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The study includes participants experiencing distress with regard to stopping immunotherapy and will utilize cognitive-behavioral therapy to reduce fear of recurrence, depression, and anxiety and improve quality of life.
The intervention will be delivered through telemedicine to reduce the patient-related barriers to treatment including cost, transportation, and being able to maintain appointments while managing the side effects of treatment. The intervention will provide the patient with skills to reduce distress associated with ceasing treatment of a checkpoint inhibitor through the development evidence-based psychological and behavioral strategies that are tailored to the patients' preferences.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cessation of treatment | Experimental | If the patient is randomized to this arm, they will be asked to stop their immunotherapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cognitive behavioral therapy | Behavioral | Cognitive-behavioral therapy involves changing these erroneous cognitions and beliefs through cognitive restructuring, modification of behavior, and development of alternative coping skills. |
| Measure | Description | Time Frame |
|---|---|---|
| Reduce fear of recurrence | Change by 50% | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Improve quality of life | Change of quality of life by 5 points | 3 months |
| Reduction of anxiety | Change of anxiety by 2 points | 3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jennifer L Steel, Ph.D. | Contact | 412-692-2041 | steejl@upmc.edu | |
| Jason Luke, MD | Contact | 412-623-4511 | lukejj@upmc.edu |
| Name | Affiliation | Role |
|---|---|---|
| Jason Luke | Hillman Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UPMC Hillman Cancer Centers | Recruiting | Pittsburgh | Pennsylvania | 15213 | United States |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D015928 | Cognitive Behavioral Therapy |
| ID | Term |
|---|---|
| D001521 | Behavior Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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All patients will receive treatment and be evaluated pre- and post-treatment
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| Depressive symptoms | Change by 25% | 3 months |