RecruitingNot ApplicableNCT04537936

Psychotherapy Intervention for Latinos With Adv Cancer

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

Sponsor

Memorial Sloan Kettering Cancer Center

Enrollment

285 participants

Start Date

Jan 1, 2019

Study Type

INTERVENTIONAL

Conditions

Solid Tumor Solid Tumor, Adult Solid Tumor, Unspecified, Adult

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 Criteria29

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
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
Phase 5: Pilot RCT
Diagnosed with stages III or IV solid tumor cancer
Age 18 or older
Latino/a or Hispanic ethnicity
Fluent in oral Spanish (monolingual or bilingual)
Scores above the threshold for the Distress Thermometer (DT≥4)
Agrees to be audio-recorded

Exclusion Criteria15

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.
Phase 5: Pilot RCT
Diagnosed with a major disabling medical
Diagnosed with a major disabling 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 of 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.