Central Nervous System Cancer, Psychological Distress
Conditions
Brief summary
The goal of this clinal trial is to compare the effectiveness of nurse-led teleconsultation with usual care (intervention group) on psychological distress in patients with primary malignant tumors of the central nervous system between diagnosis and first anti-cancer treatment, versus usual care alone (control group). Participants will be randomized into two groups : * group A) intervention: usual care + nurse teleconsultation for psychological support * group B) control: usual care alone Enrolment = Day0 (D0) Participants will : * groups A and B: D0: complete 4 questionnaires (Quality of Life, Screening for Distress, Screening for Anxiety and Depression, Social Support Questionnaire) * Group A : D0+2/4 das : nursing teleconsultation for psychological support * Groups A and B: D0+10days : telephone call to complete the same 4 questionnaires as at inclusion * Group A : D0+15days: semi-directive interview, at home, for voluntary patients.
Detailed description
The expected benefits are as follows: For the patient : * Reduction in pre-treatment psychological distress * Reduced pre-treatment anxiety and depression * Better understanding of disease and treatments * Better adherence to the care proposed in the treatment pathway * Reduced stress during first hospital treatment For healthcare professionals : * Early detection of psychological distress * Early detection of unmet needs and appropriate individualized responses * Establishment of a climate of trust between patient and caregiver * Improved professional practices For the healthcare system : * Lower healthcare costs (fewer anxiolytic treatments, etc.) * Therapy to be integrated into the treatment pathway of patients with central nervous system cancer * Reduced socio-territorial inequalities in healthcare provision
Interventions
OTHERTeleconsultation for psychological support
Teleconsultation with a nurse for psychological support, after the diagnosis has been announced, before hospitalization for the first treatment (chemotherapy, surgery, radiotherapy) in addition to the standard practice
Sponsors
Centre Hospitalier Universitaire de la Réunion
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* aged 18 and over * being treated for a primary malignant tumor of the central nervous system (positive biopsy) * with a Mini-Mental State score greater than 24 * not receiving first-line treatment (chemotherapy, targeted radiotherapy, surgery) * with a distress score above 3 on the Psychological Distress Thermometer * have access to computer equipment equipped with a microphone and webcam (smartphone, computer) * able to read, write and speak French * have given free and informed consent * being affiliated to a social security scheme
Exclusion criteria
* with a history of psychiatric illness * with recurrent cancer of the cerebral nervous system * having begun first-line treatment (drug therapy, curative surgery, radiotherapy or palliative care) * under guardianship, curatorship or deprived of liberty
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Distress thermometer | 10 days | Comparison of the change in psychological distress score, measured using the psychological distress screening tool (from National Comprehensive Cancer Network) between the 2 groups between inclusion (T0) and before the first anti-cancer therapy (T1). |
Countries
France
Contacts
CONTACTStephanie FAIDERBE, Nurse
Outcome results
None listed