Behaviors and Mental Disorders

All Conditions

Anxiety Disorders

Depressive Disorder

Depression

Behavioral Symptoms

Participants will receive IntelliCare apps with phone coaching for 7 weeks. In this arm, participants will pick two IntelliCare apps to use every week. Participants will receive a phone coaching call before they use the apps, for approximately 30 minutes, as well as 3 weeks after initiating app use (10 minute call).

IntelliCare is composed of 13 separate, native apps. Each app targets a specific aspect of mental health (e.g., reducing worry, increasing social support, tracking negative thoughts). The apps are available to the public in both Android and iPhone stores. Participants will be asked to try two new IntelliCare apps every week, for 7 weeks. Phone coaching will occur at Day 0, before using any of the apps, and the third week of app usage.

IntelliCare + Phone Coaching

Philip Chow, PhD

Sarah Adams, BA

A cancer diagnosis affects not only patients but also their caregivers. The purpose of this study is to test the feasibility of using a mobile app suite, IntelliCare, to improve the mental health of cancer patients and caregivers.

Cancer patients and/or their caregivers will receive access to the mobile app suite, IntelliCare, as well as phone coaching that will focus on how to use the apps. IntlliCare is composed of separate apps that each target a specific aspect of mental health (e.g., reducing worry). The apps are interactive and designed for users to engage in short time bursts (e.g., less than a minute). IntelliCare was originally designed to be paired with phone coaching that focuses on how to use the apps and overcome barriers to usage.

Addressing Mental Health of Cancer Patients and Caregivers Using a Mobile App Suite

Examining an App-based Mental Health Intervention for Cancer Patients and Caregivers

Overall, how have you felt over the past week? (Scale from 1=Very negative to 5=Very positive)

How much have you used alcohol or tobacco to cope with negative feelings? (Scale from 1=Not at all to 5=A lot or extremely)

How much physical pain have you experienced? (Scale from 1=Not at all to 5=A lot or extremely)

1. How connected did you feel to family and friends? (Scale from 1=Not at all to 5=A lot or extremely)
2. How much support did you receive from loved ones? (Scale from 1=Not at all to 5=A lot or extremely)
3. How much were you able to support loved ones? (Scale from 1=Not at all to 5=A lot or extremely)

How much interest or pleasure did you have in doing things? (Scale from 1=Not at all to 5=A lot or extremely)

How much did you feel nervous, anxious, or on edge? (Scale from 1=Not at all to 5=A lot or extremely)

How active were you? (Scale from 1=Not at all to 5=A lot or extremely)

How well have you managed negative feelings? (Scale from 1=Not at all to 5=A lot or extremely)

Overall, how do you expect to feel next week? (Scale from 1=Very negative to 5=Very positive)

Patient-Reported Outcomes Measurement Information System 4-Item Depression Scale (from 29-item Profile), measures depression on a continuous scale. Scores on this scale range from 4-20, with a higher score indicating greater severity of depression.

Patient-Reported Outcomes Measurement Information System 4-Item Anxiety Scale (from 29-item Profile), measures anxiety on a continuous scale. Scores on this scale range from 4-20, with a higher score indicating greater severity of anxiety.

Patient Health Questionnaire-4 contains measures clinical symptoms of mood and anxiety disorders. Scores on this scale range from 0-12, with a higher score indicating greater severity of mood symptoms. Unlike the Patient-Reported Outcomes Measurement Information System scales, this scale has pre-determined clinical cutoffs for mild, moderate, and severe symptoms, which will be used to classify severity of mood symptoms.

Patient-Reported Outcomes Measurement Information System 4-Item Physical Function Scale (from 29-item Profile). Scores on this scale range from 4-20, with a higher score indicating less impairment of physical function.

Patient-Reported Outcomes Measurement Information System 4-Item Life Meaning and Purpose Scale. Scores on this scale range from 4-20, with a higher score indicating more life meaning and purpose.

Patient-Reported Outcomes Measurement Information System 4-Item Sleep Disturbance Scale (from 29-item Profile). Scores on this scale range from 4-20, with a higher score indicating more sleep disturbance.

Patient-Reported Outcomes Measurement Information System 4-Item Fatigue Scale (from 29-item Profile). Scores on this scale range from 4-20, with a higher score indicating more fatigue.

Patient-Reported Outcomes Measurement Information System 4-Item Fatigue Scale (from 29-item Profile). Scores on this scale range from 4-20, with a higher score indicating more pain interference in daily life.

Created a scale since none currently exist. Items (in order) are the following:

1. Over the past two months, how many times did you go to the emergency department?
2. Were any of these visits related to your side effects from cancer treatment? (Yes/No/I Don't Know)
3. How many visits were related to side effects from cancer treatment?
4. Over the past two months, did you ever miss a scheduled appointment for cancer treatment? (Yes/No/I Don't Know)
5. How many appointments did you miss?
6. Over the past two months, have you used any cancer support services? These include programs for emotional support, or services for transportation, lodging, or other needs related to cancer treatment. (Yes/No/I Don't Know)
7. What types of services have you used?

Created a scale since none currently exist. Items (in order) are the following:

1. Over the past two months, how many times did you go to the emergency department?
2. Over the past two months, how many times did you visit your primary care doctor for anything OTHER THAN routine care?
3. Over the past two months, have you used any cancer support services? These include programs for emotional support, or services for transportation, lodging, or other needs related to caregiving for your loved one with cancer. (Yes/No/I Don't Know)
4. What types of services have you used?

Patient-Reported Outcomes Measurement Information System 4-Item Ability to Participate in Social Roles and Activities Scale (from 29-item Profile). Scores on this scale range from 4-20, with a higher score indicating more ability to participate in social roles and activities in daily life.

Caregiver Self-Efficacy Scale (CaSES; Ugalde, Krishnasamy, \& Schofield, 2013). A 21-item scale developed to measure self-efficacy in informal cancer caregivers. Scores range from 0-84, with a higher score indicating more self-efficacy.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Addressing Mental Health of Cancer Patients and Caregivers Using a Mobile App Suite	NCT03488745	Mental Health W... Depression Anxiety	IntelliCare + P...	18 Years -	University of Virginia
Addressing Mental Health of Cancer Patients and Caregivers Using a Mobile App Suite	NCT03488745	Mental Health W... Depression Anxiety	IntelliCare + P...	18 Years -	University of Virginia

Spots Global Cancer Trial Database for intellicare + phone coaching