Brain Tumor, Glioma, Mixed, Mild Neurocognitive Disorder
Conditions
Keywords
Mindfulness, Cognitive rehabilitation, rs-fMRI
Brief summary
The goal of Phase Ib Trial is to determine the feasibility and acceptability of telehealth C-SMART for patients with primary brain tumor and mild neurocognitive deficits (N=18) and their caregivers (N=14) A subset (n=3) of participants will undergo rs-fMRI both pre- and post-C-SMART to test feasibility of advanced functional imaging in this population.
Interventions
BEHAVIORALC-SMART
The C-SMART intervention includes approximately 8 individual therapy sessions, each approximately 60 minutes in length, delivered weekly. C-SMART intervention components include cognitive rehabilitation and mindfulness training.
Sponsors
Virginia Commonwealth University
American Psychological Foundation
American Cancer Society, Inc.
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patient Inclusion Criteria: 1. Confirmed primary brain tumor diagnosis by histology or neuro-oncologist review of imaging 2. At least one domain of neurocognitive function \>1.5 SD below the average or the individual's estimated premorbid functioning, using the expanded ICCTF clinical trials battery and Test of Premorbid Functioning for comparison 3. \>1 month post brain surgery and/or radiation therapy, if applicable 4. Estimated premorbid intelligence \>75. 5. Patients must be age 18+ and primarily English speaking Patient
Exclusion criteria
1. Presence of major neurocognitive impairment that would prevent participation in the intervention, and/or severe aphasia, and/or inability to understand and provide informed consent 2. Inability to attend weekly telehealth appointments; based on EAB results 3. Clinically significant insomnia symptoms 4. \< 1 month post brain surgery and/or radiation therapy 5. Unstable internet connection or an inability to work teleconferencing software. Participants will be supplied an iPad if they do not have an adequate device. 6. To participate in the fMRI portion of this study participants cannot have any metal in their bodies. For the fMRI subset, participants cannot have metal in their body as the MRI scan could cause them harm and if female of childbearing years, they cannot be pregnant as the MRI scan may pose risk to the unborn fetus. Caregiver Inclusion Criteria 1. Must be an adult caregiver of an enrolled patient (see criteria above) 2. Primarily English speaking Caregiver
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determine feasibility of C-SMART recruitment | 10 months | As evidenced by rates of participant screening, eligibility, and consent |
| Determine feasibility of C-SMART - Data collection procedures | 10 months | As evidenced by the number of participants that complete the neurocognitive assessments pre- and post-intervention |
| Determine feasibility of C-SMART - Retention Rate | 11 months | As evidenced by the number of patients that complete post-intervention measures |
| Determine acceptability of C-SMART intervention - Satisfaction | 10 months | After each intervention session, participants will be sent a link for a brief post-session satisfaction survey via secure email link. In this survey, participants will rate 1) topic applicability; 2) perceived benefit of session; 3) comfort with interventionist(s); 4) overall satisfaction and 5) likelihood of recommending the program to others. Responses are ranked on a Likert-type scale from 1 being "Not at all" to 5 being "A great deal". Higher scores indicate greater satisfaction with the intervention session. |
| Determine acceptability of C-SMART intervention - Satisfaction - Recommendation | 10 months | As evidenced by the number of patients that would recommend the intervention to others |
| Optimization of C-SMART research procedures | 8 months | The number of participants that complete exit interviews will be audio recorded and transcribed verbatim. The PI and a second independent coder will separately review each transcript to identify common themes and develop a coding framework of free responses. All results will be reviewed for agreement and comparison to the raw data, and discrepancies will be resolved through discussion with the PI until reliability is reached (Kappa\>.80) |
| Determine preliminary feasibility of longitudinal rs-fMRI procedures for a subset of patients | 10 months | Completion rate of neuroimaging at post-intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determine feasibility of C-SMART research procedures - Patient reported outcome completion | 10 months | Feasibility of research procedures will be assessed by the number of participants that complete the baseline survey, post-session survey, and the post-intervention survey. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORSarah E Braun, PhD
Virginia Commonwealth University
Outcome results
None listed