Comparing Telephone Symptom Monitoring Interventions for Managing Symptoms and Psychological Distress During Oral Anti-Cancer Treatment

Description

In this clinical trial, symptom monitoring (interactive voice response \[IVR\] is compared to automated telephone symptom management \[ATSM\] and telephone interpersonal counseling \[TIPC\]) for reducing symptom burden and psychological distress (depressive and anxiety symptoms) among people receiving oral anti-cancer treatment. Symptoms are the number one driver of treatment interruptions and unscheduled health services use. To reduce the risk of these events, symptom monitoring and management are necessary. However, these services are not implemented routinely, especially in the community oncology settings. Further, depressive and anxiety symptoms are a key barrier to enacting symptom self-management strategies. IVR is a form of symptom monitoring where patients, when called, enter their symptom ratings over the phone. Their symptom summary is sent to their provider, and patients may be advised to reach out to their oncology provider, based on their symptoms. The ATSM intervention combines IVR assessments with a Symptom Management and Survivorship educational handbook with self-management strategies. Patients receiving ATSM enter their symptom ratings over the phone and have their symptoms reported to their provider, but patients are also directed to the handbook for strategies to manage elevated symptoms. Patients receiving ATSM who report being anxious, discouraged, or sad will also receive TIPC, which targets psychological distress and its connection to social support and interpersonal communication. Information gathered from this study may help researchers learn more about the best ways to manage patient symptoms and improve patient outcomes.

Conditions

Hematopoietic and Lymphoid System Neoplasm, Malignant Solid Neoplasm

Study Overview

Study Details

Study overview

In this clinical trial, symptom monitoring (interactive voice response \[IVR\] is compared to automated telephone symptom management \[ATSM\] and telephone interpersonal counseling \[TIPC\]) for reducing symptom burden and psychological distress (depressive and anxiety symptoms) among people receiving oral anti-cancer treatment. Symptoms are the number one driver of treatment interruptions and unscheduled health services use. To reduce the risk of these events, symptom monitoring and management are necessary. However, these services are not implemented routinely, especially in the community oncology settings. Further, depressive and anxiety symptoms are a key barrier to enacting symptom self-management strategies. IVR is a form of symptom monitoring where patients, when called, enter their symptom ratings over the phone. Their symptom summary is sent to their provider, and patients may be advised to reach out to their oncology provider, based on their symptoms. The ATSM intervention combines IVR assessments with a Symptom Management and Survivorship educational handbook with self-management strategies. Patients receiving ATSM enter their symptom ratings over the phone and have their symptoms reported to their provider, but patients are also directed to the handbook for strategies to manage elevated symptoms. Patients receiving ATSM who report being anxious, discouraged, or sad will also receive TIPC, which targets psychological distress and its connection to social support and interpersonal communication. Information gathered from this study may help researchers learn more about the best ways to manage patient symptoms and improve patient outcomes.

Managing Symptoms and Psychological Distress During Oral Anti-Cancer Treatment

Comparing Telephone Symptom Monitoring Interventions for Managing Symptoms and Psychological Distress During Oral Anti-Cancer Treatment

Condition
Hematopoietic and Lymphoid System Neoplasm
Intervention / Treatment

-

Contacts and Locations

Phoenix

Cancer Center at Saint Joseph's, Phoenix, Arizona, United States, 85004

Augusta

Augusta University Medical Center, Augusta, Georgia, United States, 30912

Chicago

John H Stroger Jr Hospital of Cook County, Chicago, Illinois, United States, 60612

Danville

Carle at The Riverfront, Danville, Illinois, United States, 61832

Effingham

Carle Physician Group-Effingham, Effingham, Illinois, United States, 62401

Mattoon

Carle Physician Group-Mattoon/Charleston, Mattoon, Illinois, United States, 61938

Urbana

Carle Cancer Center, Urbana, Illinois, United States, 61801

Garden City

Central Care Cancer Center - Garden City, Garden City, Kansas, United States, 67846

Osage Beach

Lake Regional Hospital, Osage Beach, Missouri, United States, 65065

Albuquerque

University of New Mexico Cancer Center, Albuquerque, New Mexico, United States, 87106

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * PRACTICES: All institutions participating in the practice are National Cancer Institute Community Oncology Research Program (NCORP) affiliates or sub-affiliates.
  • * PRACTICES: Administer oral therapy to at least 40 patients per year that meet protocol eligibility criteria.
  • * PRACTICES: Completion and submission of the NRG-CC012CD Letter of Intent (LOI) (posted on the Cancer Trials Support Unit \[CTSU\] website).
  • * PRACTICES: Having a social worker licensed in behavioral counseling or other person eligible for behavioral licensing in the practice's State or Territory (if licensure is required by State or Territory) who can be trained to deliver TIPC or willingness of practice to work with TIPC intervener obtained by the study team.
  • * PRACTICE PERSONNEL: Age ≥ 18 years.
  • * PRACTICE PERSONNEL: Planned to be involved in usual care for at least one enrolled patient during patient's participation in the study.
  • * PRACTICE PERSONNEL: For a social worker or other behavioral health professional who will deliver TIPC intervention, licensure, or eligibility for licensure in behavioral counseling if required by the State or Territory.
  • * PRACTICE PERSONNEL: The practice personnel must provide study-specific informed consent prior to study entry.
  • * RETAIN PRACTICE PARTICIPATION: In order to maintain participation in the study, practices must enroll at least 8 patients in the first 6 months (based upon the practice's monthly tracking reports) the practice is open to patient accrual to ensure that the practice can meet the accrual goals. If a practice does not meet this criterion they will be replaced.
  • * RETAIN PRACTICE PARTICIPATION: Complete monthly forms on actions taken on IVR symptom reports. If fewer than 2 forms are completed in the first 6 months of practice's participation, practice will be replaced.
  • * RETAIN PRACTICE PARTICIPATION: Participate in monthly study calls for the duration of practice's participation in the study.
  • * PATIENTS: Starting a new course of an oral anti-cancer agent (the list of agents is posted to the CTSU website) other than sex hormone inhibitors, within 4 weeks after registration or have started an oral anti-cancer agent in the past 4 weeks.
  • * PATIENTS: All concomitant medications and supportive care treatments are acceptable.
  • * PATIENTS: Age ≥ 18 years.
  • * PATIENTS: Able to speak and understand English or Spanish.
  • * PATIENTS: Access to a telephone and ability to answer questions via telephone in English or Spanish.
  • * PATIENTS: The patient must provide study-specific informed consent prior to study entry and authorization permitting release of personal health information.
  • * PRACTICES: Active telephone symptom management program at the practice that is beyond symptom and oral agent adherence monitoring.
  • * PATIENTS: Current treatment with immune checkpoint inhibitor.
  • * PATIENTS: Only receiving treatment with sex hormone inhibitors.
  • * PATIENTS: Enrollment in the intervention arm of another symptom management trial at intake into the trial. Participation in lifestyle trials with primary outcomes other than symptoms is acceptable.
  • * PATIENTS: Currently receiving regular behavioral counseling for psychological symptoms. Regular behavioral counseling is defined as at least two counseling sessions with a behavioral health care provider scheduled within the past two months. Patients who completed behavioral counseling within 2 months prior to registration are eligible. Behavioral counseling for issues other than psychological symptoms (e.g., as part of weight loss or smoking cessation program) is not an exclusion criterion.

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

Yes

Collaborators and Investigators

NRG Oncology,

Alla Sikorskii, PRINCIPAL_INVESTIGATOR, NRG Oncology

Study Record Dates

2028-05-01