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Trial Title: Group Meaning-Centered Psychotherapy for the Improvement of Wellbeing in Caregivers of Patients with Advanced Cancer

NCT ID: NCT06630351

Condition: Advanced Malignant Solid Neoplasm

Study type: Interventional

Study phase: N/A

Overall status: Enrolling by invitation

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Behavioral Counseling
Description: Participate in MCP-C
Arm group label: Supportive Care (MCP-C)

Other name: Behavior Counseling

Other name: Behavioral Psychotherapy

Intervention type: Other
Intervention name: Discussion
Description: Participate in virtual group discussions
Arm group label: Supportive Care (MCP-C)

Other name: Discuss

Intervention type: Other
Intervention name: Health Promotion and Education
Description: Receive reading exercises and workbook materials
Arm group label: Supportive Care (MCP-C)

Intervention type: Other
Intervention name: Interview
Description: Ancillary studies
Arm group label: Supportive Care (MCP-C)

Intervention type: Other
Intervention name: Questionnaire Administration
Description: Ancillary studies
Arm group label: Supportive Care (MCP-C)

Summary: This clinical trial assesses the acceptability and feasibility of a virtual group Meaning-Centered Psychotherapy for Cancer Caregivers (MCP-C) and its effect in improving the wellbeing of caregivers of patients with advanced cancer. Caregivers often suffer from significant existential distress, which includes feelings of hopelessness, demoralization, burden, loss of meaning and dignity, and a decreased will to live. MCP-C seeks to help caregivers connect to meaning and purpose despite the challenges of caregiving and helps caregivers understand how sources of meaning may help with symptoms of burden and reduce despair. Participating in MCP-C may help improve sense of personal meaning, spiritual well-being, and mood in caregivers of patients with advanced cancer.

Detailed description: PRIMARY OBJECTIVES: I. Determine feasibility as measured by total number of caregivers enrolled in 1 year, adherence. II. Determine acceptability as measured by satisfaction with the research process, as measured by the Was It Worth It (WiWi 2.0) questionnaire. III. To evaluate preliminary efficacy of group MCP-C for personal meaning as measured by Life Attitude Profile-Revised (LAP-R), spiritual wellbeing as measured by Functional Assessment of Chronic Illness Therapy (FACIT) Spiritual Well-Being Scale (SWBS), depression and anxiety symptoms as measured by Hospital Anxiety and Depression Scale (HADS), meaning in caregiving as measured by Attitudes Towards Caregiving Scale (ATCS), social support as measured by Duke-University of North Carolina (UNC) Functional Social Support Questionnaire (FSSQ), benefit finding as measured by Benefit Finding Scale (BFS). IV. Determine participants' perceptions of their experience with the intervention, including potential benefits they experienced, which components had the greatest impact, and whether they would suggest any changes to the intervention. OUTLINE: Caregivers participate in MCP-C virtual group discussion sessions over 90 minutes each and complete reading exercises and workbook assignments once weekly for 8 weeks throughout the study. After completion of study intervention, caregivers are followed up at 2 months.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age >= 18 years - English fluency - No diagnosed severe cognitive impairment - Caregiver of a patient with diagnosis of advanced, solid tumor cancer (stage III/stage IV) - Provide written (paper or electronic) informed consent - Ability to complete questionnaire(s) by themselves or with assistance - Patient baseline distress score >= 4/10 - Have ability to utilize the technology to participate in virtual groups Exclusion Criteria: - As determined through self-report, those diagnosed with a history of a psychotic episode will be excluded - Other psychological co-morbidities such as untreated schizophrenia, bipolar disease - Cognitive impairment likely to interfere with participation

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: Accepts Healthy Volunteers

Locations:

Facility:
Name: Mayo Clinic in Florida

Address:
City: Jacksonville
Zip: 32224-9980
Country: United States

Facility:
Name: Mayo Clinic in Rochester

Address:
City: Rochester
Zip: 55905
Country: United States

Start date: September 12, 2024

Completion date: September 12, 2026

Lead sponsor:
Agency: Mayo Clinic
Agency class: Other

Source: Mayo Clinic

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06630351
https://www.mayo.edu/research/clinical-trials

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