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Mind-Body Intervention in Glioma Couples

Not Applicable
Active, not recruiting
Conditions
Low Grade Glioma
Malignant Glioma
Metastatic Malignant Neoplasm in the Brain
Glioblastoma
Partner
WHO Grade III Glioma
Interventions
Other: Quality-of-Life Assessment
Procedure: Mind-Body Intervention Procedure
Other: Questionnaire Administration
Registration Number
NCT03244995
Lead Sponsor
M.D. Anderson Cancer Center
Brief Summary

This trial studies how well a couple-based mind body program works in improving spiritual, psychosocial, and physical quality of life in patients with high or low grade glioma or tumors that have spread to the brain and their partners. A couple-based mind body program may help to improve spiritual well-being, sleep difficulties, depressive symptoms, and overall quality of life in patients with glioma or tumors that have spread to the brain and their partners.

Detailed Description

PRIMARY OBJECTIVES:

I. Examine the feasibility of the couple-based mind-body (CBMB) program in patients with high grade glioma (HGG) and their partners.

II. Establish the initial efficacy of the CBMB program in patients and their partners regarding spiritual (primary), psychological and physical quality of life (QOL) (secondary) outcomes relative to a waitlist control (WLC) group.

EXPLORATORY OBJECTIVES:

I. Explore potential mediation (i.e., mindfulness, compassion, holding back, and intimacy) and moderation (e.g., baseline medical, demographic and psychosocial factors) effects of the intervention.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I (CBMB PROGRAM): Patients undergo CBMB program consisting of 4-5 deep-breathing and meditation exercise sessions over 60 minutes and 2 weekly telephone calls over 15 minutes for 6 weeks. Patients also complete questionnaires regarding health, mood, sleeping habits, relationship, health care, work productivity, and quality of life.

GROUP II (WAITLIST CONTROL): Patients complete questionnaires as in Group I. Patients may undergo CBMB program after completion of study.

After completion of study, patients are followed up at 3 months.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
74
Inclusion Criteria
  • PATIENT ONLY: Patients with a diagnosis of HGG or low grade glioma (LGG), based on radiographic or pathologic diagnosis of grade III or IV listed in the medical records, or patients with a malignancy that has metastasized to the brain
  • PATIENT ONLY: Patients must be within 1 month of initiating or having undergone any type of cancer treatment (i.e., surgery, radiotherapy, chemotherapy)
  • PATIENT ONLY: Karnofsky performance status (KPS) of 80 or above
  • PATIENT ONLY: Having a spouse/romantic partner (including same-sex) and who is willing to participate
  • PATIENT & PARTNER: Able to read and speak English
  • PATIENT & PARTNER: Able to provide informed consent
  • PATIENT & PARTNER: Have access to internet connectivity
Exclusion Criteria
  • PATIENT ONLY: Regularly (self-defined) participation in psychotherapy or a formal cancer support group
  • PATIENT ONLY: Cognitive deficits that would impede the completion of self-report instruments as deemed by the clinical team

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group II (waitlist control)Quality-of-Life AssessmentPatients complete questionnaires as in Group I. Patients may undergo CBMB program after completion of study.
Group I (CBMB program)Mind-Body Intervention ProcedurePatients undergo CBMB program consisting of 4-5 deep-breathing and meditation exercise sessions over 60 minutes and 2 weekly telephone calls over 15 minutes for 6 weeks. Patients also complete questionnaires regarding health, mood, sleeping habits, relationship, health care, work productivity, and quality of life.
Group I (CBMB program)Quality-of-Life AssessmentPatients undergo CBMB program consisting of 4-5 deep-breathing and meditation exercise sessions over 60 minutes and 2 weekly telephone calls over 15 minutes for 6 weeks. Patients also complete questionnaires regarding health, mood, sleeping habits, relationship, health care, work productivity, and quality of life.
Group I (CBMB program)Questionnaire AdministrationPatients undergo CBMB program consisting of 4-5 deep-breathing and meditation exercise sessions over 60 minutes and 2 weekly telephone calls over 15 minutes for 6 weeks. Patients also complete questionnaires regarding health, mood, sleeping habits, relationship, health care, work productivity, and quality of life.
Group II (waitlist control)Questionnaire AdministrationPatients complete questionnaires as in Group I. Patients may undergo CBMB program after completion of study.
Primary Outcome Measures
NameTimeMethod
Feasibility of couple-based mind-body program (CBMB) as determined by overall accrualUp to 6 weeks

Trial considered feasible if 50% of eligible couples consent. Will calculate rates, frequencies, and 90% confidence intervals (CIs), as applicable.

CBMB program efficacyUp to 6 weeks

Will calculate effect sizes for pairwise between-group comparisons of intervention outcomes at T2. Will test for between-group differences in the change of scores between T1 and T2 using analysis of variance.

Feasibility of CBMB program as determined by attritionUp to 6 weeks

Trial considered feasible if 80% of enrolled couples complete T1 and T2 assessments. Will calculate rates, frequencies, and 90% CIs, as applicable.

Feasibility of CBMB program as determined by adherenceUp to 6 weeks

Trial considered feasible if 50% of all sessions are attended. Will calculate rates, frequencies, and 90% CIs, as applicable.

Feasibility of CBMB program as determined by acceptabilityUp to 6 weeks

Trial considered feasible if \> 75% of patients in the CBMB group rate the intervention as acceptable. Will calculate rates, frequencies, and 90% CIs, as applicable.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

M D Anderson Cancer Center

🇺🇸

Houston, Texas, United States

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