RecruitingNot ApplicableNCT04015609

Psychotherapy Intervention for Latinos With Advanced Cancer

Adaptation and Pilot Feasibility of a Psychotherapy Intervention for Latinos With Advanced Cancer


Sponsor

Memorial Sloan Kettering Cancer Center

Enrollment

190 participants

Start Date

Apr 20, 2015

Study Type

INTERVENTIONAL

Conditions

Summary

The purpose of this study is to adapt a counseling intervention called Meaning Centered Psychotherapy to make it culturally relevant for Latinos. Cancer affects patients and their loved ones. Latinos often experience greater challenges due to the cancer. However, few studies and interventions focus on Latinos. We are interested in understanding what affects Latino patients' quality of life, and how to improve it


Eligibility

Min Age: 18 Years

Inclusion Criteria22

  • Phase I: Quantitative
  • Diagnosed with stages III or IV solid tumor cancer *(as per self report for ICCAN patients)
  • Age 18 or older
  • As per self report, Latino/a or Hispanic ethnicity
  • As per self report, fluent in oral Spanish (monolingual) or fluent in oral Spanish and English (bilingual)
  • Phase 2: Qualitative
  • Enrolled in the quantitative phase of study (as seen above)
  • Completes the quantitative phase questionnaire package
  • Scores above or below the threshold for the Distress Thermometer (DT≥4 or ≤3)
  • In the judgment of the investigator, willing and able to be interviewed in Spanish only
  • Agrees to be audio- recorded
  • Phase 3: Provider Feedback
  • Professionals working in the mental health field;
  • Have a caseload of five or more Latino cancer patients per month
  • Able to communicate and read in Spanish
  • Agrees to be audio or video-recorded
  • Phase 4: Patient Feedback
  • Diagnosed with stages III or IV solid tumor cancer *(as per self report for ICCAN patients)
  • Age 18 or older
  • As per self report, Latino/a or Hispanic ethnicity
  • In the judgment of the investigator, willing and able to be interviewed in Spanish only
  • Agrees to be audio-recorded

Exclusion Criteria10

  • Phase 1: Quantitative
  • In the judgment of the treating physician and/or the consenting professional, presence of significant cognitive impairment (i.e., delirium or dementia) sufficient to preclude meaningful informed consent and/or data collection
  • In the judgment of the consenting professional, significant or major disabling medical or psychiatric condition sufficient to preclude meaningful informed consent, interview, or completion of assessment measures (patients whose psychiatric disorder is well controlled by treatment will be eligible)
  • Phase 2: Qualitative
  • In the judgment of the treating physician and/or the consenting professional, presence of significant cognitive impairment (i.e., delirium or dementia) sufficient to preclude meaningful informed consent and/or data collection
  • In the judgment of the consenting professional, significant or major disabling medical or psychiatric condition sufficient to preclude meaningful informed consent, interview, or completion of assessment measures (patients whose psychiatric disorder is well controlled by treatment will be eligible)
  • Phase 4: Patient Feedback
  • Diagnosed with a major disabling medical or psychiatric condition
  • Unable to understand the consent procedure
  • Too ill to participate, all as reported by the patient and/or determined by the investigator's judgment.

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Interventions

BEHAVIORALMeaning Centered Psychotherapy for Latinos

MCP-L consists of seven-60 minute-individual sessions. The seven sessions are expected to be delivered every week or every two weeks over a span ot 7-14 weeks.

BEHAVIORALFunctional Assessment of Cancer Therapy - Spiritual Well-Being Scale

Determines the degree of spiritual well-being

BEHAVIORALMeaning Centered Psychotherapy for Latinos for Waitlist Control Patients

Waitlist Control Patients in the control condition will be allocated to a waitlist group to receive the intervention approximately three months after randomization.

BEHAVIORALPre-assessment questionnaire

Which includes 10 standardized scales Assessment/Evaluation Plan, Phase 1, 4 - Quantitative Measure Questionnaire).The interview guide will inquire about the comprehension and acceptability of, and alternative options for, these intervention components.


Locations(4)

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Ralph Lauren Center for Cancer Care and Prevention

New York, New York, United States

Lincoln Medical and Mental Health Center

The Bronx, New York, United States

Ponce Health Sciences University

Ponce, Puerto Rico

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NCT04015609


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