Meaning-Centered Psychotherapy at Home

Active, not recruiting

• Conditions: Psychology, Social; Nurse-Patient Relations
• Interventions: Behavioral: Treatment As Usual/TAU; Behavioral: Meaning-Centered Psychotherapy/MCP-PC; Behavioral: Meaning-Centered Psychotherapy/MCP-PC Training

• Registration Number: NCT05495737
• Lead Sponsor: Memorial Sloan Kettering Cancer Center

Brief Summary

The purpose of this study is to train nurses from the VNS Health Visiting Nurse Service to deliver Meaning-Centered Psychotherapy for Palliative Care Patients (MCP-PC) to homebound people, and to evaluate how effective MCP-PC is for people with cancer.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-08-08
• Study First Submitted: 2022-08-08
• Study First Submitted QC: 2022-08-08
• Study First Posted: 2022-08-10
• Status Verified: 2025-04
• Last Update Submitted: 2025-04-16
• Last Update Posted: 2025-04-20
• Primary Completion: 2025-08-08
• Study Completion: 2025-08-08

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 81

Inclusion Criteria

Nurses (all phases):

• Per self-report, providing direct care services at VNS Health
• Per self-report, fluent in English**
• Per self-report, is age 18 or older

Patients (all phases):

• Per health record and/or self-report, is a patient in the VNS Health home health agency division (post-acute care)

• Per health record and/or self-report, is age 18 or older

• Per health record, has a cancer diagnosis and a rating of ≥ 2 on Symptom Control Scale

• Per health record and/or self-report, fluent in English**

• Has a score of ≥ 4 on Callahan cognitive screener

• Has a score of ≥ 4 on Distress Thermometer (N/A for Training Case Participants)

  • Language verification: For both nurses and patients, prior to enrollment, all will be asked the following two questions by a Clinical Research Coordinator (CRC) to verify

English fluency necessary for participation in the study:

1. How well do you speak English? (must respond "very well" or "well" when given the choices of Very well, Well, Not well, Not at all, Don't know, or Refused)
2. What is your preferred language for healthcare? (must respond English)

Participant

Exclusion Criteria

Nurses (all phases):

• Per self-report, planning to leave position at VNS Health in the next 6 months

Patients (all phases):

• Per health record and/or self-report, has a diagnosis of Alzheimer's, dementia, or other organic brain disorder and in the judgment of the PIs is unable to meaningfully participate.
• Per health record, has impaired decision-making capacity
• Per health record and/or self-report, is permanently placed in a nursing home
• Per health record and/or self-report, is currently receiving Hospice care

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Phase 2: Patient Participants Treatment As Usual/TAU Intervention Arm	Treatment As Usual/TAU	n=35
Phase 2: Patient Participants Meaning-Centered Psychotherapy/MCP-PC Intervention Arm	Meaning-Centered Psychotherapy/MCP-PC	n=35
Phase 2: Nurse Participants	Meaning-Centered Psychotherapy/MCP-PC Training	n=8-10 nurses
Phase 1: Nurse Participants	Meaning-Centered Psychotherapy/MCP-PC Training	n=8-10 nurses
Phase 1: Patient Participants	Meaning-Centered Psychotherapy/MCP-PC	n=8-10 patients

Primary Outcome Measures

Name	Time	Method
MPI Competency Ratings	2 years	Phase I portion: To refine the MCP-PC training and study procedures for homecare delivery by nurse interventionists as determined by providers' MPI Competency Ratings

Trial Locations

Locations (2)

Visiting Nurse Service of NY; 🇺🇸 New York, New York, United States

Memorial Sloan Kettering Cancer Center (All Protocol Activities); 🇺🇸 New York, New York, United States