Stepped Care - Optimising Psycho-oncological Care Provision by Structured Screening and Diagnosis

Not Applicable

Completed

• Conditions: Cancer
• Interventions: Other: Stepped Care

• Registration Number: NCT01859429
• Lead Sponsor: University of Leipzig

Brief Summary

The study will examine whether the provision of psychosocial support services for cancer patients in acute care can be optimized by the use of a structured combination of screening procedures with physician interviews and structured patient pathways.

There is strong evidence that a third of all cancer patients in acute care are suffering from mental health conditions and that a third expresses the need for professional psycho-oncological support.

However, physicians and nurses do not always identify these patients in need for support. Screening questionnaires are significantly better to identify distressed patients however the use of screenings alone does not necessarily improve the patients' emotional well-being.

Purpose of this study is to evaluate a psychosocial stepped care model which aims to decrease the patients' distress.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-04
• Study First Submitted: 2013-05-17
• Study First Submitted QC: 2013-05-17
• Study First Posted: 2013-05-21
• Primary Completion: 2014-12
• Study Completion: 2015-03
• Status Verified: 2018-06
• Last Update Submitted: 2018-06-20
• Last Update Posted: 2018-06-25

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1012

Inclusion Criteria

• patients in acute care for cancer
• written informed consent
• 18 years and older
• ability to complete questionnaires

Exclusion Criteria

• insufficient command of German

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Stepped Care	Stepped Care	Structured stepped requirement of psychosocial support

Primary Outcome Measures

Name	Time	Method
Mental condition	from baseline until 6 months	Hospital Anxiety and Depression Scale, HADS

Secondary Outcome Measures

Name	Time	Method
Social functioning	from baseline until 6 months	Role Functioning Subscale, EORTC QLQ-C30
Satisfaction with treatment	at discharge from acute care hospital, 6 months after admission to acute care hospital	Quality of Care from the Patients Perspective, QPP
Comorbid mental disorders	at discharge from acute care hospital, 6 months after admission to acute care hospital	Structured Clinical Interview for DSM-IV, SCID
Use of healthcare services	6 months after admission to acute care hospital	Questionnaire from the German Federal Health Survey (Bundesgesundheitssurvey)

Trial Locations

Locations (1)

University of Leipzig, Dept. Psychosomatic Medicine and Psychotherapy; 🇩🇪 Leipzig, Germany