Psychological Mobile App for Patients With AML

NCT ID: NCT05501171

Last Updated: 2023-08-02

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

TERMINATED

Clinical Phase

NA

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-15

Study Completion Date

2023-02-01

Brief Summary

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This research study is evaluating whether a psychological mobile application (app), is efficacious in reducing anxiety and depression symptoms and improving quality of life for patients diagnosed with acute myeloid leukemia (AML) compared to a physical health promotion app.

Detailed Description

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Patients with a new diagnosis of AML often confront a sudden and life-threatening diagnosis, requiring an immediate disruption of their life and an urgent 4-6 week hospitalization to initiate intensive chemotherapy. During this hospitalization, they endure substantial physical symptoms due to the side-effects of intensive chemotherapy, which negatively impacts their quality of life. Patients with AML also experience significant psychological distress as they struggle with the abrupt onset of illness, uncertainty regarding their prognosis, physical and social isolation during their hospitalization, and complete loss of independence.

From our prior studies, we learnt that the use of DREAMLAND, a psychological mobile app, was feasible to integrate in the care of patients with AML receiving intensive chemotherapy and has promising efficacy for improving patients' physical and psychological symptoms and their quality of life. In this project, the study doctors want to compare the effectiveness of DREAMLAND versus CERENA in improving the patient experience when diagnosed with AML. CERENA is a mobile app that provides medical information about how to best take care of one´s health. Using this research, the study doctors hope to find out the best way to help patients cope with the diagnosis and treatment for AML.

The study will use questionnaires to measure patient's quality of life, physical symptoms, mood, and the participant sense of control over their situation. Study questionnaires will be completed in the hospital or clinic. The participants will also have the option of completing these questionnaires remotely through a secure web link or through a mailed paper copy.

Blue Note Therapeutics, Inc. is supporting this research study by providing funding. Blue Note Therapeutics is a digital health technology company that focuses on the health needs of patients with a cancer diagnosis.

Conditions

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AML Acute Myeloid Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Caregivers Investigators
This is a double-blind multi-site randomized efficacy trial of two mobile apps: DreAMLand versus CERENA in 180 patients with AML. Patients will be recruited from 5 sites and randomized in 1:1 fashion, stratified by study site, to DreAMLand versus CERENA. The study investigators and clinicians caring for these patients will be blinded to the study group assignment.

Study Groups

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DREAMLAND

Participants will be recruited from 5 sites and randomized in 1:1 fashion, stratified by study site, to DREAMLAND versus CERENA.

* Participants will use DREAMLAND and during hospitalization for treatment of AML to learn how to cope most effectively with the diagnosis of AML using an iPad provided by the study team or participant's own iPad.
* Questionnaires (in-person, over the computer or telephone, or by mail) at predetermined days per protocol days.

Group Type EXPERIMENTAL

DREAMLAND

Intervention Type BEHAVIORAL

DREAMLAND is self-administered psychological app for patients with AML that includes four modules, focused on:

1. Supportive psychotherapy strategies to help patients deal with the initial shock of diagnosis, cope with the loss of independence and abrupt life disruptions, and provide validation and reassurance.
2. Psychoeducation to manage expectations and enhance preparedness for extended hospitalization and mobilize social support.
3. Psychosocial skill-building to promote effective coping strategies and facilitate acceptance while living with uncertainty.
4. Self-care to promote positive health behaviors and enhance patients´ sense of control especially as they transition from the hospital to outpatient care.

Each module takes 20 minutes to complete. DREAMLAND also includes three optional models that also take 15 minutes to complete.

Other names BNT200

CERENA

Participants will be recruited from 5 sites and randomized in 1:1 fashion, stratified by study site, to DREAMLAND versus CERENA.

* Participants will use the mobile app CERENA during hospitalization for treatment of AML to learn how to best care for themselves using an iPad provided by the study team or participant's own iPad.
* Questionnaires (in-person, over the computer or telephone, or by mail) at predetermined days per protocol days.

Group Type ACTIVE_COMPARATOR

CERENA

Intervention Type BEHAVIORAL

CERENA is a self-administered physical health app that includes 4 modules focused, focused on:

1. Education about general wellness.
2. Nutrition.
3. Exercise.
4. Cancer prevention.

Each module takes 20 minutes to complete. CERENA also includes three optional modules that also take 15 minutes to complete.

Interventions

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DREAMLAND

DREAMLAND is self-administered psychological app for patients with AML that includes four modules, focused on:

1. Supportive psychotherapy strategies to help patients deal with the initial shock of diagnosis, cope with the loss of independence and abrupt life disruptions, and provide validation and reassurance.
2. Psychoeducation to manage expectations and enhance preparedness for extended hospitalization and mobilize social support.
3. Psychosocial skill-building to promote effective coping strategies and facilitate acceptance while living with uncertainty.
4. Self-care to promote positive health behaviors and enhance patients´ sense of control especially as they transition from the hospital to outpatient care.

Each module takes 20 minutes to complete. DREAMLAND also includes three optional models that also take 15 minutes to complete.

Other names BNT200

Intervention Type BEHAVIORAL

CERENA

CERENA is a self-administered physical health app that includes 4 modules focused, focused on:

1. Education about general wellness.
2. Nutrition.
3. Exercise.
4. Cancer prevention.

Each module takes 20 minutes to complete. CERENA also includes three optional modules that also take 15 minutes to complete.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Hospitalized patients (aged 18 years or older) with a new diagnosis of AML
* Receiving treatment with either a) intensive chemotherapy (7+3) or modification of this regimen on a clinical trial, or b) a similar intensive regimen requiring prolonged 3-6-week hospitalization
* Ability to comprehend and speak English as the mobile apps are only available in English

Exclusion Criteria

* Patients with a diagnosis of acute promyelocytic leukemia
* Patients with acute or unstable psychiatric or cognitive conditions which the treating clinicians believes prohibits informed consent or compliance with study procedures
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Blue Note Therapeutics

INDUSTRY

Sponsor Role collaborator

Massachusetts General Hospital

OTHER

Sponsor Role lead

Responsible Party

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El-Jawahri, Areej,M.D.

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Areej El-Jawahri, MD

Role: PRINCIPAL_INVESTIGATOR

Massachusetts General Hospital

Locations

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Massachusetts General Hospital

Boston, Massachusetts, United States

Site Status

Duke University

Durham, North Carolina, United States

Site Status

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States

Site Status

Countries

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United States

Other Identifiers

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22-257

Identifier Type: -

Identifier Source: org_study_id

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