Advanced CancerNCT03823313
Feasibility, Acceptability and Preliminary Effects of the Spiritual Care Assessment and Intervention
A study testing SCAI (Spiritual Care Assessment and Intervention) in people with Advanced Cancer and Metastatic Cancer, run by Indiana University at 1 site in United States.
Trial summary
The purpose of this study is to test a spiritual care intervention for adults with advanced cancer and their caregivers. This intervention will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Advanced Cancer, Metastatic Cancer
- What is being tested?
- SCAI (Spiritual Care Assessment and Intervention)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 42 participants
- Where
- 1 siteUnited States
- Study dates
- 10 Dec 2018to 28 Aug 2019
- 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
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Patient is at least 18 years of age.
- Patient is at least 2 weeks post-diagnosis of an incurable and advanced stage (IV) lung, colorectal, GI neuroendocrine and Hepatobiliary, testicular and esophageal solid malignancy and receiving cancer care at IU Simon Cancer Center.
- Patient is willing and able to consent, has a reliable phone and willing to participate in 4 sessions of 30 (+/- 5) minutes per session.
- Patient has a family member or eligible friend considered to be a caregiver and interested in participating in the study.
- Patient has adequate English fluency for completion of data collection.
- Family Caregiver (FCG) is at least 18 years of age.
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- Family Caregiver (FCG) has been invited to participate in the trial with a patient who meets eligibility criteria above.
- Family Caregiver (FCG) is willing and able to consent and to participate in 4 sessions of 30 (+/- 5) minutes per session
- Family Caregiver (FCG) has adequate English fluency for completion of data collection.
Who cannot join
- Patient makes 3 or more errors on a validated 6-item cognitive screener (Appendix A) or exhibits significant psychiatric or cognitive impairment (e.g., dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.
- Currently receiving hospice care (patients who enroll in hospice during the trial will have the option of continuing trial participation).
- Family Caregiver (FCG) exhibits significant psychiatric or cognitive impairment (e.g., dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.
Trial locations and contacts
1 site in 1 country.
United States1 site
Indiana University Melvin & Bren Simon Cancer Center
Indianapolis, Indiana, 46202
About this study
Official title: Feasibility, Acceptability and Preliminary Effects of the Spiritual Care Assessment and Intervention (SCAI) Framework for Adults With Advanced Cancer and Their Caregivers (FCGs): A Clinical Pilot Trial
The purpose of this study is to test a spiritual care intervention for adults with advanced cancer and their caregivers. This intervention will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Participants will be asked to complete questionnaires and participate in 4 sessions with research chaplains.
Read the detailed description
Several studies have shown that cancer affects multiple dimensions of a patient's life as well as the lives of caregivers and others close to the patient who, when faced with life crises, may use religion and spirituality (R/S) to cope. This study is the first of its kind to incorporate a semi-structured spiritual care and intervention (SCAI) framework into the spiritual care of advanced cancer patients while maintaining proper controls in order to investigate its feasibility, acceptability and potential effects on the emotional and spiritual outcomes of advanced cancer patients and their caregivers. This framework will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Additionally, not only will this study assess acceptability and feasibility of the intervention, it will also track and document coping, satisfaction, anxiety, depression, quality of life outcomes and follow-up with both patient and caregivers following Spiritual Care Assessment and Intervention (SCAI).
Specific Aim 1: To evaluate the feasibility and acceptability of the SCAI intervention for adults with advanced cancer and their caregivers.
Specific Aim 2: To establish our ability to collect outcome data to support a future efficacy trial for patients and their caregivers in the outpatient clinic and home setting.
