About this trial
This study aimed to assess the feasibility, acceptability, and preliminary efficacy of the Guided self-help CBT intervention 'Khushi or Khatoon' to treat anxiety and depression, and enhance quality of life and satisfaction with treatment in cancer patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adults (≥ 18 years)
Clinical diagnosis of cancer
Experiencing moderate to severe psychological distress (HADS score ≥ 8)
Able to read and write the Urdu language
Disqualifiers
Severe psychiatric conditions requiring immediate intervention/hospitalisation
Cognitive impairments preventing understanding of the manual/therapy
Visual impairments that may prevent the reading of the manual
Already been receiving any psychological therapy
Trial design
Parallel
Treatments tested in this trial
Culturally adapted guided self-help CBT manual 'Khushi or Khatoon (KoK)'
BehavioralParticipants will receive the culturally adapted guided self-help CBT manual 'Khushi or Khatoon (KoK)'. The manual includes eight modules on managing anxiety and depression. The modules focus on cognitive restructuring, problem solving, behavioural activation, conflict management, interpersonal relationships, mental health and well-being, and self-care. Each module is delivered over one week. The intervention uses culturally appropriate stories, drawings, and examples from local folklore and religious contexts to describe the concepts of CBT.
Treatment groups
Trial outcomes
Primary outcomes
Preliminary efficacy of Guided self-help CBT manual 'Khushi or Khatoon' in treating depression and anxiety in cancer patients
By comparing pre- and post-therapy depression and anxiety scores using the Hospital Anxiety and Depression Scale. The scale has a score range of 0-21 with a cut off of 8, higher scores indicate clinically significant depression/anxiety. A low post-treatment score on the Hospital Anxiety and Depression Scale is the desired outcome.
Feasibility of the Guided Self-Help CBT manual 'Khushi or Khatoon' for depressed and anxious cancer patients
By using indicators like recruitment success, dropout rates, and completion rates recorded in numbers during study
Acceptability of the Guided Self-Help CBT manual 'Khushi or Khatoon' in depressed and anxious cancer patients
Assessed through patients' satisfaction using the Verona satisfaction scale. An average score on the scale ranges from 1-5. High score on the scale indicates more satisfaction with the treatment and thus is the desired outcome.
Secondary outcomes
Quality of life of cancer patients
By comparing pre- and post-therapy scores on the World Health Organization Disability Assessment Schedule. The average score on the scale ranges from 0-4. Low score indicates less decline in functioning. Thus, decreased post-assessment scale score is the desired outcome.
Sponsors and contacts
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