Pathways, a Hope Intervention to Support Personal Goal Pursuit, Mental Health, and Quality of Life During Advanced Lung Cancer Treatment
Study Details
Study Description
Brief Summary
This study will compare the effects of a brief supportive intervention, called Pathways, against enhanced usual care on the mental health and quality of life of people undergoing treatment for advanced lung cancer. Patients will complete baseline survey measures and be randomized to intervention. Survey measures will be collected again mid-intervention, post-intervention and at 6- and 12-week follow-up, with analyses focused on changes pre- to post-intervention.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Pathways Pathways focuses on increasing patient hope to support personal goal pursuit during treatment for advanced lung cancer. |
Behavioral: Pathways
Delivered by a nurse or other healthcare provider, includes 2 in-person sessions, and phone check-ins, and occurs primarily during infusion visits. Includes a Pathways Toolkit with handouts on values and goal setting, as well as resources on symptom management, lung cancer stigma, communication strategies, and other cancer center resources.
|
| Active Comparator: Enhanced Usual Care Enhanced Usual Care focuses on providing patients with education around common lung cancer concerns (e.g., pain and fatigue management) and resources to support them (e.g., supportive services available nationally and at the treating cancer center). |
Behavioral: Enhanced Usual Care
Pathways Toolkit handouts on symptom management, lung cancer stigma, communication strategies, and other cancer center resources provided to participants. The Toolkit will be reviewed with patients in person to orient them to its purpose and contents.
|
Outcome Measures
Primary Outcome Measures
- Change in PROMIS Depression Short Form Scores [12 weeks (Baseline, Post-Intervention)]
Depression symptoms will be measured using the PROMIS Depression Short Form 6a: 6 items are responded to on a scale of 1 = never to 5 = always. Raw scores range from 6 to 30. Higher scores indicate more depression.
- Change in State Hope scores [12 weeks (Baseline, Post-Intervention)]
Hope will be measured using Snyder's State Hope Scale. 6 items responded to on a scale of 1 = definitely false to 8 = definitely true. Raw scores range from 6 to 48. Items are summed for a total score. Higher scores indicate higher hope.
Secondary Outcome Measures
- Change in PROMIS Anxiety Short Form Scores [12 weeks (Baseline, Post-Intervention)]
Anxiety symptoms are measured using the PROMIS Anxiety Short Form 4a. 4 items are responded to on a scale of 1 = never to 5 = always. Raw scores range from 4 to 20. Higher scores indicate more anxiety.
- Change in Demoralization Scale II Scores [12 weeks (Baseline, Post-Intervention)]
Demoralization symptoms are measured using the Demoralization Scale II: 16 items are responded to on a scale of 0 = never to 2 = always; Raw scores range from 0-32. Higher scores indicate more demoralization.
- Change in PROMIS 15a positive affect scores [12 weeks (Baseline, Post-Intervention)]
Positive affect is measured using the PROMIS 15a positive affect form. Higher scores indicate more positive affect. Items are responded to on a scale of 1 = never to 5 = always. Raw scores range from 15 to 45. Higher scores indicate more positive affect.
- Change in FACIT-Spiritual Well-being Meaning/Peace Subscale Scores [12 weeks (Baseline, Post-Intervention)]
Meaning/Peace is measured using the FACIT-Spiritual Well-being Meaning/Peace Subscale. 8 items are responded to on a scale of 0 = not at all to 4 = very much. Raw scores range from 0-32. Higher scores indicate more meaning/peace.
- Change in FACT-G7 Quality of Life Scores [12 weeks (Baseline, Post-Intervention)]
Quality of Life is measured using the FACT-G7. 7 items are responded to on a scale of 0 = not at all to 4 = very much to assess physical, emotional, and functional wellbeing. Raw scores range from 0 to 28. Higher scores indicate better quality of life.
- Change in PROMIS Satisfaction with Participation in Social Roles 8a Short Form Scores [12 weeks (Baseline, Post-Intervention)]
Satisfaction with Social Activities and Roles is measured using the ROMIS Satisfaction with Participation in Social Roles 8a Short Form. 8 items are responded to on a scale of 1 = not at all to 5 = very much. Raw scores range from 8 to 40. Higher scores indicate better function.
Eligibility Criteria
Criteria
Inclusion Criteria:
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New or recurrent AJCC 8th edition stage 3b, 3c, or IV non-small cell lung cancer, extensive stage small cell lung cancer
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18 years of age or older
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Eastern Cooperative Oncology Group (ECOG) performance status 0-2/Karnofsky 60-100
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3-12 weeks into systemic, infusion-based treatment (chemotherapy, immunotherapy, chemo-immunotherapy)
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Past month distress score (per electronic health record) of 3/10 or higher OR a Rotterdam Symptom item score of 2 or higher for psychological distress items.
Exclusion Criteria:
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Unstable brain metastases (i.e., progressive neurological deficits, inadequately controlled seizures, or requiring escalated steroid doses)
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Cognitive (i.e., dementia) or psychiatric condition (e.g., psychotic disorder) for which participating would be inappropriate
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Receiving overlapping palliative care or psychological services at the cancer center
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Unable to speak and read English.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | University of Kentucky | Lexington | Kentucky | United States | 40506 |
Sponsors and Collaborators
- Laurie McLouth
- National Cancer Institute (NCI)
Investigators
- Principal Investigator: Laurie McLouth, PhD, University of Kentucky
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 87901
- 1R01CA283929-01