Subjective Cognitive ComplaintsEMOTICONNCT02771028
Emotional Freedom Techniques to Reduce Patient Reported Cognitive Complaints in Cancer Survivors
A study testing Emotional Freedom Techniques in people with Subjective Cognitive Complaints and Cancer, run by General Hospital Groeninge at 3 sites in Belgium.
Trial summary
The aim of this study is to further validate the CDT as a screening tool for identifying elderly cancer patients in need of a more in-depth cognitive evaluation within comprehensive geriatric assessment (CGA) and to validate the pre-defined cut-off score of ≤ 4 according to the Freund scoring system. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Subjective Cognitive Complaints, Cancer
- What is being tested?
- Emotional Freedom Techniques
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 121 participants
- Where
- 3 sitesBelgium
- Study dates
- 1 Oct 2016to 15 Mar 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients should have reached a minimum age of 18 years at the time of enrolment
- Histologically confirmed diagnosis of a solid cancer or hematologic malignancy
- Patients should have received chemo- or radiotherapy, targeted therapy of hormonal treatment before enrollment (active treatment with anti-hormonal therapy or brachytherapy is allowed)
- Patients can be included in the latest phase of their chemotherapy, radiotherapy, anti-hormonal or targeted therapy treatment
- Patients should have been treated with curative intent or have an expected life expectancy of at least 5 years
- Patients must suffer from subjective cognitive complaints based on the Cognitive Failure Questionnaire (cut-off ≥ 43)
- Patients should be able to adequately communicate in Dutch or French
- Patients should present with a sufficient mental and physical functional status (according to investigator's judgment)
Who cannot join
- Patients who received a treatment with palliative intent
- Patients showing signs of mental deterioration
- Patients suffering from an organic brain syndrome
- Patients who are alcohol or drug dependent
- Patients with a major psychiatric or neurologic disorder that could potentially invalidate assessment; a prior or current diagnosis of a depressive, anxiety or adjustment disorder is allowed
Trial locations and contacts
3 sites in 1 country.
Belgium3 sites
General Hospital Klina Brasschaat
Brasschaat, 2930
Brussels University Hospital
Brussels, 1090
General Hospital Groeninge
Kortrijk, 8500
About this study
Official title: A Randomized Wait-list Controlled Trial on the Use of Emotional Freedom Techniques as an Intervention Strategy to Reduce Patient Reported Cognitive Complaints in Cancer Survivors on Behalf of the Belgian Society for Medical Oncology (BSMO)-Cancer Survivorship Taskforce
The aim of this study is to further validate the CDT as a screening tool for identifying elderly cancer patients in need of a more in-depth cognitive evaluation within comprehensive geriatric assessment (CGA) and to validate the pre-defined cut-off score of ≤ 4 according to the Freund scoring system. All geriatric patients that are diagnosed with cancer will be screened by the oncology clinical nurse specialists attached to the respective multi-disciplinary clinics with the VES-13 and G8 questionnaire. Patients that screen positive, will be offered referral to the multi-disciplinary onco-geriatric program where a member of the research team will implement a full geriatric evaluation under supervision of the medical oncologist and/or geriatrician who will then formulate recommendations and might suggest referral to other health care providers. Individual results and survival data of all the patients that have given their informed consent will be registered in a database.
Read the detailed description
In this trial the investigators aim to establish whether Emotional Freedom Techniques (EFT) can reduce cognitive complaints in cancer survivors. All consenting patients aged 18 years or above, who have been diagnosed with a solid tumour of hematologic malignancy and who have completed or are in the late phase of a chemotherapy, radiotherapy, anti-hormonal or targeted therapy treatment, can participate in this trial. Patients should suffer from subjective cognitive complaints based on a score of 43 or more on the Cognitive Failure Questionnaire (CFQ). These patients will be randomly assigned to either the control or intervention group. Patients in the intervention group will be scheduled to receive an 8-week EFT intervention program. Other patients will be placed on an 8-week wait list after which patients will also start the EFT program.