Specific Aim 3: To test the preliminary impact of the SCAI intervention on patient and caregiver spiritual wellbeing (primary outcome) and quality of life, religious coping, depression, and anxiety (secondary outcomes)
- Conditions
- Advanced Cancer, Metastatic Cancer
- Being tested
- SCAI (Spiritual Care Assessment and Intervention)
- Keywords
- Spiritual Care, Religion, Spirituality, Caregiver
- Medical subject headings
- Neoplasm Metastasis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SCAI (Spiritual Care Assessment and Intervention)Behavioural
4 sessions completed with an IU Health chaplain using a framework of questions called the Spiritual Care Assessment And Intervention tool. The weekly sessions will focus on one of the 4 areas of spiritual experience (meaning and purpose, relationships, transcendence and peace, self-worth and identity)
| Study group | Role | What they receive |
|---|---|---|
| Spiritual Care Assessment and Intervention | Experimental | Not described Receives: Behavioral: SCAI (Spiritual Care Assessment and Intervention) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Rate of enrollment
number of eligible patients that are consented and enrolled in the trial
Measured: from recruitment to enrollment (i.e. up to 30 days)
Attendance Rate
proportion of participants who attend all four intervention sessions
Measured: 4 weeks
Mean Satisfaction Score
satisfaction score among participants on the satisfaction survey
Measured: 4 weeks
Functional assessment of chronic illness therapy-Spiritual Well-being Scale Scores
Total score at baseline will be compared to score at to the score at 1 week, 6 weeks, and 3 months
Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Secondary outcomes (9)
Percentage of completed baseline surveys
percentage of completed baseline surveys in enrolled patients
Measured: baseline
Percentage of completed follow up surveys
Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
McGrill Quality of Life Questionnaire score
Measure of patient quality of life through total score at baseline compared to score at 1 week, 6 weeks, and 3 months
Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Caregiver Quality of Life Index-Cancer Questionnaire score
Measure of caregiver quality of life through total score at baseline compared to score at 1 week, 6 weeks, and 3 months
Measured: baseline, 1 week, 6 weeks, 3 months
Caregiver Quality of Life Index-Cancer Questionnaire score
Measure of caregiver quality of life through total score at baseline compared to score at 1 week, 6 weeks, and 3 months
Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Generalized Anxiety Disorder Scale Scores
Measure of Anxiety through total score at baseline compared to score at 1 week, 6 weeks, and 3 months
Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Patient Health Questionnaire Depression Scale (PHQ-8)
Measure of depression through total score at baseline compared to score at 1 week, 6 weeks, and 3 months
Measured: baseline, 1 week, 6 weeks, 3 months
Brief RCOPE score
Measure of coping through total score at baseline compared to score at 1 week, 6 weeks, and 3 months
Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Intervention Satisfaction Questionnaire score
Measured: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Jan 2019
- Study start10 Dec 2018
- Primary completion28 Aug 2019
- Study completion28 Aug 2019
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Advanced CancerStudies of the same condition, open and under way.
- More trials run by Indiana UniversityThe sponsor's other registered studies.
- 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
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 42 participants (actual)
Sponsor and investigators
- Lead sponsor
- Indiana University
- Sponsor type
- University, hospital or other
- Collaborators
- Indiana University Health
- Responsible party
- Principal investigator, Alexia M. Torke, Indiana University
- Investigators
- Alexia Torke, MD, Principal investigator, Indiana University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03823313
- Sponsor's protocol ID
- IUSCC-0665
- Status last verified
- Feb 2020
- First submitted
- 29 Jan 2019
- Last updated
- 13 Feb 2020
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 13 Feb 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Feasibility, Acceptability and Preliminary Effects of the Spiritual Care Assessment and Intervention (SCAI) Framework for Adults With Advanced Cancer and Their Caregivers (FCGs): A Clinical Pilot Trial
- ClinicalTrials.gov ID
- NCT03823313
- Acronym / sponsor ID
- IUSCC-0665
- Conditions
- Advanced Cancer, Metastatic Cancer
- Keywords
- Spiritual Care, Religion, Spirituality, Caregiver
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 42 participants (actual)
- Lead sponsor
- Indiana UniversityUniversity, hospital or other
- Collaborators
- Indiana University Health
- Study start
- 10 Dec 2018 (actual)
- Primary completion
- 28 Aug 2019 (actual)
- Study completion
- 28 Aug 2019 (actual)
- First posted
- 30 Jan 2019 (actual)
- 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 purpose of this study is to test a spiritual care intervention for adults with advanced cancer and their caregivers. This intervention will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Participants will be asked to complete questionnaires and participate in 4 sessions with research chaplains.
Detailed description
Several studies have shown that cancer affects multiple dimensions of a patient's life as well as the lives of caregivers and others close to the patient who, when faced with life crises, may use religion and spirituality (R/S) to cope. This study is the first of its kind to incorporate a semi-structured spiritual care and intervention (SCAI) framework into the spiritual care of advanced cancer patients while maintaining proper controls in order to investigate its feasibility, acceptability and potential effects on the emotional and spiritual outcomes of advanced cancer patients and their caregivers. This framework will assess 4 areas of spiritual experience: meaning and purpose, relationships, transcendence and peace, self-worth and identity. Additionally, not only will this study assess acceptability and feasibility of the intervention, it will also track and document coping, satisfaction, anxiety, depression, quality of life outcomes and follow-up with both patient and caregivers following Spiritual Care Assessment and Intervention (SCAI).
