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Feasibility of a Cognitive Stepped Care Program for Adults With Brain Metastases

RecruitingNAAges 18 Years - anyAllUniversity Health Network, Toronto
NCT07355348 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Background: Cognitive symptoms are common and often severe in patients with brain metastases, significantly impacting their quality of life and ability to manage cancer care. Currently, there is no standard approach for routinely assessing and managing these symptoms in oncology clinics. Objective: This study aims to evaluate the feasibility, acceptability, and preliminary efficacy of the Cognitive Stepped Care Program (CSCP) in a Brain Metastases Clinic. Methods: This is a prospective, mixed-methods feasibility study involving patients with brain metastases, their caregivers, and clinic staff. Patients will undergo routine cognitive symptom screening using a standardized tool. Based on symptom severity, they will receive tiered interventions ranging from no support, to education materials, to computerized cognitive testing with individualized debrief, with group strategy training and/

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📋 Eligibility rules (as published)
Patients: Inclusion Criteria: * Diagnosed with a brain metastasis for any primary cancer * Receiving follow-up care in the Brain Metastases Clinic * Adult (≥ 18 years) * Able to speak, read, and write in English * Able to provide written informed consent Exclusion Criteria: * History of significant developmental/learning disability or psychiatric disorder, acquired neurological disorder (e.g., traumatic brain injury) * Poor performance status (ECOG ≥ 3) * Life expectancy \< 3 months Caregivers: Inclusion Criteria: * Self-identified or identified by consenting patient as a primary caregiver for a person with brain metastases receiving follow-up in the Brain Metastases Clinic * Adult (≥ 18 years) * Able to speak, read, and write in English * Able to provide written informed consent Exclusion Criteria: • N/A Staff: Inclusion Criteria: * Currently working as a clinician or administrative staff member in the Brain Metastases Clinic * Adult (≥ 18 years) * Able to speak, read, and write in English * Able to provide written informed consent Exclusion Criteria: • N/A
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What it tests

  • Cognitive Stepped Care Program (CSCP)
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Where

1 site
Princess Margaret Cancer Centre, University Health Network
Toronto, Canada
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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