Beating the blues after Cancer: randomised controlled trial of a tele-based psychological intervention for high distress patients and carers
1 Griffith Institute for Health and Medical Research, Griffith University, Brisbane, Australia
2 Viertel Centre for Research in Cancer Control, Cancer Council Queensland, Brisbane, Australia
3 Centre for Health Research & Psycho-oncology, Cancer Council NSW & University of Newcastle, Newcastle, Australia
4 School of Medicine, University of Queensland, Brisbane, Australia
5 Deakin Health Economics, Deakin University, Melbourne, Australia
BMC Cancer 2009, 9:189 doi:10.1186/1471-2407-9-189Published: 17 June 2009
The diagnosis and treatment of cancer is a major life stress such that approximately 35% of patients experience persistent clinically significant distress and carers often experience even higher distress than patients. This paper presents the design of a two arm randomised controlled trial with patients and carers who have elevated psychological distress comparing minimal contact self management vs. an individualised tele-based cognitive behavioural intervention.
140 patients and 140 carers per condition (560 participants in total) will been recruited after being identified as high distress through caller screening at two community-based cancer helplines and randomised to 1) a single 30-minute telephone support and education session with a nurse counsellor with self management materials 2) a tele-based psychologist delivered five session individualised cognitive behavioural intervention. Session components will include stress reduction, problem-solving, cognitive challenging and enhancing relationship support and will be delivered weekly. Participants will be assessed at baseline and 3, 6 and 12 months after recruitment. Outcome measures include: anxiety and depression, cancer specific distress, unmet psychological supportive care needs, positive adjustment, overall Quality of life.
The study will provide recommendations about the efficacy and potential economic value of minimal contact self management vs. tele-based psychologist delivered cognitive behavioural intervention to facilitate better psychosocial adjustment and mental health for people with cancer and their carers.