Modifying psychologicAl Treatment to the CHaracteristics and needs of cancer survivors.

Authors
Category Primary study
JournalOverview of Medical Research in the Netherlands
Year 2019
INTERVENTION: The control group will receive standard, non‐personalized psychological treatment for either fatigue, depressive symptoms or anxiety symptoms. This treatment will consist of existing evidence‐based treatment protocols for depression, fear of cancer recurrence or fatigue in patients with cancer. The intervention group will receive personalized psychological treatment, in which the existing evidence‐based treatment protocols for depression, fear of cancer recurrence or fatigue in patients with cancer will be tailored on four levels: (a) treatment indication; (b) treatment form; (c) focus and content of treatment; (d) treatment duration. In both groups, treatment will be provided by well‐trained psychologists. CONDITION: Psychological symptoms, cancer‐related fatigue, personalized treatment, ecological momentary assessment (EMA), cancer survivors. Psychische klachten, vermoeidheid bij patiënten met kanker, gepersonaliseerde behandeling, EMA‐metingen, overlevenden na kanker. PRIMARY OUTCOME: Patient functioning SECONDARY OUTCOME: ‐ Symptom level ; o Fatigue ; o Depressive symptoms ; o Fear of cancer recurrence ; ‐ Quality of life ; ‐ Goal attainment ; ‐ Number of therapy sessions ; ‐ Therapist time per patient ; ‐ Dropout rate INCLUSION CRITERIA: ‐ Be ≥ 18 years old ‐ Be able to speak and read Dutch ‐ Be diagnosed with: o Esophageal cancer treated with esophagectomy o Hematological malignancy treated with allogeneic stam cell transplantation o Breast cancer ‐ Be at least six months and maximum 3 years after end of primary treatment with curative intent. ‐ Have no disease activity at time of inclusion in the study. ‐ Report either severe fatigue (Checklist Individual Strength ‐ Fatigue, cutoff ≥ 35 subscale fatigue severity) , severe fear of cancer recurrence (6‐item Cancer Worry Scale, cutoff ≥ 10) of severe depressive symptoms (Beck Depression Inventory Primary Care, cutoff ≥ 4), from which they experience functional impairments (Work and Social Adjustment Scale (W&SAS), cutoff ≥ 10).
Epistemonikos ID: 71dd3a1051a9113f1d8e2a140f53acd085370170
First added on: Aug 25, 2024