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Trial Title: An Informational and Supportive Care Intervention for Patients With Locally Advanced Rectal Cancer

NCT ID: NCT05914766

Condition: Rectal Cancer
Self Efficacy

Conditions: Official terms:
Rectal Neoplasms

Conditions: Keywords:
total neoadjuvant therapy
locally advanced rectal cancer
self efficacy
psychoeducational
multimodality treatment

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Intervention model description: Participants will be randomized to either the intervention or enhanced usual care. Randomization will be stratified by treatment sequence (e.g., chemotherapy first vs. concurrent chemoradiation first).

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: PATHWAYS
Description: The PATHWAYS intervention is a psychoeducational intervention comprised of three components.
Arm group label: Study Phase I: PATHWAYS Intervention
Arm group label: Study Phase II: PATHWAYS Intervention

Intervention type: Other
Intervention name: Enhanced usual care
Description: The enhanced usual care condition consists of an information resource guide.
Arm group label: Study Phase I: Enhanced Usual Care
Arm group label: Study Phase II: Enhanced Usual Care

Summary: The aim of this study is to evaluate the efficacy of a brief psychoeducational intervention to improve the self-efficacy of patients with locally advanced rectal cancer who are initiating multimodality treatment (e.g., total neoadjuvant therapy).

Detailed description: This is a randomized control trial that will be split into two phases. Study Phase I will test the feasibility and acceptability of a study evaluating a psychoeducational intervention relative to a control condition for improving self-efficacy in patients with locally advanced rectal cancer who are initiating multimodality treatment. It is expected that this phase will enroll 20 participants. Study Phase II will test the efficacy of the psychoeducational intervention after it has been refined using findings from Study Phase I. It is expected this phase will enroll 100 participants. In this study, participants will complete survey questions and will be randomly assigned to either receive the intervention (consisting of 4 coaching sessions with a study clinician, a comprehensive patient education guidebook, and a coaching session workbook) or enhanced usual care (consisting of an information resource guide for navigating information online). It is expected that about 120 people will take part in this research study.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Ageā‰„18 years 2. Within 4 weeks after documented decision to pursue multi-modality therapy for newly diagnosed LARC (i.e., stage II or III disease) 3. Able to complete study procedures English or with the assistance of an interpreter Exclusion Criteria: 1. Comorbid health condition that would interfere with study participation, as identified by cancer care team 2. Has undergone treatment for a prior colorectal cancer

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Massachusetts General Hospital

Address:
City: Boston
Zip: 02114
Country: United States

Status: Recruiting

Contact:
Last name: Kelsey Lau-Min, MD, MSCE

Phone: 617-724-4000
Email: klau-min@mgh.harvard.edu

Investigator:
Last name: Kelsey Lau-Min, MD, MSCE
Email: Principal Investigator

Start date: September 21, 2023

Completion date: September 2026

Lead sponsor:
Agency: Massachusetts General Hospital
Agency class: Other

Source: Massachusetts General Hospital

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05914766

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