<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT01711944</url>
  </required_header>
  <id_info>
    <org_study_id>1R01CA159013-01A1</org_study_id>
    <secondary_id>R01CA159013-01A1</secondary_id>
    <nct_id>NCT01711944</nct_id>
  </id_info>
  <brief_title>Online Problem Solving Skills Training</brief_title>
  <official_title>Online Implementation of Problem Solving Skills Training for Mothers of Newly Diagnosed Childhood Cancer Patients</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>University of Rochester</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
    <collaborator>
      <agency>M.D. Anderson Cancer Center</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>University of Texas, El Paso</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>University of Colorado, Denver</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>University of Pittsburgh</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>Rutgers Cancer Institute of New Jersey</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>Children's Hospital Los Angeles</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>St. Jude Children's Research Hospital</agency>
      <agency_class>Other</agency_class>
    </collaborator>
    <collaborator>
      <agency>National Institutes of Health (NIH)</agency>
      <agency_class>NIH</agency_class>
    </collaborator>
  </sponsors>
  <source>University of Rochester</source>
  <oversight_info>
    <has_dmc>Yes</has_dmc>
  </oversight_info>
  <brief_summary>
    <textblock>
      Parents of children newly diagnosed with cancer experience depression and anxiety, especially&#xD;
      in the first several months of treatment. Bright IDEAS, an 8-session problem-solving skills&#xD;
      training (PSST) program has been used in studies with more than 900 mothers including more&#xD;
      than 125 monolingual Spanish-speaking mothers. It has been shown to significantly decrease&#xD;
      mothers' distress and to particularly benefit Latina immigrants. This past spring, the&#xD;
      NCI/NIH designated Bright IDEAS as a Research-Tested Intervention Program and has included it&#xD;
      in the National Registry of Evidence-based Programs and Practices. To date, Bright IDEAS has&#xD;
      been available to mothers at only a few cancer centers with specially trained personnel. This&#xD;
      proposal is designed to bring Bright IDEAS on-line to make it available to mothers and&#xD;
      fathers 24/7 anywhere with Internet access. The investigators will carefully analyze&#xD;
      acceptability and use to gain insight into the most promising ways of disseminating&#xD;
      interventions like Bright IDEAS using Internet, Internet II, and other emerging technologies.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      Research and experience document that caregivers of children with cancer encounter&#xD;
      extraordinary stresses during the child's illness. These stresses are particularly severe&#xD;
      during diagnosis and early therapy and can interfere significantly with a caregiver's ability&#xD;
      to make reasoned and timely decisions on their child's behalf. With increasing survivor&#xD;
      rates, it has become evident that decisions made in the early stages of cancer management can&#xD;
      have profound long-term effects, adding to the distress caregivers feel trying to make the&#xD;
      &quot;right&quot; decisions. Too help mothers of newly diagnosed children cope more effectively with&#xD;
      these challenges, the investigators conducted randomized controlled trials (R25CA65520,&#xD;
      R01CA098954) to develop, field test, and evaluate the efficacy of the Bright IDEAS paradigm&#xD;
      of problem-solving skills training (PSST), a cognitive-behavioral therapy shown to decrease&#xD;
      anxiety and depression - two symptoms of post-traumatic stress commonly experienced among&#xD;
      this group of mothers. Our findings clearly show that PSST significantly increases&#xD;
      problem-solving skills (primary effect) and decreases negative affectivity (secondary effect)&#xD;
      in mothers from a variety of racial, ethnic, and socioeconomic backgrounds. Particularly&#xD;
      powerful and long-lasting effects were noted in Spanish-speaking mothers, an especially&#xD;
      underserved population. In March 2010, the NCI designated Bright IDEAS as a Research-based&#xD;
      Therapy/Intervention Program (RTIP) and entered it into the National Registry of&#xD;
      Evidence-based Programs and Practices (NREPP). As an 8-session, in-person intervention,&#xD;
      Bright IDEAS is labor intensive and, to date, has only been available at a few institutions&#xD;
      with trained personnel. However, as a part of the RTIPs evaluation process, the Dissemination&#xD;
      Capability of Bright IDEAS was rated 5/5. This proposal is designed to meet the challenge&#xD;
      inherent in this perfect score. The investigators will also immediately broaden the scope of&#xD;
      users by including fathers as eligible participants in this study of a new delivery paradigm&#xD;
      the investigators believe they will find appealing. Aim 1 is implementation of an engaging,&#xD;
      easy-to-use on-line version of Bright IDEAS that would be available 24/7 to any person&#xD;
