Online Intervention for Anxiety in Cancer Survivors

(On-Trac Trial)

OS
CM
Overseen ByCheryl Medeiros-Nancarrow
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests an online program called On-Trac, designed to help cancer survivors manage anxiety. The program incorporates tools from Cognitive-Behavioral Therapy (CBT) and Acceptance Commitment Therapy (ACT) to teach anxiety-reduction strategies. Participants will join either group or individual sessions, followed by phone coaching to apply their learning. The trial seeks adult cancer survivors who have experienced significant anxiety and are not currently undergoing cancer treatment. Participants must have regular internet access and English proficiency. As an unphased trial, this study offers a unique opportunity to access innovative anxiety management tools tailored specifically for cancer survivors.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but you cannot participate if you've used 'rescue' anxiety medications like Ativan, Xanax, or Valium in the last month.

What prior data suggests that the On-Trac online intervention is safe for cancer survivors?

Research has shown that online programs like On-Trac can greatly help cancer survivors manage anxiety. Studies indicate that these programs are generally easy to use. Participants engage in video calls and phone sessions to learn anxiety management techniques. No reports of serious side effects have emerged from using On-Trac, suggesting it is safe for participants. Those who join a trial using On-Trac will likely find it both helpful and easy to use.12345

Why are researchers excited about this trial?

Researchers are excited about the On-Trac intervention for anxiety in cancer survivors because it offers a flexible, online approach to managing anxiety, which is different from traditional face-to-face therapy sessions. Unlike standard treatments like cognitive behavioral therapy (CBT), On-Trac combines group and individual video conferences with telephone coaching, making it accessible from home and potentially more convenient for participants. This method aims to provide personalized strategies and support, which could lead to more effective anxiety management for cancer survivors.

What evidence suggests that On-Trac could be an effective intervention for anxiety in cancer survivors?

Research has shown that online programs can help reduce anxiety in cancer survivors. Studies have found that web-based programs, like On-Trac, may lower anxiety and depression in breast cancer patients. Another study found that digital mental health tools can improve mental well-being for cancer patients over time. In this trial, participants will receive the On-Trac program, which uses methods from Cognitive-Behavioral Therapy (CBT) and Acceptance Commitment Therapy (ACT), both proven to help with anxiety. This online program provides educational sessions and support to help survivors manage anxiety after their cancer treatment. Participants will be divided into different cohorts based on age and session type, receiving either small group or individual sessions.16789

Who Is on the Research Team?

CJ

Christopher J Recklitis, PhD, MPH

Principal Investigator

Dana-Farber Cancer Institute

Are You a Good Fit for This Trial?

This trial is for adult cancer survivors who are at least 18 years old, have been diagnosed with cancer (except non-melanoma skin cancer) over a year ago, and are not currently undergoing active cancer therapy. Participants should experience significant anxiety, have regular internet access, and be able to read and write in English.

Inclusion Criteria

I was diagnosed with cancer (not including non-melanoma skin cancer) over a year ago.
I experience significant anxiety.
I am 18 years old or older.
See 5 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks
1 visit (virtual)

Baseline Assessment

Participants complete an online survey using a web-based survey platform for baseline assessment

1 week
1 visit (virtual)

Educational Intervention

Participants take part in an online, 120-minute group session via video conference platform and complete an online questionnaire

1 week
1 visit (virtual)

Coaching Sessions

Participants complete 1-2 individual coaching sessions 1-7 days after the group educational video session

1-2 weeks
1-2 visits (telephone)

Follow-up

Participants complete follow-up questionnaires using a web-based survey platform and telephone interview at 4 and 8 weeks after the group education session

8 weeks
2 visits (virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • On-Trac

Trial Overview

The ON-TRAC study tests an online educational program designed to help cancer survivors manage anxiety using techniques from Cognitive-Behavioral Therapy (CBT) and Acceptance Commitment Therapy (ACT). It includes coaching sessions as well as education materials accessible via the internet.

How Is the Trial Designed?

4

Treatment groups

Experimental Treatment

Group I: Cohort 4: CANCER SURVIVORS AGE 40+ ON-TRAC INDIVIDUAL SESSIONSExperimental Treatment2 Interventions
Group II: Cohort 3: CANCER SURVIVORS AGE 40+ ON-TRAC SMALL GROUPExperimental Treatment2 Interventions
Group III: Cohort 2: CANCER SURVIVORS AGE 18-39 ON-TRAC INDIVIDUAL SESSIONSExperimental Treatment2 Interventions
Group IV: Cohort 1: CANCER SURVIVORS AGE 18-39 ON-TRAC SMALL GROUPExperimental Treatment2 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Dana-Farber Cancer Institute

Lead Sponsor

Trials
1,128
Recruited
382,000+

Citations

On-Trac: An Online Intervention for Cancer Survivors ...

This study is evaluating On-Trac (Online Training After Cancer), an online educational intervention to teach adult cancer survivors ...

Effects of Web‐Based Interventions on Anxiety and ...

This study showed that web‐based interventions may help reduce anxiety and depression in patients with breast cancer.

Digital Interventions and Mental Health Outcomes in ...

Objective: This study aims to (1) characterize digital interventions targeting mental health outcomes in patients with cancer;. (2) quantify ...

Efficacy of an online mindfulness program (MindOnLine) to ...

The study demonstrated significant reductions in FCR, anxiety, and depression at both 9 weeks and 9 months, suggesting durable psychological benefits. These ...

Systematic review on the effectiveness of mobile health ...

Breast cancer survivors are more likely to report psychological distress and unmet need for support compared to healthy controls.

On-Trac: An Online Intervention for Cancer Survivors ...

This study is evaluating On-Trac (Online Training After Cancer), an online educational intervention to teach adult cancer survivors strategies to address ...

An Online Intervention for Cancer Survivors Managing Anxiety

This study is evaluating On-Trac (Online Training After Cancer), an online educational intervention to teach adult cancer survivors ...

Effects of Remote Web-Based Interventions on the ...

This study found that remote web-based interventions significantly improved the anxiety state of patients with cancer. This result is consistent with some of ...

Developing An Online Intervention for Cancer Survivors ...

Online Training After Cancer (On-Trac): Developing An Online Intervention for Cancer Survivors Managing Anxiety. NOT ENROLLING. 877-DF-TRIAL (877-338-7425).