- Conditions
- Subjective Cognitive Complaints, Cancer
- Being tested
- Emotional Freedom Techniques
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Emotional Freedom TechniquesBehavioural
| Study group | Role | What they receive |
|---|---|---|
| Intervention group | Experimental | Patients assigned to intervention group receive an 8-week EFT-program Receives: Behavioral: Emotional Freedom Techniques |
| Control group | No intervention | Patients assigned to control group are placed on a waitlist for a period of 8 weeks |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in cognitive complaints measured by Cognitive Failure Questionnaire
Score of <43 on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome
Measured: Week 8, 16, 24
Secondary outcomes (14)
Change in fatigue measured by Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale
Reduction in score on FACIT Fatigue scale ; Minimum value: 0; Maximum value: 52; Higher scores mean worse outcome
Measured: Week 8, 16, 24
Change in psychological distress measured by Distress Thermometer
Reduction in the score on the Distress Thermometer ; Minimum value: 0; Maximum value: 10; Higher scores mean worse outcome
Measured: Week 8, 16, 24
Change in depressive symptoms measured by Beck Depression Inventory II
Reduction in score on Beck Depression Inventory II ; Minimum value: 0; Maximum value: 63; Higher scores mean worse outcome
Measured: Week 8, 16, 24
Change in quality of life measured by the European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-C30
Improvement of the scores on the Global Health scale, functional scale and symptom scale ; Minimum value: 30; Maximum value: 126; Higher scores mean better outcome
Measured: Week 8, 16, 24
Chang in quality of life measured by EQ-5D-3L
Improvement on the score on the EQ-5D-3L; Minimum value: -0.285; Maximum value: 1; Higher scores mean better outcome
Measured: Week 8, 16, 24
Change in long-term quality of life measured by the EuroQol EQ-5D-3L
Improvement on the score on the EQ-5D-3L; Minimum value: -0.285; Maximum value: 1; Higher scores mean better outcome
Measured: 6 months and 12 months
Number of cancer survivors presenting with cognitive complaints as measured by Cognitive Failure Questionnaire
Number of cancer survivors presenting with cognitive complaints as measured by Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Influence of age on cognitive complaints in cancer survivors
Interaction effect of age and score on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome; cut-off at score of 43 on the Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Influence of gender on cognitive complaints in cancer survivors
Interaction effect of gender and score on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome; cut-off at score of 43 on the Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Influence of distress on cognitive complaints in cancer survivors as measured by Distress Thermometer
Interaction effect of distress and score on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome; cut-off at score of 43 on the Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Influence of fatigue (FACIT-Fatigue Scale) on cognitive complaints in cancer survivors
Interaction effect of fatigue and score on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome; cut-off at score of 43 on the Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Influence of cancer type on cognitive complaints in cancer survivors
Interaction effect of cancer type and score on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome; cut-off at score of 43 on the Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Influence of cancer stage on cognitive complaints in cancer survivors
Interaction effect of cancer stage and score on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome; cut-off at score of 43 on the Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Influence of the received treatment on cognitive complaints in cancer survivors
Interaction effect of treatment and score on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome; cut-off at score of 43 on the Cognitive Failure Questionnaire
Measured: Week 8, 16, 24
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted12 May 2016 (estimated)
- Study start1 Oct 2016
- Primary completion15 Mar 2020
- Study completion15 Mar 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Subjective Cognitive ComplaintsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 121 participants (actual)
Sponsor and investigators
- Lead sponsor
- General Hospital Groeninge
- Sponsor type
- University, hospital or other
- Collaborators
- Universitair Ziekenhuis Brussel, AZ Klina
- Responsible party
- Principal investigator, Dr. Philip Debruyne, General Hospital Groeninge
- Investigators
- Philip R Debruyne, MD, PhD, MSc, FRCP, Principal investigator, AZ Groeninge
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02771028
- Sponsor's protocol ID
- AZGS2016034
- Acronym
- EMOTICON
- Status last verified
- Sep 2022
- First submitted
- 21 Apr 2016
- Last updated
- 9 Sep 2022
- Results posted
- No
Publications
Tack L, Lefebvre T, Lycke M, Langenaeken C, Fontaine C, Borms M, Hanssens M, Knops C, Meryck K, Boterberg T, Pottel H, Schofield P, Debruyne PR. A randomised wait-list controlled trial to evaluate Emotional Freedom Techniques for self-reported cancer-related cognitive impairment in cancer survivors (EMOTICON). EClinicalMedicine. 2021 Aug 19;39:101081. doi: 10.1016/j.eclinm.2021.101081. eCollection 2021 Sep.
PubMed 34466793
Study at a glance
From the registry record, last updated by the sponsor on 9 Sep 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized Wait-list Controlled Trial on the Use of Emotional Freedom Techniques as an Intervention Strategy to Reduce Patient Reported Cognitive Complaints in Cancer Survivors on Behalf of the Belgian Society for Medical Oncology (BSMO)-Cancer Survivorship Taskforce
- ClinicalTrials.gov ID
- NCT02771028
- Acronym / sponsor ID
- EMOTICON / AZGS2016034
- Conditions
- Subjective Cognitive Complaints, Cancer
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 121 participants (actual)
- Lead sponsor
- General Hospital GroeningeUniversity, hospital or other
- Collaborators
- Universitair Ziekenhuis Brussel, AZ Klina
- Study start
- 1 Oct 2016
- Primary completion
- 15 Mar 2020 (actual)
- Study completion
- 15 Mar 2021 (actual)
- First posted
- 12 May 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The aim of this study is to further validate the CDT as a screening tool for identifying elderly cancer patients in need of a more in-depth cognitive evaluation within comprehensive geriatric assessment (CGA) and to validate the pre-defined cut-off score of ≤ 4 according to the Freund scoring system. All geriatric patients that are diagnosed with cancer will be screened by the oncology clinical nurse specialists attached to the respective multi-disciplinary clinics with the VES-13 and G8 questionnaire. Patients that screen positive, will be offered referral to the multi-disciplinary onco-geriatric program where a member of the research team will implement a full geriatric evaluation under supervision of the medical oncologist and/or geriatrician who will then formulate recommendations and might suggest referral to other health care providers. Individual results and survival data of all the patients that have given their informed consent will be registered in a database.
