colorectal cancer, distress, anxiety, depression, colorectaal kanker, angst, depressie
Conditions
Interventions
Targeted selection of patients with psychological distress. Enhanced care
by the clinical nurse specialist. Stepped care: The steps include: (i) Watchful waiting. (ii) If psychological distress persis
treatment consists of problem solving therapy (face-to-face). (iv) If psychological distress persists, psychotherapy, medication or a referral for other services (e.g. social work) is offered.
The TE
Sponsors
VU University Medical Center
Eligibility
Inclusion criteria
Inclusion criteria: - Patients with metastatic colorectal cancer (CRC); - Start of treatment with 1st line chemotherapy; - Life expectation > 3 months.
Exclusion criteria
Exclusion criteria: -Age 85 years; -Insufficient command of the Dutch language; -Recent psychotherapy (< 3 months ago); - Contra-indication for the stepped care approach (e.g. need for immediate hospitalization in mental health institute); - No informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Psychological distress: - Hospital Anxiety and Depression Scale (HADS) | — |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life: - EORTC-QLQ-C30 - RAND-36 - EuroQol-5D Patient evaluation of care: - Client Satisfaction Questionnaire - 8 Recognition: - Recognition of psychological distress by clinician. Referral: - Referrals related to psychological distress. Process of care: - A questionnaire is used to collect data on process of care Costs - All relevant costs will be measured prospectively. | — |
Contacts
Public ContactJoost Dekker
Dept Rehabilitation Medicine and Dept of Psychiatry, VU University Medical Center, PO Box 7057
Outcome results
None listed