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Purpose

The purpose of this study is to evaluate different combinations of cancer education sessions, counseling sessions, and peer support meetings developed for Chinese cancer patients and survivors. The researchers will look at whether the combinations are practical and effective, and how they impact participants' quality of life.

Conditions

Eligibility

Eligible Ages
Over 18 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Diagnosed with cancer (any type/stage) (per EMR for MSK patients or self-report for external participants) within the last 5 years - Age ≥ 18 years (per EMR for MSK patients or self-report for external participants) Self-Report Criteria: - Of Chinese descent - Speaks Mandarin "well" or "very well" - Moderately low HRQOL (<70 FACT-G score)4, 48 - Resides in New York or New Jersey - Agrees to participate via telehealth (video or phone) - Agrees to be audio-recorded

Exclusion Criteria

Self-Report Criteria: - Per PI determination, requires a higher level of care for current passive or active suicidal ideation than current protocol is able to provide. If a participant receives a score of > 0 on item 9 of the PHQ-9,5 they will be referred to study PI for further evaluation using the Columbia-Suicide Severity Rating Scale. They will be excluded from participation in this study if there is presence of suicidal risk, determined by affirmative response(s) on the Columbia-Suicide Severity Rating Scale (C-SSRS) - Too ill to participate determined by the question: "Do you feel too ill to participate because of communication problems, uncontrollable pain, or other symptoms that prevent you from participating?" - Cognitive impairment (Montreal Cognitive Assessment 5 Minute - telephone version with a score ≥ 12) - Per consenting professional determination, unable to understand the informed consent procedure - Participation in study #14-076: Adaptation of Individual Meaning-Centered Psychotherapy for Chinese immigrant cancer patients) - Currently receiving/have received psychotherapy/counseling/peer support within the last 6 months (patients being treated solely with psychotropic medications will not be excluded if they are not receiving psychotherapy/counseling/peer support)

