Psychological Distress in Outpatient Oncological Rehabilitation

NCT ID: NCT04324320

Last Updated: 2020-03-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

165 participants

Study Classification

OBSERVATIONAL

Study Start Date

2020-09-30

Study Completion Date

2022-12-31

Brief Summary

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The aim of the study is to assess psychological distress and co-morbidity as well as relevant sociodemographic, anthropometric, medical and functional data in patients treated at the Outpatient Clinic for Oncological Rehabilitation at the Department of Physical Medicine, Rehabilitation and Occupational Medicine at the Medical University of Vienna.

Detailed Description

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Psychological distress in cancer patients is higher than in the average population and is associated with a lower health-related quality of life. In the course of the disease and its treatment, a psychological distress reaction can lead to a psychosocial crisis and a mental disorder that requires treatment. On average, 25% of all cancer patients suffer from depression, anxiety or adjustment disorders at any point in the course of their disease, and an average of 32% of all cancer patients express the need for psychosocial support. With an increasing reduction in inpatient length of stay times, outpatient care gains growing importance in the context of psycho-oncological diagnostics and aftercare. The overlap between physical symptoms due to cancer diagnosis and treatment and physical symptoms that are related to psychological burdens requires sensitive psycho-oncological diagnostics. This should be carried out as early as possible in the course of the disease so that existing psychological distress can be recognized early and thus a progression of the symptoms can be prevented.

The study aims to assess psychological distress and co-morbidity as well as relevant sociodemographic, anthropometric, medical and functional data in patients treated at the Outpatient Clinic for Oncological Rehabilitation at the Department of Physical Medicine, Rehabilitation and Occupational Medicine at the Medical University of Vienna.

Results should serve as a basis for further individual treatment recommendations.

By ascertaining the psychological distress, appropriate support and treatment measures can be recommended to the patients at an early stage, which help to improve the symptoms, enable participation and thus improve the quality of life of the patients. The assessment of the current individual need for psychological care also helps to refer patients to an inpatient oncological rehabilitation setting that provides the care that is needed more appropriately.

Results should also improve the psychological care of oncologic patients in general. Based on the findings, the psychological care offered within the framework of the current outpatient and inpatient oncological rehabilitation setting could be adapted and expanded as necessary. The results of the study should serve to integrate psycho-oncological care into the overall outpatient oncological rehabilitation concept.

A monocentric cross-sectional study is to be carried out on 165 patients with malignant tumour diseases as well as benign central nervous system tumours over a period of approximately 2 years.

Medical assessment of sociodemographic, anthropometric, medical and functional data will be performed. The gained information is also relevant for physical therapy prescription and treatment recommendations given by the physiatrist at the outpatient clinic for oncological rehabilitation.

Psychological distress and the need for psycho-oncological care for outpatients is determined through standardized screening and suitable assessment procedures. Patients will receive an immediate therapy recommendation regarding their psychological complaints by the clinical psychologist and psychotherapist who performs the assessment.

Conditions

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Distress Oncology

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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outpatients (oncological rehabilitation)

the population studied in this cross-sectional study includes patients with malignant tumour diseases and benign CNS tumours who present to the Outpatient Clinic for Oncological Rehabilitation at the Department of Physical Medicine and Rehabilitation of the Medical University of Vienna

medical assessment

Intervention Type DIAGNOSTIC_TEST

medical assessment includes the collection of

* sociodemographic data
* anthropometric data (weight, height, body mass index)
* medical data
* psycho-oncologic basis assessment (PO-BADO questionnaire)
* pain assessment (VAS: visual analogue scale)
* 3 functional tests:

* handgrip strength
* 6 Minute Walking Test
* Timed Get up and Go Test

psychological assessment

Intervention Type DIAGNOSTIC_TEST

psychological assessment includes several standardized screening and assessment questionnaires and tools:

* quality of life: SF-36
* anxiety, depression, stress: Hospital Anxiety and Depression Scale (HADS-D)
* subjective stress perception: Perceived Stress Scale (PSS-10)
* resilience: resilience scale (RS-13)
* fatigue: Brief Fatigue Inventory (BFI)
* disability related to pain: Pain Disability Index (PDI)
* workability: Work Ability Index - short version (WAI-K)
* psychological assessment based on the checklist of the International Diagnoses (IDCL) for ICD-10 and the ICD-10 checklist of symptoms for psychological disorders (SCL))

Interventions

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medical assessment

medical assessment includes the collection of

* sociodemographic data
* anthropometric data (weight, height, body mass index)
* medical data
* psycho-oncologic basis assessment (PO-BADO questionnaire)
* pain assessment (VAS: visual analogue scale)
* 3 functional tests:

* handgrip strength
* 6 Minute Walking Test
* Timed Get up and Go Test

Intervention Type DIAGNOSTIC_TEST

psychological assessment

psychological assessment includes several standardized screening and assessment questionnaires and tools:

* quality of life: SF-36
* anxiety, depression, stress: Hospital Anxiety and Depression Scale (HADS-D)
* subjective stress perception: Perceived Stress Scale (PSS-10)
* resilience: resilience scale (RS-13)
* fatigue: Brief Fatigue Inventory (BFI)
* disability related to pain: Pain Disability Index (PDI)
* workability: Work Ability Index - short version (WAI-K)
* psychological assessment based on the checklist of the International Diagnoses (IDCL) for ICD-10 and the ICD-10 checklist of symptoms for psychological disorders (SCL))

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

* patients with malignant tumour diseases and benign CNS tumours who present to the Outpatient Clinic for Oncological Rehabilitation at the Department of Physical Medicine, Rehabilitation and Occupational Medicine at the Medical University of Vienna
* patients who agree to participate in the study

