Maximizing Utilization of Depression Screening in Lung Cancer Patients: A Randomized Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 241
- Locations
- 2
- Primary Endpoint
- Degree of patient satisfaction with interaction as measured by Medical Interview Satisfaction Scale
Study Overview
Brief Summary
RATIONALE: Screening tests may help doctors find depression in patients with lung cancer, allow doctors to recommend treatment for depression, and improve the patient's quality of life.
PURPOSE: This randomized clinical trial is studying how well depression screening works when the results are or are not shared with patients with lung cancer and their doctor.
Detailed Description
OBJECTIVES:
Primary
- Determine the impact of depression screening in patients with lung cancer when the results of the screening are made available to the patient, the physician, both, or neither on detection of depression, provision of depression treatment recommendations, and the quality of the doctor-patient interaction from the patient's perspective.
Secondary
- Determine psychological and demographic subsets for the impact of depression screening in these patients when the results of the screening are made available to the patient, the physician, both, or neither on the detection of depression, provision of depression treatment recommendations, and the quality of the doctor-patient interaction from the patient's perspective.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Masking
- Double (Participant, Investigator)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •DISEASE CHARACTERISTICS:
- •Diagnosis of lung cancer
- •Prescreening distress thermometer score > 3
- •Zung Self-Rating Depression Scale (ZSDS) score ≥ 44
- •No ZSDS response indicating suicidality
- •PATIENT CHARACTERISTICS:
- •Able to understand English
- •No evidence of cognitive dysfunction that would impair giving consent
- •PRIOR CONCURRENT THERAPY:
- •Not specified
Exclusion Criteria
- Not provided
Arms & Interventions
Arm I (control)
Arm I (control): Patients complete screening questionnaires about their mood and experience with lung cancer once before and once after a visit with their physician. Neither the patient nor physician receives the screening results before the visit.
Intervention: counseling intervention (Other)
Arm I (control)
Arm I (control): Patients complete screening questionnaires about their mood and experience with lung cancer once before and once after a visit with their physician. Neither the patient nor physician receives the screening results before the visit.
Intervention: screening questionnaire administration (Other)
Arm I (control)
Arm I (control): Patients complete screening questionnaires about their mood and experience with lung cancer once before and once after a visit with their physician. Neither the patient nor physician receives the screening results before the visit.
Intervention: study of socioeconomic and demographic variables (Other)
Arm I (control)
Arm I (control): Patients complete screening questionnaires about their mood and experience with lung cancer once before and once after a visit with their physician. Neither the patient nor physician receives the screening results before the visit.
Intervention: psychosocial assessment and care (Procedure)
Arm II
Arm II: Patients complete screening questionnaires as in arm I. Only the patient receives the screening results before their visit with the physician; the physician remains blinded to the results.
Intervention: counseling intervention (Other)
Arm II
Arm II: Patients complete screening questionnaires as in arm I. Only the patient receives the screening results before their visit with the physician; the physician remains blinded to the results.
Intervention: screening questionnaire administration (Other)
Arm II
Arm II: Patients complete screening questionnaires as in arm I. Only the patient receives the screening results before their visit with the physician; the physician remains blinded to the results.
Intervention: study of socioeconomic and demographic variables (Other)
Arm II
Arm II: Patients complete screening questionnaires as in arm I. Only the patient receives the screening results before their visit with the physician; the physician remains blinded to the results.
Intervention: psychosocial assessment and care (Procedure)
Arm III
Arm III: Patients complete screening questionnaires as in arm I. Only the physician receives the screening results before their visit with the patient; the patient remains blinded to the results.
Intervention: counseling intervention (Other)
Arm III
Arm III: Patients complete screening questionnaires as in arm I. Only the physician receives the screening results before their visit with the patient; the patient remains blinded to the results.
Intervention: screening questionnaire administration (Other)
Arm III
Arm III: Patients complete screening questionnaires as in arm I. Only the physician receives the screening results before their visit with the patient; the patient remains blinded to the results.
Intervention: study of socioeconomic and demographic variables (Other)
Arm III
Arm III: Patients complete screening questionnaires as in arm I. Only the physician receives the screening results before their visit with the patient; the patient remains blinded to the results.
Intervention: psychosocial assessment and care (Procedure)
Arm IV
Arm IV: Patients complete screening questionnaires as in arm I. Both physician and patient receive the screening results before the visit.
All patients and physicians are notified of the screening results before the patient leaves the clinic. All patients are offered supportive counseling.
Intervention: counseling intervention (Other)
Arm IV
Arm IV: Patients complete screening questionnaires as in arm I. Both physician and patient receive the screening results before the visit.
All patients and physicians are notified of the screening results before the patient leaves the clinic. All patients are offered supportive counseling.
Intervention: screening questionnaire administration (Other)
Arm IV
Arm IV: Patients complete screening questionnaires as in arm I. Both physician and patient receive the screening results before the visit.
All patients and physicians are notified of the screening results before the patient leaves the clinic. All patients are offered supportive counseling.
Intervention: study of socioeconomic and demographic variables (Other)
Arm IV
Arm IV: Patients complete screening questionnaires as in arm I. Both physician and patient receive the screening results before the visit.
All patients and physicians are notified of the screening results before the patient leaves the clinic. All patients are offered supportive counseling.
Intervention: psychosocial assessment and care (Procedure)
Outcomes
Primary Outcomes
Degree of patient satisfaction with interaction as measured by Medical Interview Satisfaction Scale
Time Frame: 2 years
Number of treatment recommendations for depression made as measured by checklist of recommendations for depression treatment
Time Frame: 2 years
Overall patient experience as measured by Patient Experience Questionnaire
Time Frame: 2 years
Secondary Outcomes
- Psychological and demographic subsets of patients(2 years)