      anywhere who has access to the Internet. Aim 2 is the use of &quot;Diffusion of Innovations&quot;&#xD;
      theory to craft a framework for disseminating not only Bright IDEAS but other similar&#xD;
      interventions with the greatest effectiveness and efficiency. In past studies, the&#xD;
      investigators have shown that the human element (time and attention) inherent in in-person&#xD;
      interventions is effective in bringing immediate relief of distress but not sufficient to&#xD;
      maintain its benefits over time. In contrast, mothers receiving PSST increase their skills&#xD;
      and continue to improve their sense of well-being 3 months after the intervention. What the&#xD;
      investigators have not investigated is whether a computer-based intervention is as effective&#xD;
      as (not inferior to) an in-person intervention. The results will have significant&#xD;
      implications for future dissemination strategies, especially the use of Internet II and other&#xD;
      emerging technologies.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date>July 2012</start_date>
  <completion_date type="Actual">April 30, 2019</completion_date>
  <primary_completion_date type="Actual">April 30, 2019</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <primary_purpose>Supportive Care</primary_purpose>
    <masking>None (Open Label)</masking>
  </study_design_info>
  <primary_outcome>
    <measure>Social Problem Solving Skills Inventory</measure>
    <time_frame>Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)</time_frame>
    <description>This is a well validated assessment of problem-solving strategies and positive or negative orientation to problem solving.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Profile of Mood States</measure>
    <time_frame>Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)</time_frame>
    <description>This is a well validated measure of depression and anxiety</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Patient Health Questionnaire (PHQ9)</measure>
    <time_frame>Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)</time_frame>
    <description>A 9-item self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ9 is the depression module which rates each of the nine DSM-IV criteria as 0 (not at all) to 3 (nearly every day). It will be used in place of the Beck Depression Inventory.</description>
  </secondary_outcome>
  <other_outcome>
    <measure>Impact of Event Scale-Revised</measure>
    <time_frame>Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)</time_frame>
    <description>This is a well-validated assessment of the impact of a specified event (in this case, the diagnosis of cancer in a child)</description>
  </other_outcome>
  <other_outcome>
    <measure>Bidimensional Acculturation Scale for Hispanics</measure>
    <time_frame>Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)</time_frame>
    <description>This is a well-validated measure of the degree to which an individual born in another country has adopted the customs of their new country</description>
  </other_outcome>
  <other_outcome>
    <measure>Hispanic Stress Inventory</measure>
    <time_frame>Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)</time_frame>
    <description>This is a well validated assessment of the social, financial, and emotional ramifications associated with being a minority individual (in this case, Hispanic).</description>
  </other_outcome>
  <other_outcome>
    <measure>Current Problems Inventory</measure>
    <time_frame>Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)</time_frame>
    <description>The Current Problems Inventory was developed by the investigators to provide examples of the kinds of problems commonly encountered in families with a child with cancer. This form has been completed by participants at T1 in all studies of Bright IDEAS PSST to date. During this project, the CPI will be given at T1, T2, and T3 to monitor change over time.</description>
  </other_outcome>
  <other_outcome>
    <measure>Demographic Information</measure>
    <time_frame>Baseline (T1)</time_frame>
    <description>Includes information about the child with cancer (age, diagnosis, date of diagnosis), parental age, marital status, educational level, occupational prestige of the family, and previous experience with the Internet.</description>
  </other_outcome>
  <other_outcome>
    <measure>Impact of Event Scale-Revised (IES-R)</measure>
    <time_frame>Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)</time_frame>
    <description>A 22-item self-report measuring perceived post-traumatic stress, includes three subscales (intrusion, avoidance, and hyperarousal) that assess PTS symptoms (PTSSx) during the past week experienced in response to a specific event. Widely used to measure PTSSx associated with events such as diagnosis with cancer. Internal consistency reliabilities of the intrusion, avoidance, and hyperarousal subscales are .91, .84, and .90, respectively.</description>
  </other_outcome>
  <other_outcome>
    <measure>Credibility/Expectancy</measure>
    <time_frame>After the first face-to-face PSST or ePSST session and after the fourth face-to-face PSST session or four weeks after the first ePSST session</time_frame>
