Colonic Neoplasms
Conditions
Keywords
Colonic neoplasms, Older adults, Psychosocial Intervention, Chemotherapy adherence
Brief summary
The purpose of this study is to develop and pilot test a behavioral intervention for elderly adults in treatment for colon cancer, to enhance their skills for managing the challenges of completing chemotherapy regimens. The investigators will assess feasibility and acceptability of the intervention, and explore preliminary efficacy of the intervention for reducing psychological distress and improving rates of optimal chemotherapy adherence.
Interventions
Two or three one-hour sessions of an individual behavioral intervention led by a doctoral-level licensed psychologist during the first 12 weeks of chemotherapy. Intervention addresses modifiable behaviors for managing chemotherapy challenges.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 60 or older * Verbal fluency in English * Diagnosis of colon cancer * Scheduled to initiate chemotherapy treatment for colon cancer
Exclusion criteria
* Active, unstable, untreated serious mental illness interfering with ability to participate * Cognitive impairment interfering with ability to participate * Receiving radiotherapy concomitant with chemotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Participant satisfaction with intervention structure, timing and content | At approximately 12 weeks post-baseline | Participants rate acceptability of structure, timing and content of intervention using Likert-type response scales, and are also invited to provide brief qualitative feedback on opinions about intervention. |
| Number of participants who withdraw from study after enrollment | At approximately 12 weeks post-baseline | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in the Hospital Anxiety and Depression Scale | At approximately 12 weeks post-baseline | — |
| Change from baseline in the Symptom Distress Scale | At approximately 12 weeks post-baseline | The 13-item Symptom Distress Scale (SDS)measures physical and psychological symptom-related distress. |
| Proportion of each chemotherapy component administered during the treatment regimen relative to the total planned amount | At approximately 24 weeks post-baseline | — |
Countries
United States