A pilot trial of the iCanADAPT Advanced Program, an internet Cognitive Behaviour Therapy (iCBT) program for the treatment of depression and anxiety in ambulatory advanced-stage cancer patients.
- Conditions
- Mental Health - DepressionMental Health - AnxietyDepressionAnxietyCancerCancer - Any cancer
- Registration Number
- ACTRN12616001645448
- Lead Sponsor
- St. Vincent's Hospital, Sydney
- Brief Summary
The pilot trial showed that the intervention (internet CBT) was helpful and acceptable to people with advanced cancer. This is good news. There were problems though as many of the participants got sicker (from their physical health/ cancer), so we may need to alter the format of the course a little. Further trials may be needed.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- All
- Target Recruitment
- 31
Adults, aged over 18 years old with no maximum age
Self-identified as suffering from depression and/or anxiety and have online questionnaire scores indicating a clinical level of anxiety and/or depression on the Hospital Anxiety and Depression Scale (HADS). Results of telephone diagnostic interview consistent with one, or more, diagnoses of Major Depressive Disorder (MDD), Generalised Anxiety Disorder (GAD), Panic Disorder (PD) or Agoraphobia (Ag), Illness Anxiety Disorder (IAD), or Adjustment disorder (adj).
Presence of current advanced-stage cancer will be based on self-report. Participants must be prepared to provide name/location of primary cancer care centre.
Prepared to provide own name, phone number and address.
Prepared to provide the name and address of a local general practitioner.
Prepared to provide written informed consent.
English language skills equivalent to a School Certificate level.
Have access to a phone and a computer with internet and a printer.
Mental health exclusion criteria will include psychosis, bipolar disorder, substance abuse or dependence and current suicidality,
Cancer related exclusion criteria will include:
- Early-stage cancer patients or cancer survivors (i.e., localised cancer, no current cancer). The rational being that the iCanADAPT Advanced Program is specifically designed for advanced-stage cancer i.e., cancer with no curative intention to treat.
- Being within the first 6 weeks of de novo metastatic cancer diagnosis or initial diagnosis of recurrence of cancer. The rationale being that the program is not designed to address the immediate shock/distress of a cancer diagnosis; instead it is aimed to address clinical depression and clinical anxiety states
- Brain cancer/malignancy. The rationale being that intracranial neoplasm and their associated treatments regularly cause cognitive impairment and burdening a patient with an online modality of CBT would be a poor choice.
- Current hospitalisation.
- Physical Health status exclusion will be an ECOG (Eastern Cooperative Oncology Group) performance status of greater than 1 (Oken et al., 1982).
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method
- Secondary Outcome Measures
Name Time Method