    <description>Credibility is measured along four dimensions and expectancy is rated on a scale of 0 to 100. These rating scales were developed by the investigators specifically for this purpose and used in our most recent previous study.</description>
  </other_outcome>
  <other_outcome>
    <measure>User Satisfaction</measure>
    <time_frame>Post intervention (3 months; T2)</time_frame>
    <description>Will be assessed using a 21-item questionnaire developed by the investigators to address intervention-specific and website-specific issues. Only the first five questions and the open-ended questions modified for the face-to-face group (specific to Bright IDEAS itself) will be completed by participants receiving the standard intervention. The questionnaire will be administered at T2.</description>
  </other_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Actual">629</enrollment>
  <condition>Childhood Cancer</condition>
  <arm_group>
    <arm_group_label>Online PSST</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>An online version of Problem-Solving Skills Training (PSST) will be compared to standard (face-to-face) PSST</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Face-to-Face PSST</arm_group_label>
    <arm_group_type>Active Comparator</arm_group_type>
    <description>This is an 8-session face-to-face Problem-Solving Skills Training intervention</description>
  </arm_group>
  <intervention>
    <intervention_type>Behavioral</intervention_type>
    <intervention_name>Problem-Solving Skills Training</intervention_name>
    <description>8-session manualized intervention to provide problem-solving skills training in the context of childhood cancer.</description>
    <arm_group_label>Face-to-Face PSST</arm_group_label>
    <arm_group_label>Online PSST</arm_group_label>
    <other_name>PSST</other_name>
    <other_name>Bright IDEAS</other_name>
    <other_name>Online PSST</other_name>
    <other_name>Standard or face-to-face PSST</other_name>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria: Subjects will be drawn from the pool of all parents who are primary&#xD;
        caregivers of children diagnosed with any form of cancer 4-16 weeks prior to contact about&#xD;
        the Problem Solving Skills Training intervention and cared for at one of the 4 data&#xD;
        collection sites. No attempt will be made to stratify the sample by any particular&#xD;
        demographic variables (e.g., age, ethnic background, or type of cancer diagnosed in their&#xD;
        child), except that monolingual Spanish-speaking parents will be specifically recruited to&#xD;
        provide adequate representation for statistical analysis at Childrens Hospital Los Angeles&#xD;
        and UT/MD Anderson Cancer Center. Goal: 20% total enrollment.&#xD;
&#xD;
        Exclusion Criteria: Parents of children with cancer will be excluded if (1) they do not&#xD;
        read or speak English or Spanish; (2) their child is in severe a medical crisis, as&#xD;
        determined by the oncologist, or (3) they live a prohibitive distance to complete the&#xD;
        intervention (typically, &gt;50 miles from the Center) and do not have access to a telephone&#xD;
        for phone intervention sessions. Internet access will be facilitated as part of the e-PSST&#xD;
        intervention arm. These exclusionary criteria are identical to our previous work; &lt;10% of&#xD;
        eligible mothers have been excluded.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>18 Years</minimum_age>
    <maximum_age>N/A</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Olle Jane Z Sahler, MD</last_name>
    <role>Principal Investigator</role>
    <affiliation>University of Rochester</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>Children's Hospital Los Angeles</name>
      <address>
        <city>Los Angeles</city>
        <state>California</state>
        <zip>90027-6016</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>University of Rochester Medical Center</name>
      <address>
        <city>Rochester</city>
        <state>New York</state>
        <zip>14642</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Children's Hospital of Pittsburgh</name>
      <address>
        <city>Pittsburgh</city>
        <state>Pennsylvania</state>
        <zip>15213</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>St. Jude Children's Research Hospital</name>
      <address>
        <city>Memphis</city>
        <state>Tennessee</state>
        <zip>38105-3678</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>Texas Children's Hospital</name>
      <address>
        <city>Houston</city>
        <state>Texas</state>
        <zip>77030</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location>
    <facility>
      <name>University of Texas/MD Anderson Cancer Center</name>
      <address>
        <city>Houston</city>
        <state>Texas</state>
        <zip>77030</zip>
        <country>United States</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>United States</country>
  </location_countries>
  <verification_date>July 2019</verification_date>
  <study_first_submitted>September 29, 2012</study_first_submitted>
  <study_first_submitted_qc>October 18, 2012</study_first_submitted_qc>
  <study_first_posted type="Estimate">October 22, 2012</study_first_posted>
  <last_update_submitted>July 9, 2019</last_update_submitted>
  <last_update_submitted_qc>July 9, 2019</last_update_submitted_qc>
