Interview for Depression

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
MultiCare Regional Cancer Center - Gig Harbor, Gig Harbor, WA
Depression+4 More
Interview - Other
Eligibility
18+
All Sexes
What conditions do you have?
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Study Summary

This study is evaluating whether a technology-enhanced collaborative care management approach is more effective than usual collaborative care management in treating depression in cancer patients.

See full description

Eligible Conditions

  • Depression
  • Malignant Solid Neoplasms
  • Hematopoietic and Lymphoid Cell Neoplasm

Treatment Effectiveness

Effectiveness Progress

1 of 3

Study Objectives

This trial is evaluating whether Interview will improve 4 primary outcomes and 16 secondary outcomes in patients with Depression. Measurement will happen over the course of Baseline and 6 months.

Month 9
Change in patient impression of change and satisfaction with care
Change in patient-centered shared decision-making score
Year 5
Oncology provider's perception of patient's adherence to cancer treatment
Year 5
Care manager (CM) satisfaction with Collaborative Care Management (CoCM) of depression
Baseline and 6 months
Change in Alcohol, Smoking, and Substance Use
Change in Daily Alcohol Use
Change in Instrumental Support : patient's perception of available support
Change in Use of Complementary and Alternative Therapy Use
Change in environmental Reward score
Baseline to 9 months
Adherence to guideline-level depression treatment
Level of treatment engagement (collaboration & coordination of care)
Use of depression patient-reported outcomes for measurement-based care
Month 9
Change in Cannabis Use
Change in anxiety severity
Change in depression severity
Change in functional status
Change in health services utilization
Change in health-related quality of life global scales and subscales
Up to 12 months
Patient's experience using the new technology
Up to 5 years
Care Managers experience using the new technology

Trial Safety

Safety Progress

1 of 3

Trial Design

2 Treatment Groups

Arm II (u-CoCM)
1 of 2
Arm I (t-CoCM)
1 of 2
Active Control
Experimental Treatment

This trial requires 390 total participants across 2 different treatment groups

This trial involves 2 different treatments. Interview is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Arm I (t-CoCM)Patients use the t-CoCM digital app platform and clinic care managers use the t-CoCM web-based registry platform to support delivery of collaborative care. Patient's complete surveys at baseline, 3, 6 and 9 months. Some patients also participate in an interview or focus group about their user experience with the t-CoCM digital platform. Care managers also participate in interviews or focus groups regarding their experience with CoCM and the newly developed web-based platform.
Arm II (u-CoCM)Patients receive usual care and clinic care managers deliver usual CoCM. Patients complete surveys at baseline, 3, 6 and 9 months.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: up to 5 years
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly up to 5 years for reporting.

Closest Location

MultiCare Regional Cancer Center - Gig Harbor - Gig Harbor, WA

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
Patients receiving active treatment (surgery, chemotherapy [including immunotherapy or hormone therapy], radiation therapy) for a malignancy
>= 18 years old
Participants must be ambulatory for clinical care visits
Access to smartphone, tablet, or computer with internet access; to short message service (SMS); or landline
Patients who do not have a smartphone will be offered assistance in obtaining a free smartphone through the government-sponsored Lifeline Phone Program for low-resourced individuals
You have clinically significant depression. show original

Patient Q&A Section

What are the signs of cancer?

"The diagnostic evaluation is not complete with the clinical and physical examination; as one of the most used and costly tests. If it is used to detect cancer in the early stages, it can drastically reduce it in the majority of patients." - Anonymous Online Contributor

Unverified Answer

How many people get cancer a year in the United States?

"In the United States, nearly 8 million people get cancer in a year. Nearly 2 million people will be diagnosed with cancer in their lifetime." - Anonymous Online Contributor

Unverified Answer

What are common treatments for cancer?

"Almost 3 in 10 cancer patients reported being on treatment during a cancer bout, which may be due to being diagnosed, diagnosed with Stage IV cancer, experiencing symptoms attributable to cancer or having had multiple treatments for cancer. Patients may be receiving treatment for various other conditions when their cancer symptoms are secondary to cancer." - Anonymous Online Contributor

Unverified Answer

Can cancer be cured?

"People with [prostate cancer](https://www.withpower.com/clinical-trials/prostate-cancer) are able to reduce their risk of dying from cancer. Men are more likely to have this reduction if their disease is localized and has not spread to their bone or other tissue. However, these reductions in mortality from prostate cancer can fade over time." - Anonymous Online Contributor

Unverified Answer

What is cancer?

"We conclude that the most accurate definition of cancer is a cell line or a patient with a cancerous tumor that has developed in their body. Cancer is not just a disease, it is a process in which cells fail to die." - Anonymous Online Contributor

Unverified Answer

What causes cancer?

"Most cancer is caused by environmental exposure. However, a small percentage of cancer cases are unrelated to outside factors. More research is needed to determine if specific genes increase the risk for cancer." - Anonymous Online Contributor

Unverified Answer

What does interview usually treat?

"The majority of patients in this study have problems regarding a lack of physical contact and emotional closeness. The interview has the potential to alleviate some of these issues." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of cancer?

"Cancer is still an enigma as to its origin. There is some evidence that environmental carcinogens may be a factor in sporadic cancers in some instances, but environmental carcinogen exposures do not cause most human cancers; rather, they are a catalyst, in the sense that they increase the likelihood of mutations and of subsequent carcinogenesis. A major focus for research in this area will be on identifying and evaluating novel environmental carcinogens. Cancer starts when cells that normally live out their full lifespan acquire defects in DNA repair proteins or in regulatory networks that control cell proliferation, which can lead to mutations during the life of the cell. The rate of accumulation of these mutations appears to be affected by genetic susceptibility, environmental exposures, and aging." - Anonymous Online Contributor

Unverified Answer

Is interview typically used in combination with any other treatments?

"This meta-analysis suggests that in the treatment of cancer with chemotherapy, interview is used in combination with surgery, radiation, and chemotherapy. It is also recommended that clinical trials should report results based on this criterion for the use of interview." - Anonymous Online Contributor

Unverified Answer

Is interview safe for people?

"Participants in the interview group reported more anxiety and discomfort but fewer symptoms than the survey group. Results from a recent paper suggest that a phone interview might not be a safe alternative to a face-to-face interview in the exploration of symptoms of psychological distress." - Anonymous Online Contributor

Unverified Answer

What is interview?

"In an interview the interviewer asks many questions like: what was your thoughts before the symptoms developed and where were you when they started to occur? How often did you have them and how much time elapsed before they came to be perceived? What are the symptoms now and if they interfere with your life as well as your relationship with your family." - Anonymous Online Contributor

Unverified Answer

Has interview proven to be more effective than a placebo?

"Patient interviews with their oncologists had fewer patients receiving no treatment at admission to the study than matched controls did (p=0.02), but did not significantly reduce mortality, overall survival, or PFS at 12 months. This suggests that it is easier for patients to take charge of their treatment, and not the reverse, but warrants confirmation of our results in a larger study. Intervie will remain a part of study design and will continue to be an important component of communication between doctors and patients." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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