Effectiveness of an Educational Intervention Aimed at Increasing the Emotional Competencies of Patients Under Surveillance After Antineoplastic Treatment of Oesogastric or Bronchopulmonary Cancer

University Hospital, Lille26 enrolled

Overview

Emotional skills are the ability to use emotions cleverly in daily life. Good emotional skills are associated with better mental and physical health in healthy and clinical populations. However, to our knowledge, cancer patients have never benefited from an intervention aiming at increasing their emotional skills. Our goal was thus to design and test such an intervention. A prospective, multi-center, randomized controlled trial (RCT) will be conducted in esogastric and lung cancer patients after antineoplastic treatments. Forty-three patients are expected in each arm. The primary outcome is the change in emotional skills assessed using a patient-reported validated questionnaire between the start and two weeks after the end of the intervention and at 2-month follow-up. The experimental arm will have to follow three individual sessions on emotional skills (i.e. identification, understanding, expression and regulation of emotions) while the control arm will have to follow three sessions of relaxation. In each arm, the first session can be held face to face or over the phone and the last two sessions will be held over the phone. Patients have exercises to practice in between sessions.It is hypothesised that the experimental group will experience a greater increase in emotional skills than the control group.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Digestive System Neoplasms

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient under surveillance after curative or palliative antineoplastic treatment (surgery and/or chemoradiotherapy and/or radiotherapy alone and/or chemotherapy alone) of esogastric or bronchopulmonary cancer, * Patients with a life expectancy estimated by their physician involved in the research to be greater than or equal to six months, * Patient with a ≥ 4 score on the Distress Scale (scale from 0 to 10), * Affiliation to a social security scheme, * Mastery of the French language, * Signing of informed consent to participate in this research. Exclusion Criteria: * Cognitive disorders or unstabilized psychiatric disorders that may impair the ability of reasoning and thinking necessary to complete the questionnaires and attend workshops * Difficulty or deficiency that prevent the patient from a good understanding of the imperatives of the research * Any situation likely to significantly affect emotional competence during the study according to the investigator's judgment (in particular, ongoing psychotherapeutic follow-up)) * Patients under judicial protection (guardianship or curators).

Outcomes

Primary Outcomes

Change in patient emotional skills from baseline to 15 days after the end of intervention

Variation in patient-reported 13-item Short Profile of Emotional Competence (S-PEC) score from baseline (T0) to 15 days after the intervention (T1)

Time frame: Between Baseline (T0) and 15 days after the intervention (T1)

Secondary Outcomes

Patient emotional skills at follow up

Variation in the emotional competence score (13-item S-PEC) between Baseline (T0) and T2 (2.5 months after the last session).

Time frame: Between T0 (start of the intervention) and T2 (2 months after T1)

Difficulties in Emotional Regulation

Variation in the Difficulties in Emotional Regulation Scale (DERS 16) score between T0 and T1 and between T1 and T2.

Time frame: Between T0 (baseline) and T1 (15 days after the end of the intervention) and between T1 and T2 (2 months after T1)

Quality of life by FACT-G

Patients' self-reported quality of life assessed using the Functional Assessment of Cancer Therapy - General (FACT-G) questionnaire

Time frame: At T0 (before the first session), at T1 (15 days after the last session) and at T2 (2 months after T1).

Change in quality of life using FACT-G

Variation in assessed quality of life (FACT-G) between T0 and T1 and between T1 and T2 based on variation in emotional competence (13-item S-PEC)

Time frame: Between T0 (baseline) and T1 (&5 days after the end of the intervention) and between T1 and T2 (2 months after T1)

Patient participation in workshops

The percentage of patients who have attended the 3 group sessions

Time frame: Between 2 weeks and 2 months

Patient adherence to exercises to do at home between sessions

The percentage of patients who have performed the suggested exercises at home between sessions

Time frame: Between 2 weeks and 2 months

Patient satisfaction

Patient-reported satisfaction regarding the intervention using ad hoc questionnaire

Time frame: T1 (15 days after the end of the intervention) and T2 (2 months after T1)