  <last_update_posted type="Actual">July 12, 2019</last_update_posted>
  <responsible_party>
    <responsible_party_type>Principal Investigator</responsible_party_type>
    <investigator_affiliation>University of Rochester</investigator_affiliation>
    <investigator_full_name>OJ Sahler</investigator_full_name>
    <investigator_title>Professor</investigator_title>
  </responsible_party>
  <keyword>childhood cancer</keyword>
  <keyword>Internet communication</keyword>
  <keyword>parents</keyword>
  <keyword>caregivers</keyword>
  <keyword>problem solving</keyword>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT01711944
org study id: 1R01CA159013-01A1
secondary id: R01CA159013-01A1
nct id: NCT01711944
lead sponsor: 
collaborator: 
collaborator: 
collaborator: 
collaborator: 
collaborator: 
collaborator: 
collaborator: 
collaborator: 
has dmc: Yes
Parents of children newly diagnosed with cancer experience depression and anxiety, especially
      in the first several months of treatment. Bright IDEAS, an 8-session problem-solving skills
      training (PSST) program has been used in studies with more than 900 mothers including more
      than 125 monolingual Spanish-speaking mothers. It has been shown to significantly decrease
      mothers' distress and to particularly benefit Latina immigrants. This past spring, the
      NCI/NIH designated Bright IDEAS as a Research-Tested Intervention Program and has included it
      in the National Registry of Evidence-based Programs and Practices. To date, Bright IDEAS has
      been available to mothers at only a few cancer centers with specially trained personnel. This
      proposal is designed to bring Bright IDEAS on-line to make it available to mothers and
      fathers 24/7 anywhere with Internet access. The investigators will carefully analyze
      acceptability and use to gain insight into the most promising ways of disseminating
      interventions like Bright IDEAS using Internet, Internet II, and other emerging technologies.
Research and experience document that caregivers of children with cancer encounter
      extraordinary stresses during the child's illness. These stresses are particularly severe
      during diagnosis and early therapy and can interfere significantly with a caregiver's ability
      to make reasoned and timely decisions on their child's behalf. With increasing survivor
      rates, it has become evident that decisions made in the early stages of cancer management can
      have profound long-term effects, adding to the distress caregivers feel trying to make the
      "right" decisions. Too help mothers of newly diagnosed children cope more effectively with
      these challenges, the investigators conducted randomized controlled trials (R25CA65520,
      R01CA098954) to develop, field test, and evaluate the efficacy of the Bright IDEAS paradigm
      of problem-solving skills training (PSST), a cognitive-behavioral therapy shown to decrease
      anxiety and depression - two symptoms of post-traumatic stress commonly experienced among
      this group of mothers. Our findings clearly show that PSST significantly increases
      problem-solving skills (primary effect) and decreases negative affectivity (secondary effect)
      in mothers from a variety of racial, ethnic, and socioeconomic backgrounds. Particularly
      powerful and long-lasting effects were noted in Spanish-speaking mothers, an especially
      underserved population. In March 2010, the NCI designated Bright IDEAS as a Research-based
      Therapy/Intervention Program (RTIP) and entered it into the National Registry of
      Evidence-based Programs and Practices (NREPP). As an 8-session, in-person intervention,
      Bright IDEAS is labor intensive and, to date, has only been available at a few institutions
      with trained personnel. However, as a part of the RTIPs evaluation process, the Dissemination
      Capability of Bright IDEAS was rated 5/5. This proposal is designed to meet the challenge
      inherent in this perfect score. The investigators will also immediately broaden the scope of
      users by including fathers as eligible participants in this study of a new delivery paradigm
      the investigators believe they will find appealing. Aim 1 is implementation of an engaging,
      easy-to-use on-line version of Bright IDEAS that would be available 24/7 to any person
      anywhere who has access to the Internet. Aim 2 is the use of "Diffusion of Innovations"
      theory to craft a framework for disseminating not only Bright IDEAS but other similar
      interventions with the greatest effectiveness and efficiency. In past studies, the
      investigators have shown that the human element (time and attention) inherent in in-person
      interventions is effective in bringing immediate relief of distress but not sufficient to
      maintain its benefits over time. In contrast, mothers receiving PSST increase their skills
      and continue to improve their sense of well-being 3 months after the intervention. What the
      investigators have not investigated is whether a computer-based intervention is as effective
      as (not inferior to) an in-person intervention. The results will have significant
      implications for future dissemination strategies, especially the use of Internet II and other
      emerging technologies.