Detailed description
In this trial the investigators aim to establish whether Emotional Freedom Techniques (EFT) can reduce cognitive complaints in cancer survivors. All consenting patients aged 18 years or above, who have been diagnosed with a solid tumour of hematologic malignancy and who have completed or are in the late phase of a chemotherapy, radiotherapy, anti-hormonal or targeted therapy treatment, can participate in this trial. Patients should suffer from subjective cognitive complaints based on a score of 43 or more on the Cognitive Failure Questionnaire (CFQ). These patients will be randomly assigned to either the control or intervention group. Patients in the intervention group will be scheduled to receive an 8-week EFT intervention program. Other patients will be placed on an 8-week wait list after which patients will also start the EFT program.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Intervention group | Experimental | Behavioral: Emotional Freedom TechniquesPatients assigned to intervention group receive an 8-week EFT-program |
| Control group | No intervention | –Patients assigned to control group are placed on a waitlist for a period of 8 weeks |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (8 listed)
- Patients should have reached a minimum age of 18 years at the time of enrolment
- Histologically confirmed diagnosis of a solid cancer or hematologic malignancy
- Patients should have received chemo- or radiotherapy, targeted therapy of hormonal treatment before enrollment (active treatment with anti-hormonal therapy or brachytherapy is allowed)
- Patients can be included in the latest phase of their chemotherapy, radiotherapy, anti-hormonal or targeted therapy treatment
- Patients should have been treated with curative intent or have an expected life expectancy of at least 5 years
Key exclusion criteria (5 listed)
- Patients who received a treatment with palliative intent
- Patients showing signs of mental deterioration
- Patients suffering from an organic brain syndrome
- Patients who are alcohol or drug dependent
- Patients with a major psychiatric or neurologic disorder that could potentially invalidate assessment; a prior or current diagnosis of a depressive, anxiety or adjustment disorder is allowed
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Emotional Freedom Techniques | Behavioural | Intervention group |
Primary outcome
Change in cognitive complaints measured by Cognitive Failure Questionnaire
Time frame: Week 8, 16, 24
Score of <43 on the Cognitive Failure Questionnaire ; Minimum value: 0; Maximum value: 100; Higher scores mean worse outcome
14 secondary outcomes
Change in fatigue measured by Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue Scale
Time frame: Week 8, 16, 24
Change in psychological distress measured by Distress Thermometer
Time frame: Week 8, 16, 24
Change in depressive symptoms measured by Beck Depression Inventory II
Time frame: Week 8, 16, 24
Change in quality of life measured by the European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ)-C30
Time frame: Week 8, 16, 24
Chang in quality of life measured by EQ-5D-3L
Time frame: Week 8, 16, 24
Change in long-term quality of life measured by the EuroQol EQ-5D-3L
Time frame: 6 months and 12 months
Number of cancer survivors presenting with cognitive complaints as measured by Cognitive Failure Questionnaire
Time frame: Week 8, 16, 24
Influence of age on cognitive complaints in cancer survivors
Time frame: Week 8, 16, 24
Influence of gender on cognitive complaints in cancer survivors
Time frame: Week 8, 16, 24
Influence of distress on cognitive complaints in cancer survivors as measured by Distress Thermometer
Time frame: Week 8, 16, 24
Influence of fatigue (FACIT-Fatigue Scale) on cognitive complaints in cancer survivors
Time frame: Week 8, 16, 24
Influence of cancer type on cognitive complaints in cancer survivors
Time frame: Week 8, 16, 24
Influence of cancer stage on cognitive complaints in cancer survivors
Time frame: Week 8, 16, 24
Influence of the received treatment on cognitive complaints in cancer survivors
Time frame: Week 8, 16, 24
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Sep 2022.
- Derived from this study: PubMed 34466793Tack L, Lefebvre T, Lycke M, Langenaeken C, Fontaine C, Borms M, Hanssens M, Knops C, Meryck K, Boterberg T, Pottel H, Schofield P, Debruyne PR. A randomised wait-list controlled trial to evaluate Emotional Freedom Techniques for self-reported cancer-related cognitive impairment in cancer survivors (EMOTICON). EClinicalMedicine. 2021 Aug 19;39:101081. doi: 10.1016/j.eclinm.2021.101081. eCollection 2021 Sep.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Philip R Debruyne, MD, PhD, MSc, FRCP principal investigator
AZ Groeninge
3 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Emotional Freedom Techniques in people with Subjective Cognitive Complaints and Cancer, run by General Hospital Groeninge at 3 sites in Belgium.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 8 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Sep 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 3 sites in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in cognitive complaints measured by Cognitive Failure Questionnaire (time frame: Week 8, 16, 24). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02771028, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Sep 2022.