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Factorial Assignment
Intervention Model Description
Using a 2x2x2 factorial design. Participants will be randomized to receive a combination of one or more culturally tailored telehealth-delivered intervention components.
Primary Purpose
Supportive Care
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
1 - Cancer Education + Meaning-Centered Counseling + Peer Support + Enhanced Standard Care 		All participants will also receive cancer information materials and resources. Cancer education sessions, will have 3 weekly sessions.Counseling sessions, will have 3 weekly sessions. Peer support meetings, will have 3 monthly meetings.
  • Other: Cancer Education
    Cancer Education on side effects and their management, treatment options, advance care planning, and survivorship. Each session will last about 30-60 minutes and will be completed over the phone or by video call.
  • Other: Meaning-Centered Counseling
    Meaning-centered counseling aims to activate culturally relevant meaning-focused coping strategies in Chinese-speaking patients and survivors (CCS). Each session will last about 45-60 minutes and will be completed over the phone or by video call.
  • Other: Peer Support
    Peer support aims to increase social support for CCS to decrease cancer stigma, which has been associated with greater psychological distress, especially among less acculturated Chinese immigrant CCS. The meetings will include up to 6-8 Mandarin-speaking patients and survivors and will last about 90 minutes.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)
Experimental
2 - Cancer Education + Meaning-Centered Counseling + Enhanced Standard Care 		All participants will also receive cancer information materials and resources. Cancer education sessions, will have 3 weekly sessions.Counseling sessions, will have 3 weekly sessions.
  • Other: Cancer Education
    Cancer Education on side effects and their management, treatment options, advance care planning, and survivorship. Each session will last about 30-60 minutes and will be completed over the phone or by video call.
  • Other: Meaning-Centered Counseling
    Meaning-centered counseling aims to activate culturally relevant meaning-focused coping strategies in Chinese-speaking patients and survivors (CCS). Each session will last about 45-60 minutes and will be completed over the phone or by video call.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)
Experimental
3 - Cancer Education + Peer Support + Enhanced Standard Care 		All participants will also receive cancer information materials and resources. Cancer education sessions, will have 3 weekly sessions. Peer support meetings, will have 3 monthly meetings.
  • Other: Cancer Education
    Cancer Education on side effects and their management, treatment options, advance care planning, and survivorship. Each session will last about 30-60 minutes and will be completed over the phone or by video call.
  • Other: Peer Support
    Peer support aims to increase social support for CCS to decrease cancer stigma, which has been associated with greater psychological distress, especially among less acculturated Chinese immigrant CCS. The meetings will include up to 6-8 Mandarin-speaking patients and survivors and will last about 90 minutes.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)
Experimental
4 - Cancer Education + Enhanced Standard Care 		All participants will also receive cancer information materials and resources. Cancer education sessions, will have 3 weekly sessions.
  • Other: Cancer Education
    Cancer Education on side effects and their management, treatment options, advance care planning, and survivorship. Each session will last about 30-60 minutes and will be completed over the phone or by video call.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)
Experimental
5 - Meaning-Centered Counseling + Peer Support + Enhanced Standard Care 		All participants will also receive cancer information materials and resources.Counseling sessions, will have 3 weekly sessions. Peer support meetings, will have 3 monthly meetings
  • Other: Meaning-Centered Counseling
    Meaning-centered counseling aims to activate culturally relevant meaning-focused coping strategies in Chinese-speaking patients and survivors (CCS). Each session will last about 45-60 minutes and will be completed over the phone or by video call.
  • Other: Peer Support
    Peer support aims to increase social support for CCS to decrease cancer stigma, which has been associated with greater psychological distress, especially among less acculturated Chinese immigrant CCS. The meetings will include up to 6-8 Mandarin-speaking patients and survivors and will last about 90 minutes.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)
Experimental
6 - Meaning-Centered Counseling- + Enhanced Standard Care 		All participants will also receive cancer information materials and resources. Counseling sessions, will have 3 weekly sessions.
  • Other: Meaning-Centered Counseling
    Meaning-centered counseling aims to activate culturally relevant meaning-focused coping strategies in Chinese-speaking patients and survivors (CCS). Each session will last about 45-60 minutes and will be completed over the phone or by video call.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)
Experimental
7 - Peer Support + Enhanced Standard Care 		All participants will also receive cancer information materials and resources. Peer support meetings, will have 3 monthly meetings
  • Other: Peer Support
    Peer support aims to increase social support for CCS to decrease cancer stigma, which has been associated with greater psychological distress, especially among less acculturated Chinese immigrant CCS. The meetings will include up to 6-8 Mandarin-speaking patients and survivors and will last about 90 minutes.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)
Active Comparator
8 - Enhanced Standard Care 		All participants will also receive cancer information materials and resources.
  • Other: Enhanced Standard Care
    enhanced standard care ( written cancer information materials in Chinese and referral to counseling)

Recruiting Locations

Memorial Sloan Kettering Basking Ridge (All Protocol Activities)
Basking Ridge, New Jersey 07920
Contact:
Florence Lui, PhD
646-888-8375

Memorial Sloan Kettering Monmouth (All Protocol Activities)
Middletown, New Jersey 07748
Contact:
Florence Lui, PhD
646-888-8375

Memorial Sloan Kettering Bergen (All Protocol Activities)
Montvale, New Jersey 07645
Contact:
Florence Lui, PhD
646-888-8375

Memorial Sloan Kettering Cancer Center Suffolk- Commack (All Protocol Activities)
Commack, New York 11725
Contact:
Florence Lui, PhD
646-888-8375

Memorial Sloan Kettering Westchester (All Protocol Activities)
Harrison, New York 10604
Contact:
Florence Lui, PhD
646-888-8375

Memorial Sloan Kettering Cancer Center (All Protocol Activities)
New York, New York 10065
Contact:
Florence Lui, PhD
646-888-8375

Memorial Sloan Kettering Nassau (All Protocol Activities)
Uniondale, New York 11553
Contact:
Florence Lui, PhD
646-888-8375

More Details

Status
Recruiting
Sponsor
Memorial Sloan Kettering Cancer Center

Study Contact

Florence Lui, PhD
646-888-8375
luif@mskcc.org

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.