Behaviors and Mental Disorders

All Conditions

Stress, Psychological

Behavioral Symptoms

Usual psychological care- no intervention

Self-Administered Stress Management Training Plus Usual Psychosocial Care

The SSMT kit includes a DVD and booklet will discuss the sources and manifestations of stress during chemotherapy and the potential benefits of stress management training. The videotape/DVD and booklet will also include brief instruction in paced breathing, progressive muscle relaxation with guided imagery, and use of coping self-statements as well as recommendations for practicing the techniques before the start of chemotherapy and using them after the start of treatment. The exercise combines abbreviated progressive muscle relaxation training with use of relaxing mental imagery. The "positive thinking" exercise provides participants with brief instruction in the use of coping self-statements using techniques borrowed from stress inoculation training.

Self Administered Stress Management

Teletia Taylor, PhD

Susan McMillan, PhD RN FAAN

RATIONALE: A stress-management program may improve quality of life and reduce anxiety and depression in patients receiving chemotherapy for cancer.

PURPOSE: This randomized clinical trial is studying how well stress management therapy works in patients receiving chemotherapy for cancer.

OBJECTIVES:

Primary

* Determine if a self-administered stress management intervention is effective in improving quality of life and decreasing psychological distress (anxiety and depression) in Hispanic and non-Hispanic patients receiving cancer chemotherapy.

Secondary

* Determine if the degree of acculturation in Hispanics influences the observed helpfulness of the intervention.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to participating center, use of psychotropic drugs (yes vs no), and ethnicity (Hispanic vs non-Hispanic). Patients are randomized to 1 of 2 arms.

* Arm I (self-administered stress management training plus usual psychosocial care): Patients receive a video DVD, audio CD, and brochure that provides information and instruction in 3 stress management training techniques (progressive muscle relaxation training and guided imagery, abdominal breathing, and coping skills training) to use during chemotherapy. Patients also receive usual psychosocial care.
* Arm II (usual psychosocial care only): Patients receive usual psychosocial care.

Patients complete questionnaires to assess mood, quality of life, and other factors at baseline and before chemotherapy courses 2, 3, and 4.

PROJECTED ACCRUAL: A total of 442 patients will be accrued for this study.

Stress Management Therapy in Patients Receiving Chemotherapy for Cancer

Stress Management Therapy for Patients Undergoing Chemotherapy

Assessed at baseline (before first chemotherapy cycle) and just before the start of the second, third and fourth chemotherapy cycles.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Stress Management Therapy in Patients Receiving Chemotherapy for Cancer	NCT00377130	Cancer Psychological S... Unspecified Adu...	Self Administer...	18 Years -	University of South Florida
Stress Management Therapy in Patients Receiving Chemotherapy for Cancer	NCT00377130	Cancer Psychological S... Unspecified Adu...	Self Administer...	18 Years -	University of South Florida

Spots Global Cancer Trial Database for self administered stress management