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Adaptation of Individual Meaning-Centered Psychotherapy for Chinese Immigrant Cancer Patients

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ClinicalTrials.gov Identifier: NCT02112188
Recruitment Status : Completed
First Posted : April 11, 2014
Last Update Posted : February 19, 2019
Sponsor:
Collaborators:
Queens Cancer Center of Queens Hospital
Charles B. Wang Community Health Center (CBWCHC)
American Cancer Society - Asian Initiatives
New York Coalition for Asian American Mental Health (NYCAAMH)
New York Hospital Queens
Chinese Christian Herald Crusades (CCHC)
Cheung and Kan Medical Group, PLLC
Information provided by (Responsible Party):
Memorial Sloan Kettering Cancer Center

Study Description
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Brief Summary:
The purpose of the study is to modify a type of counseling called "Individual Meaning Centered Psychotherapy" to meet the needs of Chinese cancer patients. Many cancer patients use counseling or other resources to help cope with the emotional burden of their illnesses. Counseling often helps them cope with cancer by giving them a place to express their feelings. "Meaning-Centered" counseling aims to teach cancer patients how to maintain or even increase a sense of meaning and purpose in their lives, despite cancer.

Condition or disease Intervention/treatment
Stage IV Cancer Behavioral: In-depth Patient Interviews Behavioral: Adaptation of IMCP for Chinese Immigrant Cancer Patients

Study Design
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Study Type : Observational
Actual Enrollment : 12 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Adaptation of Individual Meaning-Centered Psychotherapy for Chinese
Actual Study Start Date : April 2014
Actual Primary Completion Date : February 15, 2019
Actual Study Completion Date : February 15, 2019
Groups and Cohorts
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Group/Cohort Intervention/treatment
Chinese patients with advanced cancer
This is a study to adapt the IMCP intervention to be culturally and linguistically tailored for Chinese cancer patients. This study will be carried out in two phases: 1) formative research and 2) adaptation. For this application we will continue the formative research (phase 1) by conducting 20 to 30 indepth interviews with Chinese immigrants with advanced cancer to inform the adaptation of the intervention. Results of the patient in-depth interviews will inform how to adapt the IMCP process and session themes to reflect the needs of the community. In the adaptation phase (phase 2) the Breitbart IMCP research team (including Drs. Breitbart, Lichtenthal, and Applebaum), Drs. Leng, Gany, and Ms. Huang will discuss a priori adaptations to the intervention. Potential changes to the process and content will be discussed. Adaptations will be incorporated in a modified IMCP-Ch treatment manual, therapist checklist/outline and Treatment Integrity Coding Manual.
 Behavioral: In-depth Patient Interviews
Behavioral: Adaptation of IMCP for Chinese Immigrant Cancer Patients


Outcome Measures
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Primary Outcome Measures :
  1. adapt the Individual Meaning-Centered Psychotherapy (IMCP) [ Time Frame: 2 years ]
    through formative research, including in-depth interviews, to be culturally and linguistically tailored for Chinese immigrant cancer patients (IMCP-Ch), using the Ecological Validity Model (EVM) of Bernal et al. (3) and the Cultural Adaptation Process (CAP) model of Domenech-Rodriquez and Weiling (1). This addresses existential issues using didactics and experiential exercises and has demonstrated efficacy in reducing existential suffering and improving psychosocial functioning among advanced cancer patients.


Eligibility Criteria
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Ages Eligible for Study:   21 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Participants will be recruited from MSKCC, QCC, CCHC, ACS Asian Initiatives, CBWCHC, NYHQ and NYCAAMH and the Cheung and Kan Medical Group,.
Criteria

Inclusion Criteria:

  • Non-US born;
  • Of Chinese descent;
  • Age 21 years through 80 years;
  • Language spoken: Mandarin and/or English
  • Diagnosis of Stage IV cancer (any type).

Exclusion Criteria:

  • Presence of cognitive impairment disorder (e.g., delirium or dementia) sufficient to preclude meaningful informed consent and/or data collection. The Chinese version of the Mini Mental State Examination (MMSE) (46) will be used as a cognitive screening tool. Patients with MMSE scores below 20 will be excluded. For English speaking patients we will use the English version of the MMSE.
  • Has a household member who has already participated (or agreed to participate).
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02112188


Locations
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United States, New York
Queens Hospital Center
Jamaica, New York, United States, 11432
Memorial Sloan Kettering Cancer Center
New York, New York, United States, 10065
Sponsors and Collaborators
Memorial Sloan Kettering Cancer Center
Queens Cancer Center of Queens Hospital
Charles B. Wang Community Health Center (CBWCHC)
American Cancer Society - Asian Initiatives
New York Coalition for Asian American Mental Health (NYCAAMH)
New York Hospital Queens
Chinese Christian Herald Crusades (CCHC)
Cheung and Kan Medical Group, PLLC
Investigators
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Principal Investigator: Jennifer Leng, MD, MPH Memorial Sloan Kettering Cancer Center
More Information
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Additional Information:

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Responsible Party: Memorial Sloan Kettering Cancer Center
ClinicalTrials.gov Identifier: NCT02112188    
Other Study ID Numbers: 14-076
First Posted: April 11, 2014    Key Record Dates
Last Update Posted: February 19, 2019
Last Verified: February 2019