allocation: Randomized
intervention model: Parallel Assignment
primary purpose: Supportive Care
masking: None (Open Label)
measure: Social Problem Solving Skills Inventory
time frame: Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)
description: This is a well validated assessment of problem-solving strategies and positive or negative orientation to problem solving.
measure: Profile of Mood States
time frame: Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)
description: This is a well validated measure of depression and anxiety
measure: Patient Health Questionnaire (PHQ9)
time frame: Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)
description: A 9-item self-administered version of the PRIME-MD diagnostic instrument for common mental disorders. The PHQ9 is the depression module which rates each of the nine DSM-IV criteria as 0 (not at all) to 3 (nearly every day). It will be used in place of the Beck Depression Inventory.
measure: Impact of Event Scale-Revised
time frame: Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)
description: This is a well-validated assessment of the impact of a specified event (in this case, the diagnosis of cancer in a child)
measure: Bidimensional Acculturation Scale for Hispanics
time frame: Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)
description: This is a well-validated measure of the degree to which an individual born in another country has adopted the customs of their new country
measure: Hispanic Stress Inventory
time frame: Baseline (T1); post intervention (3 months; T2); 3 months post intervention (6 months; T3)
description: This is a well validated assessment of the social, financial, and emotional ramifications associated with being a minority individual (in this case, Hispanic).
measure: Current Problems Inventory
time frame: Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)
description: The Current Problems Inventory was developed by the investigators to provide examples of the kinds of problems commonly encountered in families with a child with cancer. This form has been completed by participants at T1 in all studies of Bright IDEAS PSST to date. During this project, the CPI will be given at T1, T2, and T3 to monitor change over time.
measure: Demographic Information
time frame: Baseline (T1)
description: Includes information about the child with cancer (age, diagnosis, date of diagnosis), parental age, marital status, educational level, occupational prestige of the family, and previous experience with the Internet.
measure: Impact of Event Scale-Revised (IES-R)
time frame: Baseline (T1), post intervention (3 months; T2), 3 months post intervention (6 months; T3)
description: A 22-item self-report measuring perceived post-traumatic stress, includes three subscales (intrusion, avoidance, and hyperarousal) that assess PTS symptoms (PTSSx) during the past week experienced in response to a specific event. Widely used to measure PTSSx associated with events such as diagnosis with cancer. Internal consistency reliabilities of the intrusion, avoidance, and hyperarousal subscales are .91, .84, and .90, respectively.
measure: Credibility/Expectancy
time frame: After the first face-to-face PSST or ePSST session and after the fourth face-to-face PSST session or four weeks after the first ePSST session
description: Credibility is measured along four dimensions and expectancy is rated on a scale of 0 to 100. These rating scales were developed by the investigators specifically for this purpose and used in our most recent previous study.
measure: User Satisfaction
time frame: Post intervention (3 months; T2)
description: Will be assessed using a 21-item questionnaire developed by the investigators to address intervention-specific and website-specific issues. Only the first five questions and the open-ended questions modified for the face-to-face group (specific to Bright IDEAS itself) will be completed by participants receiving the standard intervention. The questionnaire will be administered at T2.
arm group label: Online PSST
arm group type: Experimental
description: An online version of Problem-Solving Skills Training (PSST) will be compared to standard (face-to-face) PSST
arm group label: Face-to-Face PSST
arm group type: Active Comparator
description: This is an 8-session face-to-face Problem-Solving Skills Training intervention
intervention type: Behavioral
intervention name: Problem-Solving Skills Training
description: 8-session manualized intervention to provide problem-solving skills training in the context of childhood cancer.
arm group label: Face-to-Face PSST
arm group label: Online PSST
other name: PSST
other name: Bright IDEAS
other name: Online PSST
other name: Standard or face-to-face PSST
criteria: 
gender: All
minimum age: 18 Years
maximum age: N/A
healthy volunteers: Accepts Healthy Volunteers
last name: Olle Jane Z Sahler, MD
role: Principal Investigator
affiliation: University of Rochester
facility: 
facility: 
facility: 
facility: 
facility: 
facility: 
country: United States
responsible party type: Principal Investigator
investigator affiliation: University of Rochester
investigator full name: OJ Sahler
investigator title: Professor