Attention and Interpretation Modification (AIM) for Fear of Cancer Recurrence: An Intervention Development Study
Overview
- Phase
- N/A
- Intervention
- AIM materials and assessments
- Conditions
- Breast Cancer
- Sponsor
- Memorial Sloan Kettering Cancer Center
- Enrollment
- 252
- Locations
- 1
- Primary Endpoint
- Develop and refine materials (iThrive and iTrack)
- Status
- Active, Not Recruiting
- Last Updated
- 8 days ago
Overview
Brief Summary
The purpose of this study is to test, customize, and personalize a mobile app-based intervention program in order to help rare and breast cancer survivors cope with fears of cancer recurrence.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Phases 1 \& 2:
- •Breast cancer survivors
- •Hx of early-stage breast cancer (DCIS and Stages I, II and III)as recorded in the medical record at MSK or by self-report or by outside correspondence, including a study checklist signed by a physician for patients outside of MSK.
- •≥ 3 months post completion of breast cancer treatment (may be on hormone therapy, such as tamoxifen) with no history of recurrence or metastasis as confirmed by the medical record at MSK, self- report or by outside correspondence
- •Age 18 or older
- •Able to read and speak English
- •An overall fear index score of ≥ 3.0 on the CARS
- •If taking medication for mood, anxiety, depression, thoughts, sensory experiences such as hallucinations, or sleep, stable and consistent enough in dosage and use of that medication so as to not result in a clinically significant change as determined by the study PI/co-PI or confirmed by reports in the medical record at MSK or by self-report or by outside correspondence, including a study checklist signed by a physician for patients outside of MSK
- •If in non-CBT psychotherapy, stable for at least 8 weeks
- •Access to a computer or willingness to come to MSK to complete intervention sessions 2-8 and the 3-month follow-up assessment, if no personal computer.
Exclusion Criteria
- •Phases 1 \& 2:
- •Evidence of or treatment for a second primary of cancer EXCEPT basal or squamous cell carcinoma of the skin as confirmed by the EMR, by self-report, or by outside correspondence
- •Significant psychiatric or cognitive disturbance sufficient, to preclude providing informed consent or participating in the interventions (i.e., acute psychiatric symptoms which require individual treatment) as determined by the study PI/co-PI or confirmed by the EMR or by self-report or by outside correspondence
- •Current participation in cognitive-behavioral therapy (CBT), as confirmed by either self-report\* or the EMR, also targets cognitive biases.
- •Evidence of or treatment for a second primary cancer EXCEPT basal or squamous cell carcinoma of the skin as confirmed by the medical record at MSK, by self-report, or by outside correspondence
- •Metastatic disease
- •Score of \</= SDs below the mean on the Neuro-QOL-Short Form or other indicators of significant cognitive impairment of psychiatric disturbance that, in the PI's judgment, precludes participation; and currently receiving cognitive-behavioral therapy.
- •Metastatic disease as per the EMR or self-report.
- •Score of ≤ 2 SDs below mean of the Neuro-QoL- Short Form or other indicators of significant cognitive impairment or psychiatric disturbance that, in the PI's judgment, precludes participation; and currently receiving cognitive-behavioral therapy.
- •Participants will be invited to complete assessments of salivary cortisol and/or EEG as part of Phase 4, Part 3 study activities. Those who decline completion of these assessments will still be eligible to participate in the study.
Arms & Interventions
Breast cancer survivors and Rare cancer survivors
This is a Cycle for Survival and Center for Translational Science Center (CTSC)-funded intervention development and pilot clinical trial of a psychosocial intervention to address fear of cancer recurrence in breast cancer survivors (BCS) and rare cancer survivors (RCS). BCS form the largest survivor cohort of any cancer, with approximately 2.5 million living in the United States. About 50 percent of people with cancer have a rare cancer. Even though they account for about half of all cancer diagnoses when combined, research aimed at supporting RCS is sparse, leaving RCS with limited support after treatment.
Intervention: AIM materials and assessments
Outcomes
Primary Outcomes
Develop and refine materials (iThrive and iTrack)
Time Frame: 1 year
This will involve development of a mobile app-based intervention program (based on our results from Phase 1 and 2 and preliminary work conducted by Beard et al.) that targets fear of cancer recurrence for breast, rare gynecological, rare melanoma and skin, long-term adult pediatric, and other rare cancer survivors.
Secondary Outcomes
- Determine feasibility, usability, acceptability(1 year)
- Preliminary Efficacy(1 year)