necessary for participation in the study:
-
How well do you speak English? (must respond "very well" or "well" when given the choices of Very well, Well, Not well, Not at all, Don't know, or Refused)
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What is your preferred language for healthcare? (must respond English)
Providers
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Per self-report, works in oncology, nursing, social work, psychology, or psychiatry
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Per self-report, currently works in oncology at least 50% of the time
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Per self-report, provided cancer care for at least three years at time of consent
-
Per self-report, fluent in English
Exclusion Criteria:
Patients
-
Severely cognitively impaired as demonstrated by Blessed Orientation Memory Concentration scores of ≥ 11
-
Per research staff judgment and/or self-report, too ill or weak to complete study procedures
-
Per medical record and/or self-report, receiving hospice care at the time of enrollment
-
Per medical record and/or self-report, currently enrolled in mental health treatment
Providers
- N/A
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Memorial Sloan Kettering Cancer Center | New York | New York | United States | 10065 |
Sponsors and Collaborators
- Memorial Sloan Kettering Cancer Center
- Weill Medical College of Cornell University
Investigators
- Principal Investigator: Kelly McConnell, PhD, Memorial Sloan Kettering Cancer Center
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 23-218