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Comparing Telephone Symptom Monitoring Interventions for Managing Symptoms and Psychological Distress During Oral Anti-Cancer Treatment
Sponsor: NRG Oncology
Summary
In this clinical trial, symptom monitoring (interactive voice response \[IVR\] is compared to automated telephone symptom management \[ATSM\] and telephone interpersonal counseling \[TIPC\]) for reducing symptom burden and psychological distress (depressive and anxiety symptoms) among people receiving oral anti-cancer treatment. Symptoms are the number one driver of treatment interruptions and unscheduled health services use. To reduce the risk of these events, symptom monitoring and management are necessary. However, these services are not implemented routinely, especially in the community oncology settings. Further, depressive and anxiety symptoms are a key barrier to enacting symptom self-management strategies. IVR is a form of symptom monitoring where patients, when called, enter their symptom ratings over the phone. Their symptom summary is sent to their provider, and patients may be advised to reach out to their oncology provider, based on their symptoms. The ATSM intervention combines IVR assessments with a Symptom Management and Survivorship educational handbook with self-management strategies. Patients receiving ATSM enter their symptom ratings over the phone and have their symptoms reported to their provider, but patients are also directed to the handbook for strategies to manage elevated symptoms. Patients receiving ATSM who report being anxious, discouraged, or sad will also receive TIPC, which targets psychological distress and its connection to social support and interpersonal communication. Information gathered from this study may help researchers learn more about the best ways to manage patient symptoms and improve patient outcomes.
Official title: Managing Symptoms and Psychological Distress During Oral Anti-Cancer Treatment
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
600
Start Date
2024-10-14
Completion Date
2028-05-01
Last Updated
2026-02-13
Healthy Volunteers
Yes
Interventions
Counseling
Receive TIPC
Health Education
Receive handbook
Interview
Ancillary studies
Medical Chart Review
Ancillary studies
Monitoring
Receive IVR symptom monitoring
Questionnaire Administration
Ancillary studies
Locations (34)
Cancer Center at Saint Joseph's
Phoenix, Arizona, United States
CARTI Cancer Center
Little Rock, Arkansas, United States
Phoebe Putney Memorial Hospital
Albany, Georgia, United States
Augusta Oncology Associates PC-D'Antignac
Augusta, Georgia, United States
Augusta University Medical Center
Augusta, Georgia, United States
Queen's Cancer Cenrer - POB I
Honolulu, Hawaii, United States
Queen's Medical Center
Honolulu, Hawaii, United States
Queen's Cancer Center - Kuakini
Honolulu, Hawaii, United States
The Queen's Medical Center - West Oahu
‘Ewa Beach, Hawaii, United States
John H Stroger Jr Hospital of Cook County
Chicago, Illinois, United States
Carle at The Riverfront
Danville, Illinois, United States
Carle Physician Group-Effingham
Effingham, Illinois, United States
Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, United States
Carle Cancer Center
Urbana, Illinois, United States
Central Care Cancer Center - Garden City
Garden City, Kansas, United States
University Medical Center New Orleans
New Orleans, Louisiana, United States
Lake Regional Hospital
Osage Beach, Missouri, United States
University of New Mexico Cancer Center
Albuquerque, New Mexico, United States
AnMed Health Cancer Center
Anderson, South Carolina, United States
Medical University of South Carolina
Charleston, South Carolina, United States
Prisma Health Cancer Institute - Butternut
Greenville, South Carolina, United States
Prisma Health Cancer Institute - Faris
Greenville, South Carolina, United States
Prisma Health Greenville Memorial Hospital
Greenville, South Carolina, United States
Prisma Health Cancer Institute - Eastside
Greenville, South Carolina, United States
Langlade Hospital and Cancer Center
Antigo, Wisconsin, United States
Aspirus Medford Hospital
Medford, Wisconsin, United States
Aspirus Cancer Care - James Beck Cancer Center
Rhinelander, Wisconsin, United States
Aspirus Cancer Care - Stevens Point
Stevens Point, Wisconsin, United States
Aspirus Regional Cancer Center
Wausau, Wisconsin, United States
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids, Wisconsin, United States
Puerto Rico Hematology Oncology Group
Bayamón, Puerto Rico
Doctors Cancer Center
Manatí, Puerto Rico
Centro Comprensivo de Cancer de UPR
San Juan, Puerto Rico
PROncology
San Juan, Puerto Rico