Acceptance-based Intervention at Colorectal Cancer Patients

NCT ID: NCT04573088

Last Updated: 2020-10-05

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

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-06-22

Study Completion Date

2022-01-20

Brief Summary

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Taking into account the unavoidable effect of a major oncologic surgery commonly required for colorectal cancer patients and the recognized psychological and functional sequelae of the surgical treatment on their status, we will evaluate the influence of a psychological intervention, known as acceptance-based intervention, offered to those patients at the preoperative setting. Reduction of anxiety and assessmemt of indices of post-intervention psychological and functional recovery will be the primary goals of the study.

Detailed Description

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Introduction: Uncertainty, fears and anxiety are common reactions to an upcoming colectomy for colorectal cancer patients and are related not only to cancer disease, but also to the inevitable change in colon anatomy, affecting their preoperative psychological and functional condition and their postsurgical recovery.

Purpose: We aim to evaluate the psychological and functional recovery of colorectal cancer patients, who undergo colectomy, after an acceptance-based nursing intervention. The scope of this brief preoperative intervention is to enable patients to cope more efficiently with the upcoming surgery and their health status, as it is expected to reduce anxiety and have positive effect on postsurgical psychological and functional recovery.

Methods: The study includes histologically diagnosed patients with colorectal cancer, regardless of stage, who are scheduled to undergo colectomy. Patients will be divided into two groups-the experimental and the control group-by simple randomization. Both groups are going to complete a set of same questionnaires regarding quality of life, sleep, anxiety, depression and functional status. Patients in the control arm will then receive treatment-as-usual while patients in the experimental arm will also receive an acceptance-based intervention before surgery. Postoperatively, for both groups, apart from the self-reported symptoms, we will assess objective recovery factors, such as postoperative complications

Conditions

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Colorectal Neoplasms Acceptance Process Pain, Procedural

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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ABICOL

24 hours prior to surgery the patients undergo acceptance-based intervention, incorporating questions about their subjective perception about the surgery, the domains of their lives that have been affected, and on their own expectations from surgery and its effects on their lives. They will be asked to express their fears and worries about their condition and they will be discussed about the likelihood of experiencing postoperative pain.

Group Type EXPERIMENTAL

ACCEPTANCE-BASED INTERVENTION

Intervention Type BEHAVIORAL

24 hours prior to surgery the patients undergo acceptance-based intervention, incorporating questions about their subjective perception about the surgery, the domains of their lives that have been affected, and on their own expectations from surgery and its effects on their lives. They will be asked to express their fears and worries about their condition and they will be discussed about the likelihood of experiencing postoperative pain.

CONTROL

No acceptance-based intervention or other discussion related to the patients' fears and worries will be applied.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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ACCEPTANCE-BASED INTERVENTION

24 hours prior to surgery the patients undergo acceptance-based intervention, incorporating questions about their subjective perception about the surgery, the domains of their lives that have been affected, and on their own expectations from surgery and its effects on their lives. They will be asked to express their fears and worries about their condition and they will be discussed about the likelihood of experiencing postoperative pain.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Patients with histologically proven colorectal adenocarcinoma
* Age \> 18 years

Exclusion Criteria

* Metastasis at time of diagnosis
* Recurrence at time of diagnosis
* History of other malignancies
* Mental retardation
* Deafness
* Illiteracy
* ASA score\>3
* Poor performance status
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National and Kapodistrian University of Athens

OTHER

Sponsor Role lead

Responsible Party

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George Theodoropoulos

Associate Professor of Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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George E Theodoropoulos

Role: PRINCIPAL_INVESTIGATOR

Associate Professor of Surgery

Locations

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NKUAthens

Athens, , Greece

Site Status RECRUITING

Countries

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Greece

Central Contacts

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George E Theodoropoulos

Role: CONTACT

+306945463593

Facility Contacts

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George Theodoropoulos

Role: primary

6945463593

Other Identifiers

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IRB6/26-2-2019

Identifier Type: -

Identifier Source: org_study_id

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