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Trial Title: COMpassion FOcused Therapy and Breathing Pattern REtraining After Cancer Recurrence

NCT ID: NCT05518591

Condition: Psychological Distress
Cancer Recurrence

Conditions: Official terms:
Recurrence

Study type: Interventional

Study phase: N/A

Overall status: Unknown status

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Compassion Focused Therapy (CFT) combined with Breathing Pattern Retraining (BPR)
Description: Study participants in the experimental arm of the study are being asked to take part in a 6-week, virtual, psychological therapy group involving compassion focused therapy and breathing pattern retraining. This group involves exercises in practicing self-compassion, emotional regulation, and breathing retraining. Each group session lasts less than two hours, per week.
Arm group label: CFT & BPR

Summary: The purpose of this study is to investigate how effective a particular psychological intervention is at reducing psychological distress for people who were diagnosed with cancer 'recurrence' since the beginning of the COVID pandemic.

Detailed description: This study plans to study how effective a particular psychological intervention is at reducing psychological distress for people who were diagnosed with cancer 'recurrence' since the beginning of the pandemic, having previously been diagnosed with cancer. We know that a cancer diagnosis can often result in significant psychological distress. After or during treatment for cancer, individuals often experience a 'fear of recurrence', which should it occur, often results in a state of mental anguish that is described as being more punishing than the initial diagnosis itself. Being diagnosed with a cancer recurrence diagnosis can trigger marked negative psychological symptoms, including distress, uncertainty, traumatic distress and adjustment problems, with psychological recovery from this diagnosis often being slower than that of the initial cancer diagnosis. The COVID-19 pandemic has affected these patients further, in terms of restricted access to healthcare, reduced social supports, and greater levels of treatment uncertainty. Our research team has designed a psychological intervention that is specifically aimed to help some of these issues. It's a 6-week online group intervention using a 'compassion focused therapy' approach, coupled with specialised breathing techniques to reduce bodily distress. It is being done online due to ongoing concerns around COVID but also to eliminate geographical and/or commuting barriers. It is our expectation that those receiving the psychological intervention will experience noticeable reductions in measures of psychological distress compared to those who are receiving regular treatment. It is our hope that the outcomes of this study will inform how best to help patients facing into cancer recurrence at a national level.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - adults aged 18 or older - pre-existing cancer diagnosis - diagnosis of cancer recurrence during COVID-19 (March 2020 onwards) - Living in Ireland - English speaking / fluency - Access to web / tech support Exclusion Criteria: - A score <4 on the Distress Thermometer - Patient non-consent - The presence of a severe mental illness (such as schizophrenia, personality disorder or active illness) - Known or suspected drug or alcohol abuse problems within past 3 months - Inability to follow the study procedures e.g. dementia or non-fluency of English - Life expectancy <3 months

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Mater Misericordiae University Hospital

Address:
City: Dublin
Country: Ireland

Status: Recruiting

Contact:
Last name: Donal Brennan, PhD

Phone: 01 716 4576
Email: donal.brennan@ucd.ie

Investigator:
Last name: Donal Brennan, PhD
Email: Principal Investigator

Investigator:
Last name: Sinead Lynch, PhD
Email: Sub-Investigator

Investigator:
Last name: Damien Lowry, PhD
Email: Sub-Investigator

Investigator:
Last name: Yvonne O'Meara, Msc
Email: Sub-Investigator

Start date: March 25, 2022

Completion date: June 2023

Lead sponsor:
Agency: University College Dublin
Agency class: Other

Collaborator:
Agency: Mater Misericordiae University Hospital
Agency class: Other

Collaborator:
Agency: Irish Cancer Society
Agency class: Other

Source: University College Dublin

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05518591

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