A Patient-Controlled Cognitive-Behavioral Intervention for Cancer Symptoms

Completed · Not applicable

Conditions studied: Pain, Fatigue, Sleep Disturbance, Cancer

In brief

Patients receiving treatment for advanced cancer often experience co-occuring pain, fatigue, and sleep disturbance that are not relieved with medications. Brief cognitive-behavioral coping strategies such as relaxation or imagery have been shown to be useful for these symptoms individually and may be effective for the cluster of co-occuring pain, fatigue, and sleep disturbance. Because single cognitive-behavioral strategies don't work equally well for all persons, providing training in multiple cognitive-behavioral strategies is necessary. However, oncology nurses report having insufficient time and are often not available to deliver the interventions exactly when patients experience symptom exacerbation. This application proposes a patient-controlled cognitive-behavioral (PC-CB) intervention, using an MP3 player to deliver recorded cognitive-behavioral strategies. The PC-CB intervention would allow patients to select from a variety of cognitive-behavioral strategies based on their personal preferences, and facilitate self-administration of those strategies at whatever time and place the symptoms occur, without increasing burden on nursing staff. Primary aims are (1) to explore acceptability and patterns of use of the recorded cognitive-behavioral strategies and (2) to pilot test efficacy of the PC-CB intervention compared to a waitlist control.

Key facts

Study ID

NCT00946803

Run by

University of Wisconsin, Madison

People needed

86

Starts

2009-07-01

Expected to finish

2011-01-01

Last updated by the study team

2014-04-30

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Advanced (metastatic/recurrent) lung, prostate, colorectal, or GYN cancer.
• Currently receiving chemotherapy or radiation treatments.
• Worst pain, fatigue, sleep disturbance rated 3 or greater on 0 - 10 scale.

You may not qualify if…

• Pain that is post-operative (< 3 months since surgery) or neuropathic in etiology.
• Hospitalized for psychiatric reasons within the last 3 months.
• Unable to read, write, or understand English.
• Diagnosis of confusion or cognitive impairment that would preclude completion of study procedures.

Where it is running

• University of Wisconsin Carbone Cancer Center — Madison, Wisconsin, United States

Full record on ClinicalTrials.gov

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