Meru Health Program for Cancer Patients With Depression and Anxiety

Study Overview
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Brief Summary
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The primary objective of this study is to evaluate clinical outcomes among people with cancer who participate in a 12-week therapist-supported digital mental health intervention (DMHI) called the Meru Health Program (MHP). Study participants (N=20) will be referred to the MHP through the Cancer Support Community (CSC) Helpline and network of Gilda's Club locations. The main outcomes will be depression symptoms, anxiety symptoms, health-related quality of life (HRQoL), intervention adherence, and intervention satisfaction. The secondary objective will be to determine the acceptability of the screening and referral process from the CSC networks into the MHP. Data pertaining to implementability will be collected from study participants, MHP clinicians, and CSC staff.

Detailed Description
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The goal of this single-arm intervention study is to test the feasibility of the Meru Health Program (MHP) in reducing symptoms of depression and anxiety among 20 people with cancer referred from the Cancer Support Community (CSC). The MHP is a 12-week digital mental health intervention delivered via a smartphone app. The intervention focuses on cognitive behavioral techniques and mindfulness skills with the aim of improving mental health symptoms. The platform provides informational videos, skills practices, group discussion, and messaging with a licensed clinician employed by Meru Health. The licensed clinician supports patients as needed and reviews engagement logs within the app. As part of the intervention, depression and anxiety symptoms are measured on a biweekly basis over 12 weeks. For this study, self-reported surveys will be administered at baseline, week 12, and 2-months post-treatment to measure health-related quality of life and intervention satisfaction. In-depth interviews will be conducted with patients. Two focus groups will be conducted with MHP clinicians and CSC navigators to understand barriers and facilitators to the screening processes and intervention delivery.

Official Title
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Feasibility of a Therapist-Supported Digital Mental Health Intervention in Addressing Mental Health Symptoms Among People With Cancer: A Mixed Methods Study

Conditions
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Depression, Anxiety

Intervention / Treatment
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* Behavioral: Meru Health Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Positive screen (score >= 3 out of 8) on the anxiety or depression subscale of the CSS 15+ Questionnaire PHQ-9 and/or GAD-7 score >= 5 at clinical intake Willing to commit to the Meru Health Program if selected Proficient in the English language At least 18 years of age at the time of enrollment Has a valid mailing address Owns 1 of the 3 past versions of an Apple or Android mobile phone operating system Currently in active cancer treatment at the time of enrollment Exclusion Criteria: Active suicide intent with plan to act Substance use disorder in the past 3 months Lifetime bipolar disorder Lifetime psychotic disorder Currently pregnant Less than 3 months postpartum

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: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Treatment Group<br>This single-arm study will enroll all 20 participants in the Meru Health Program. | Behavioral: Meru Health Program<br>* The Meru Health Program is a 12-week, evidence-based, smartphone-delivered, therapist-supported digital mental health intervention with as-needed psychiatrist oversight. Enrolled participants work through the program with a cohort of peers similarly affected by depression, with whom they can engage in confidential, anonymous, voluntary group chats overseen by a licensed clinical therapist. The MHP incorporates a continuous care model including daily interaction with a dedicated clinician, several evidence-based treatment components such as cognitive behavioral therapy (CBT), behavioral activation therapy, and mindfulness meditation (MM), as well as promising newer types of depression treatments such as HRVB, nutritional psychiatry, and sleep training. Practices are introduced to weekly topics via video lessons that are reinforced via CBT practices, meditations, and biofeedback sessions and therapist messaging.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in PHQ-9 Scores | 9-item questionnaire to measure depression symptoms | Baseline, Week 12, and 2 Month Follow-Up time points | 
| Change in GAD-7 Scores | 7-item questionnaire to measure anxiety symptoms | Baseline, Week 12, and 2 Month Follow-Up time points | 
| Change in Eurohis-QOL-8 Scores | 8-item Quality of Life questionnaire. | Baseline, Week 12, and 2 Month Follow-Up time points | 
| Change in CSS 15+ Scores | 15-item questionnaire to measure psychological distress experiencing and receiving treatment for cancer. | Baseline and Week 12 time points | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Burnout Scores | A single-item questionnaire to address worker stress and burnout. | Baseline, Week 12, and 2 Month Follow-Up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Mental Health, Digital Mental Health, Depression, Anxiety, Meru Health