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Advanced CancerNCT03823313

Feasibility, Acceptability and Preliminary Effects of the Spiritual Care Assessment and Intervention

A study testing SCAI (Spiritual Care Assessment and Intervention) in people with Advanced Cancer and Metastatic Cancer, run by Indiana University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to test a spiritual care intervention for adults with advanced cancer and their caregivers. This intervention will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Read more about this study

Who is it for?
Ages 18 years and olderHealthy volunteers can take part
Conditions the study is for
Advanced Cancer, Metastatic Cancer
What is being tested?
SCAI (Spiritual Care Assessment and Intervention)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
42 participants
Where
1 siteUnited States
Study dates
10 Dec 2018to 28 Aug 2019
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Patient is at least 18 years of age.
  • Patient is at least 2 weeks post-diagnosis of an incurable and advanced stage (IV) lung, colorectal, GI neuroendocrine and Hepatobiliary, testicular and esophageal solid malignancy and receiving cancer care at IU Simon Cancer Center.
  • Patient is willing and able to consent, has a reliable phone and willing to participate in 4 sessions of 30 (+/- 5) minutes per session.
  • Patient has a family member or eligible friend considered to be a caregiver and interested in participating in the study.
  • Patient has adequate English fluency for completion of data collection.
  • Family Caregiver (FCG) is at least 18 years of age.
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  • Family Caregiver (FCG) has been invited to participate in the trial with a patient who meets eligibility criteria above.
  • Family Caregiver (FCG) is willing and able to consent and to participate in 4 sessions of 30 (+/- 5) minutes per session
  • Family Caregiver (FCG) has adequate English fluency for completion of data collection.

Who cannot join

  • Patient makes 3 or more errors on a validated 6-item cognitive screener (Appendix A) or exhibits significant psychiatric or cognitive impairment (e.g., dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.
  • Currently receiving hospice care (patients who enroll in hospice during the trial will have the option of continuing trial participation).
  • Family Caregiver (FCG) exhibits significant psychiatric or cognitive impairment (e.g., dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Indiana University Melvin & Bren Simon Cancer Center

    Indianapolis, Indiana, 46202

Other trials in United States

About this study

Official title: Feasibility, Acceptability and Preliminary Effects of the Spiritual Care Assessment and Intervention (SCAI) Framework for Adults With Advanced Cancer and Their Caregivers (FCGs): A Clinical Pilot Trial

The purpose of this study is to test a spiritual care intervention for adults with advanced cancer and their caregivers. This intervention will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Participants will be asked to complete questionnaires and participate in 4 sessions with research chaplains.

Read the detailed description

Several studies have shown that cancer affects multiple dimensions of a patient's life as well as the lives of caregivers and others close to the patient who, when faced with life crises, may use religion and spirituality (R/S) to cope. This study is the first of its kind to incorporate a semi-structured spiritual care and intervention (SCAI) framework into the spiritual care of advanced cancer patients while maintaining proper controls in order to investigate its feasibility, acceptability and potential effects on the emotional and spiritual outcomes of advanced cancer patients and their caregivers. This framework will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Additionally, not only will this study assess acceptability and feasibility of the intervention, it will also track and document coping, satisfaction, anxiety, depression, quality of life outcomes and follow-up with both patient and caregivers following Spiritual Care Assessment and Intervention (SCAI).

Specific Aim 1: To evaluate the feasibility and acceptability of the SCAI intervention for adults with advanced cancer and their caregivers.

Specific Aim 2: To establish our ability to collect outcome data to support a future efficacy trial for patients and their caregivers in the outpatient clinic and home setting.

Specific Aim 3: To test the preliminary impact of the SCAI intervention on patient and caregiver spiritual wellbeing (primary outcome) and quality of life, religious coping, depression, and anxiety (secondary outcomes)

Being tested
SCAI (Spiritual Care Assessment and Intervention)
Keywords
Spiritual Care, Religion, Spirituality, Caregiver
Medical subject headings
Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • SCAI (Spiritual Care Assessment and Intervention)Behavioural

    4 sessions completed with an IU Health chaplain using a framework of questions called the Spiritual Care Assessment And Intervention tool. The weekly sessions will focus on one of the 4 areas of spiritual experience (meaning and purpose, relationships, transcendence and peace, self-worth and identity)

Study groups in NCT03823313
Study groupRoleWhat they receive
Spiritual Care Assessment and InterventionExperimentalNot described
Receives: Behavioral: SCAI (Spiritual Care Assessment and Intervention)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Rate of enrollment

    number of eligible patients that are consented and enrolled in the trial

    Measured: from recruitment to enrollment (i.e. up to 30 days)

  2. Attendance Rate

    proportion of participants who attend all four intervention sessions

    Measured: 4 weeks

  3. Mean Satisfaction Score

    satisfaction score among participants on the satisfaction survey

    Measured: 4 weeks

  4. Functional assessment of chronic illness therapy-Spiritual Well-being Scale Scores

    Total score at baseline will be compared to score at to the score at 1 week, 6 weeks, and 3 months

    Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months

Secondary outcomes (9)
  1. Percentage of completed baseline surveys

    percentage of completed baseline surveys in enrolled patients

    Measured: baseline

  2. Percentage of completed follow up surveys

    Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months

  3. McGrill Quality of Life Questionnaire score

    Measure of patient quality of life through total score at baseline compared to score at 1 week, 6 weeks, and 3 months

    Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months

  4. Caregiver Quality of Life Index-Cancer Questionnaire score

    Measure of caregiver quality of life through total score at baseline compared to score at 1 week, 6 weeks, and 3 months

    Measured: baseline, 1 week, 6 weeks, 3 months

  5. Caregiver Quality of Life Index-Cancer Questionnaire score

    Measure of caregiver quality of life through total score at baseline compared to score at 1 week, 6 weeks, and 3 months

    Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months

  6. Generalized Anxiety Disorder Scale Scores

    Measure of Anxiety through total score at baseline compared to score at 1 week, 6 weeks, and 3 months

    Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months

  7. Patient Health Questionnaire Depression Scale (PHQ-8)

    Measure of depression through total score at baseline compared to score at 1 week, 6 weeks, and 3 months

    Measured: baseline, 1 week, 6 weeks, 3 months

  8. Brief RCOPE score

    Measure of coping through total score at baseline compared to score at 1 week, 6 weeks, and 3 months

    Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months

  9. Intervention Satisfaction Questionnaire score

    Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Jan 2019
  2. Study start10 Dec 2018
  3. Primary completion28 Aug 2019
  4. Study completion28 Aug 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03823313
Sponsor's protocol ID
IUSCC-0665
Status last verified
Feb 2020
First submitted
29 Jan 2019
Last updated
13 Feb 2020
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing SCAI (Spiritual Care Assessment and Intervention) in people with Advanced Cancer and Metastatic Cancer, run by Indiana University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 13 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Rate of enrollment (time frame: from recruitment to enrollment (i.e. up to 30 days)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Feb 2020.

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