Nurse-Patient Relations, Psychology, Social
Conditions
Keywords
Meaning Centered Psychotherapy, Meaning Centered Psychotherapy for Palliative Patients, 22-019, Memorial Sloan Kettering Cancer Center
Brief summary
The purpose of this study is to train nurses from the VNS Health Visiting Nurse Service to deliver Meaning-Centered Psychotherapy for Palliative Care Patients (MCP-PC) to homebound people, and to evaluate how effective MCP-PC is for people with cancer.
Interventions
BEHAVIORALMeaning-Centered Psychotherapy/MCP-PC Training
Two-Day MCP-PC Training for Nurses (including mock patient/simulation with actor) with a Pre- and Post-Training Assessment
BEHAVIORALMeaning-Centered Psychotherapy/MCP-PC
3 sessions, completed over the course of 3-6 weeks in the participant's home
BEHAVIORALTreatment As Usual/TAU
Research team will provide: 1. feedback about level of distress at time of screening 2. local referral for psychological care
Sponsors
Memorial Sloan Kettering Cancer Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Participant Inclusion Criteria: Nurses (all phases): * Per self-report, providing direct care services at VNS Health * Per self-report, fluent in English\*\* * Per self-report, is age 18 or older Patients (all phases): * Per health record and/or self-report, is a patient in the VNS Health home health agency division (post-acute care) * Per health record and/or self-report, is age 18 or older * Per health record, has a cancer diagnosis and a rating of ≥ 2 on Symptom Control Scale * Per health record and/or self-report, fluent in English\*\* * Has a score of ≥ 4 on Callahan cognitive screener * Has a score of ≥ 4 on Distress Thermometer (N/A for Training Case Participants) * Language verification: For both nurses and patients, prior to enrollment, all will be asked the following two questions by a Clinical Research Coordinator (CRC) to verify English fluency necessary for participation in the study: 1. How well do you speak English? (must respond "very well" or "well" when given the choices of Very well, Well, Not well, Not at all, Don't know, or Refused) 2. What is your preferred language for healthcare? (must respond English) Participant
Exclusion criteria
Nurses (all phases): * Per self-report, planning to leave position at VNS Health in the next 6 months Patients (all phases): * Per health record and/or self-report, has a diagnosis of Alzheimer's, dementia, or other organic brain disorder and in the judgment of the PIs is unable to meaningfully participate. * Per health record, has impaired decision-making capacity * Per health record and/or self-report, is permanently placed in a nursing home * Per health record and/or self-report, is currently receiving Hospice care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| MPI Competency Ratings | 2 years | Phase I portion: To refine the MCP-PC training and study procedures for homecare delivery by nurse interventionists as determined by providers' MPI Competency Ratings |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORRebecca Saracina, PhD
Memorial Sloan Kettering Cancer Center
Outcome results
None listed