Specific Aim 1: To evaluate the feasibility and acceptability of the SCAI intervention for adults with advanced cancer and their caregivers.
Specific Aim 2: To establish our ability to collect outcome data to support a future efficacy trial for patients and their caregivers in the outpatient clinic and home setting.
Specific Aim 3: To test the preliminary impact of the SCAI intervention on patient and caregiver spiritual wellbeing (primary outcome) and quality of life, religious coping, depression, and anxiety (secondary outcomes)
Study design
- Primary purpose
- Supportive care
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Spiritual Care Assessment and Intervention | Experimental | Behavioral: SCAI (Spiritual Care Assessment and Intervention) |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Patient is at least 18 years of age.
- Patient is at least 2 weeks post-diagnosis of an incurable and advanced stage (IV) lung, colorectal, GI neuroendocrine and Hepatobiliary, testicular and esophageal solid malignancy and receiving cancer care at IU Simon Cancer Center.
- Patient is willing and able to consent, has a reliable phone and willing to participate in 4 sessions of 30 (+/- 5) minutes per session.
- Patient has a family member or eligible friend considered to be a caregiver and interested in participating in the study.
- Patient has adequate English fluency for completion of data collection.
Key exclusion criteria (3 listed)
- Patient makes 3 or more errors on a validated 6-item cognitive screener (Appendix A) or exhibits significant psychiatric or cognitive impairment (e.g., dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.
- Currently receiving hospice care (patients who enroll in hospice during the trial will have the option of continuing trial participation).
- Family Caregiver (FCG) exhibits significant psychiatric or cognitive impairment (e.g., dementia/delirium, retardation, active psychosis) that in the judgment of the investigators would preclude providing informed consent and study participation.
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 |
|---|---|---|
| SCAI (Spiritual Care Assessment and Intervention)4 sessions completed with an IU Health chaplain using a framework of questions called the Spiritual Care Assessment And Intervention tool. The weekly sessions will focus on one of the 4 areas of spiritual experience (meaning and purpose, relationships, transcendence and peace, self-worth and identity) | Behavioural | Spiritual Care Assessment and Intervention |
Primary outcome
Rate of enrollment
Time frame: from recruitment to enrollment (i.e. up to 30 days)
number of eligible patients that are consented and enrolled in the trial
Attendance Rate
Time frame: 4 weeks
proportion of participants who attend all four intervention sessions
Mean Satisfaction Score
Time frame: 4 weeks
satisfaction score among participants on the satisfaction survey
Functional assessment of chronic illness therapy-Spiritual Well-being Scale Scores
Time frame: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Total score at baseline will be compared to score at to the score at 1 week, 6 weeks, and 3 months
9 secondary outcomes
Percentage of completed baseline surveys
Time frame: baseline
Percentage of completed follow up surveys
Time frame: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
McGrill Quality of Life Questionnaire score
Time frame: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Caregiver Quality of Life Index-Cancer Questionnaire score
Time frame: baseline, 1 week, 6 weeks, 3 months
Caregiver Quality of Life Index-Cancer Questionnaire score
Time frame: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Generalized Anxiety Disorder Scale Scores
Time frame: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Patient Health Questionnaire Depression Scale (PHQ-8)
Time frame: baseline, 1 week, 6 weeks, 3 months
Brief RCOPE score
Time frame: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
Intervention Satisfaction Questionnaire score
Time frame: baseline, 1-2 weeks after session 4, 6 weeks, 3 months
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 13 Feb 2020.
- Individual participant dataSharing planned: No
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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.
Alexia Torke, MD principal investigator
Indiana University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing SCAI (Spiritual Care Assessment and Intervention) in people with Advanced Cancer and Metastatic Cancer, run by Indiana University at 1 site in United States.
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 9 inclusion and 3 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 13 Feb 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. 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?
Rate of enrollment (time frame: from recruitment to enrollment (i.e. up to 30 days)). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 13 Feb 2020.