Communication Strategies to Introduce Psychology Services

Study Overview
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Brief Summary
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The goal of this research study is to learn about advanced cancer patients' preferences about how psychology services are introduced. This is an investigational study. Up to 110 participants will be enrolled in this study. All will take part at MD Anderson.

Detailed Description
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If you agree to take part in this study, during an already-scheduled office visit, you will complete 3 questionnaires about your symptoms, your emotional health, and if you have ever participated in psychiatric or psychology services. These questionnaires should take about 9 minutes to complete. All participants will watch 2 short videos. The videos show actors playing a doctor, counselor, and patient, discussing psychology service options. Each video is about 1 minute and 30 seconds long and will discuss the same material, but the content of each video will be different. The order in which they are presented will be randomly assigned (as in the flip of a coin). You will have an equal chance of seeing either video first. After you watch the second video, you will complete 3 questionnaires about whether you think 1 of the videos was better than the other, and about your attitude toward psychology services. These questionnaires should take about 4 minutes to complete. Length of Study: It should take about 16 minutes to watch both videos and to complete all questionnaires. Your participation on this study will be over after you have completed the last questionnaire. Other Information: We will ask your caregiver(s) to leave the room while the videos are played. In case they decide to stay, we will ask them to keep silent.

Official Title
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A Randomized Controlled Trial of Communication Strategies to Introduce Psychology Services in the Palliative Care Setting

Conditions
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Malignant Neoplasms of Independent (Primary) Multiple Sites

Intervention / Treatment
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* Behavioral: Questionnaires
* Other: Video Presentation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age >/= 18 years-old Can speak, read, and understand English Diagnosis of locally advanced, recurrent, or metastatic disease Patients treated as outpatients by the supportive and palliative care team Normal cognitive status as determined by the interviewer based on the ability to understand the nature of the study and consent process Exclusion Criteria: Previous psychological counseling received in supportive care department Patients with severe symptom distress as assessed by nursing staff

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video 1: Counselor Alone<br>Participants complete 3 assessment questionnaires during an already-scheduled office visit. Participant watches 2 videos showing actors playing a doctor, counselor, and patient, discussing psychology service options. Participant completes 3 questionnaires after watching the second video about whether they think 1 of the videos was better than the other, and about their attitude toward psychology services. | Behavioral: Questionnaires<br>* Participants complete 3 assessment questionnaires during an already-scheduled office visit. These questionnaires should take about 9 minutes to complete. Participant completes 3 questionnaires after watching the second video about whether they think 1 of the videos was better than the other, and about their attitude toward psychology services. These questionnaires should take about 4 minutes to complete.<br>* Other names: Surveys;Other: Video Presentation<br>* Participant watches 2 videos showing actors playing a doctor, counselor, and patient, discussing psychology service options.<br>|
| Experimental: Video 2: Doctor + Counselor<br>Participants complete 3 assessment questionnaires during an already-scheduled office visit. Participant watches 2 videos showing actors playing a doctor, counselor, and patient, discussing psychology service options. Participant completes 3 questionnaires after watching the second video about whether they think 1 of the videos was better than the other, and about their attitude toward psychology services. | Behavioral: Questionnaires<br>* Participants complete 3 assessment questionnaires during an already-scheduled office visit. These questionnaires should take about 9 minutes to complete. Participant completes 3 questionnaires after watching the second video about whether they think 1 of the videos was better than the other, and about their attitude toward psychology services. These questionnaires should take about 4 minutes to complete.<br>* Other names: Surveys;Other: Video Presentation<br>* Participant watches 2 videos showing actors playing a doctor, counselor, and patient, discussing psychology service options.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Participant's Video Preference of Strategies in Introducing Psychology Services in a Palliative Care Setting | Participants asked the preference to the introduction of counselor. The possible answers are The First Video, The Second Video, Neither, or No Difference. The actual content of the answers will be decoded by the study team at the end of the study to Counselor Alone or MD + Counselor depending on each patient's assigned arm. | Day 1 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Malignant neoplasms of independent (primary) multiple sites, Advanced cancer, Recurrent cancer, Metastatic disease, Palliative care, Videos, Questionnaires, Surveys