Trial NCT03060096

Stepped-Care Telehealth for Distress in Cancer Survivors

Mental health issues in post-treatment adult cancer survivors are associated with multiple
adverse outcomes and may represent a cancer health disparity for rural survivors. The purpose
of this study is to test a stepped-care approach tailored to symptom severity based on recent
American Society of Clinical Oncology guidelines for reducing emotional distress (anxiety
and/or depressive symptoms) and improving secondary outcomes (sleep disturbance, fatigue,
fear of recurrence, quality of life) in rural, post-treatment cancer survivors in community
oncology settings and to examine intervention costs. The resultant intervention will have
great potential for widespread dissemination since it will be manualized, delivered by
telephone, and comprised of modules to allow customized treatments for individuals with
different cancer types.


Enhanced Usual Care Control, Moderate Anxiety/depression: Low Intensity Stepped care, Severe Anxiety/depression: High Intensity Stepped Care


Anxiety, Depressive Symptoms, Sleep Disturbance, Recurrent Disease, Fatigue, Quality of Life, Cancer


Suzanne Danhauer, PhD

See list of participating sites