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N/A N=185 Randomized Single-blind Supportive Care

Bridge: Proactive Psychiatry Consultation and Case Management for Patients With Cancer

Cancer · Severe Major Depression · Schizophrenia · Bipolar Disorder · Lung Cancer

Enrolled (actual)
185
Serious AEs
0.0%
Results posted
Feb 2024
Primary outcome: Primary: Disruptions in Cancer Care — 37; 48; 20; 10 Participants

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Proactive Psychiatry Consultation (PPC) (Other); Enhanced Usual Care (EUC) (Other)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Massachusetts General Hospital
Primary completion
Nov 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Disruptions in Cancer Care
37; 48; 20; 10
SECONDARY
BPRS (24)
46.51; 47.44; 43.06; 44.96; 46.1; 41.22
SECONDARY
PHQ-9
9.67; 9.09; 9.60; 7.89; 9.78; 7.72

Summary

The purpose of this research is to understand if it is helpful for patients with mental illness to be connected to a psychiatrist and case manager at the time of cancer diagnosis.

Eligibility Criteria

Patient Inclusion Criteria:

  • Age ≥ 18 years old; Value \_\_\_\_\_\_
  • Verbal fluency in English
  • Serious mental illness (Schizophrenia spectrum disorder, bipolar disorder, or major depressive disorder with prior psychiatric hospitalization) confirmed by study clinician at consent
  • Invasive breast, lung, gastrointestinal, or head and neck cancer (suspected or confirmed Stage I-III, or Stage IV cancer that can be treated with curative intent according to judgment by the oncologist.)
  • Medical, surgical, or radiation oncology consultation at MGH Cancer Center within the past 8 weeks or a referral placed to the MGH Cancer Center and planned or recommended follow-up

Patient Exclusion Criteria:

  • Have cognitive impairment severe enough to interfere with completing brief study assessments or providing informed consent (and does not have a guardian who can provide consent)
  • Recurrence of the same cancer type

Caregiver Participants

  • Age ≥ 18 years old; Value \_\_\_\_\_\_
  • Verbal fluency in English
  • Identified or confirmed by the patient or guardian as a caregiver
  • Caregiver may be a relative, friend, or community mental health staff upon whom the patient relies upon for support and who accompanies the patient to medical appointments
  • The caregiver should either live with the patient or have in-person contact with the patient once per week (on average)
  • Patient or guardian must provide permission to contact caregiver
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03360695). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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