Exclusion Criteria

* bad physical condition that does not enable the patient to participate in the study
* language barriers (insufficient understanding of the German language)
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Richard Crevenna

Univ. Prof. Dr., MBA, MMSc, Head of the Department of Physical Medicine, Rehabilitation and Occupational Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Richard Crevenna, Prof MD MBA MMSc

Role: PRINCIPAL_INVESTIGATOR

Medical University of Vienna

Locations

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Medical University of Vienna

Vienna, , Austria

Site Status

Countries

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Austria

Central Contacts

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Barbara Wagner, MD

Role: CONTACT

+43-1-40400-43300

Margarete Steiner, MSc

Role: CONTACT

+43-1-40400-43300

Facility Contacts

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Barbara Wagner, MD

Role: primary

+43 1 40400 43300

Margarete Steiner, MSc

Role: backup

+43 1 40400 43300

References

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Mehnert A, Koch U. Psychosocial care of cancer patients--international differences in definition, healthcare structures, and therapeutic approaches. Support Care Cancer. 2005 Aug;13(8):579-88. doi: 10.1007/s00520-005-0779-6. Epub 2005 Mar 1.

Reference Type BACKGROUND
PMID: 15739056 (View on PubMed)

Mehnert A, Lehmann C, Cao P, Koch U. [Assessment of psychosocial distress and resources in oncology--a literature review about screening measures and current developments]. Psychother Psychosom Med Psychol. 2006 Dec;56(12):462-79. doi: 10.1055/s-2006-951828. German.

Reference Type BACKGROUND
PMID: 17160791 (View on PubMed)

Fallowfield L, Ratcliffe D, Jenkins V, Saul J. Psychiatric morbidity and its recognition by doctors in patients with cancer. Br J Cancer. 2001 Apr 20;84(8):1011-5. doi: 10.1054/bjoc.2001.1724.

Reference Type BACKGROUND
PMID: 11308246 (View on PubMed)

Herschbach P, Book K, Brandl T, Keller M, Lindena G, Neuwohner K, Marten-Mittag B. Psychological distress in cancer patients assessed with an expert rating scale. Br J Cancer. 2008 Jul 8;99(1):37-43. doi: 10.1038/sj.bjc.6604420. Epub 2008 Jun 24.

Reference Type BACKGROUND
PMID: 18577997 (View on PubMed)

Herschbach P, Keller M, Knight L, Brandl T, Huber B, Henrich G, Marten-Mittag B. Psychological problems of cancer patients: a cancer distress screening with a cancer-specific questionnaire. Br J Cancer. 2004 Aug 2;91(3):504-11. doi: 10.1038/sj.bjc.6601986.

Reference Type BACKGROUND
PMID: 15238979 (View on PubMed)

Harkonen R, Harju R, Alaranta H. Accuracy of the Jamar dynamometer. J Hand Ther. 1993 Oct-Dec;6(4):259-62. doi: 10.1016/s0894-1130(12)80326-7.

Reference Type BACKGROUND
PMID: 8124439 (View on PubMed)

Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991 Feb;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.

Reference Type BACKGROUND
PMID: 1991946 (View on PubMed)

Casanova C, Celli BR, Barria P, Casas A, Cote C, de Torres JP, Jardim J, Lopez MV, Marin JM, Montes de Oca M, Pinto-Plata V, Aguirre-Jaime A; Six Minute Walk Distance Project (ALAT). The 6-min walk distance in healthy subjects: reference standards from seven countries. Eur Respir J. 2011 Jan;37(1):150-6. doi: 10.1183/09031936.00194909. Epub 2010 Jun 4.

Reference Type BACKGROUND
PMID: 20525717 (View on PubMed)

Manttari A, Suni J, Sievanen H, Husu P, Vaha-Ypya H, Valkeinen H, Tokola K, Vasankari T. Six-minute walk test: a tool for predicting maximal aerobic power (VO2 max) in healthy adults. Clin Physiol Funct Imaging. 2018 May 31. doi: 10.1111/cpf.12525. Online ahead of print.

Reference Type BACKGROUND
PMID: 29851229 (View on PubMed)

Schmidt K, Vogt L, Thiel C, Jager E, Banzer W. Validity of the six-minute walk test in cancer patients. Int J Sports Med. 2013 Jul;34(7):631-6. doi: 10.1055/s-0032-1323746. Epub 2013 Feb 26.

Reference Type BACKGROUND
PMID: 23444095 (View on PubMed)

Klein EM, Brahler E, Dreier M, Reinecke L, Muller KW, Schmutzer G, Wolfling K, Beutel ME. The German version of the Perceived Stress Scale - psychometric characteristics in a representative German community sample. BMC Psychiatry. 2016 May 23;16:159. doi: 10.1186/s12888-016-0875-9.

Reference Type BACKGROUND
PMID: 27216151 (View on PubMed)

Radbruch L, Sabatowski R, Elsner F, Everts J, Mendoza T, Cleeland C. Validation of the German version of the brief fatigue inventory. J Pain Symptom Manage. 2003 May;25(5):449-58. doi: 10.1016/s0885-3924(03)00073-3.

Reference Type BACKGROUND
PMID: 12727043 (View on PubMed)

van den Berg TI, Elders LA, de Zwart BC, Burdorf A. The effects of work-related and individual factors on the Work Ability Index: a systematic review. Occup Environ Med. 2009 Apr;66(4):211-20. doi: 10.1136/oem.2008.039883. Epub 2008 Nov 18.

Reference Type BACKGROUND
PMID: 19017690 (View on PubMed)

Other Identifiers

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1162/2020

Identifier Type: -

Identifier Source: org_study_id

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