Meaning-Centered Psychotherapy at Home

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

ACTIVE_NOT_RECRUITING

Total Enrollment

81 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-08-08

Study Completion Date

2026-08-08

Brief Summary

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The purpose of this study is to train nurses from the VNS Health Visiting Nurse Service to deliver Meaning-Centered Psychotherapy for Palliative Care Patients (MCP-PC) to homebound people, and to evaluate how effective MCP-PC is for people with cancer.

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Detailed Description

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Conditions

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Nurse-Patient Relations Psychology, Social

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Phase 1: Nurse Participants

n=8-10 nurses

Meaning-Centered Psychotherapy/MCP-PC Training

Intervention Type BEHAVIORAL

Two-Day MCP-PC Training for Nurses (including mock patient/simulation with actor) with a Pre- and Post-Training Assessment

Phase 1: Patient Participants

n=8-10 patients

Meaning-Centered Psychotherapy/MCP-PC

Intervention Type BEHAVIORAL

3 sessions, completed over the course of 3-6 weeks in the participant's home

Phase 2: Nurse Participants

n=8-10 nurses

Meaning-Centered Psychotherapy/MCP-PC Training

Intervention Type BEHAVIORAL

Two-Day MCP-PC Training for Nurses (including mock patient/simulation with actor) with a Pre- and Post-Training Assessment

Phase 2: Patient Participants Meaning-Centered Psychotherapy/MCP-PC Intervention Arm

n=35

Meaning-Centered Psychotherapy/MCP-PC

Intervention Type BEHAVIORAL

3 sessions, completed over the course of 3-6 weeks in the participant's home

Phase 2: Patient Participants Treatment As Usual/TAU Intervention Arm

n=35

Treatment As Usual/TAU

Intervention Type BEHAVIORAL

Research team will provide:

1. feedback about level of distress at time of screening
2. local referral for psychological care

Interventions

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Meaning-Centered Psychotherapy/MCP-PC Training

Two-Day MCP-PC Training for Nurses (including mock patient/simulation with actor) with a Pre- and Post-Training Assessment

Intervention Type BEHAVIORAL

Meaning-Centered Psychotherapy/MCP-PC

3 sessions, completed over the course of 3-6 weeks in the participant's home

Intervention Type BEHAVIORAL

Treatment As Usual/TAU

Research team will provide:

1. feedback about level of distress at time of screening
2. local referral for psychological care

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

Nurses (all phases):

* Per self-report, providing direct care services at VNS Health
* Per self-report, fluent in English\*\*
* Per self-report, is age 18 or older

Patients (all phases):

* Per health record and/or self-report, is a patient in the VNS Health home health agency division (post-acute care)
* Per health record and/or self-report, is age 18 or older
* Per health record, has a cancer diagnosis and a rating of ≥ 2 on Symptom Control Scale
* Per health record and/or self-report, fluent in English\*\*
* Has a score of ≥ 4 on Callahan cognitive screener
* Has a score of ≥ 4 on Distress Thermometer (N/A for Training Case Participants)

* Language verification: For both nurses and patients, prior to enrollment, all will be asked the following two questions by a Clinical Research Coordinator (CRC) to verify

English fluency necessary for participation in the study:

1. How well do you speak English? (must respond "very well" or "well" when given the choices of Very well, Well, Not well, Not at all, Don't know, or Refused)
2. What is your preferred language for healthcare? (must respond English)

Exclusion Criteria

Nurses (all phases):

* Per self-report, planning to leave position at VNS Health in the next 6 months

Patients (all phases):

* Per health record and/or self-report, has a diagnosis of Alzheimer's, dementia, or other organic brain disorder and in the judgment of the PIs is unable to meaningfully participate.
* Per health record, has impaired decision-making capacity
* Per health record and/or self-report, is permanently placed in a nursing home
* Per health record and/or self-report, is currently receiving Hospice care

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes