Maximizing Utilization of Depression Screening in Lung Cancer Patients: A Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 241
- 试验地点
- 2
- 主要终点
- Degree of patient satisfaction with interaction as measured by Medical Interview Satisfaction Scale
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- 未提供
研究组 & 干预措施
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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: 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.
干预措施: psychosocial assessment and care (Procedure)
结局指标
主要结局
Degree of patient satisfaction with interaction as measured by Medical Interview Satisfaction Scale
时间窗: 2 years
Number of treatment recommendations for depression made as measured by checklist of recommendations for depression treatment
时间窗: 2 years
Overall patient experience as measured by Patient Experience Questionnaire
时间窗: 2 years
次要结局
- Psychological and demographic subsets of patients(2 years)