Breast Neoplasms, Neoplasm Metastasis
Conditions
Keywords
logotherapy, cognitive behavior therapy, metastatic breast cancer
Brief summary
The investigators group has piloted a 6-week psycho-educational program, Growing Resiliency And CouragE with Cancer™ (GRACE), that bring together a variety of strategies and experiences from an inter-professional perspective to mitigate distress among patients with an advanced cancer diagnosis. GRACE is a six-session, empirically anchored intervention emphasizing a Logotherapy (Existential Therapy) and Cognitive-Behavioral Therapy approach involving psycho-education and process-oriented experiences. The curriculum includes themes illustrated via PowerPoint slides with semi-structured delivery, video presentations, a variety of mindfulness meditation practices, and selected readings that serve to reflect and capture the theme for the week of the curriculum.
Interventions
OTHERGrowing Resiliency And CouragE with Cancer™ (GRACE)
GRACE is a 6 week curriculum which includes themes illustrated via PowerPoint slides with semi-structured delivery, video presentations, a variety of mindfulness meditation practices, and selected readings that serve to reflect and capture the theme for the week of the curriculum.
Sponsors
Cedars-Sinai Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Women with metastatic cancer with a minimum prognosis of 3 months * Existential or spiritual concerns * Reasonable medical stability as assessed by the evaluating physician * Commits to attending 5/6 of the GRACE classes * English speaking * Ability to understand and the willingness to sign a written informed consent.
Exclusion criteria
* Unstable psychiatric disorder that would detract from a group program (i.e. severe depression/anxiety not controlled medically, volatile personality disorders) * Cognitive impairment or cognitive linguistic impairment (i.e., aphasia) that would interfere with a group program.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| GRACE's Impact on Existential Distress (measured by survey) | Baseline to 6 weeks after baseline |
Secondary
| Measure | Time frame |
|---|---|
| GRACE's Impact on Existential Distress (measured by survey) | Baseline to 10 weeks after baseline |
| GRACE's Impact on anxiety (measured by survey) | Baseline to 6 weeks after baseline |
| GRACE's Impact on depression (measured by survey) | Baseline to 6 weeks after baseline |
| GRACE's Impact on hopelessness (measured by survey) | Baseline to 6 weeks after baseline |
| GRACE's Impact on loneliness (measured by survey) | Baseline to 6 weeks after baseline |
Countries
United States
Outcome results
None listed