Problem Solving Skills Training in Adult Cancer Survivors: Bright IDEAS-AC

At Roswell Park Comprehensive Cancer Center, in collaboration with the University at Buffalo
School of Public Health and Health Professions and the University of Rochester, we are
looking for adult cancer patients to participate in our new project designed to facilitate
recovery from cancer and help cancer survivors lead better, more productive lives. The ideal
subjects are individuals who have completed treatment for stage I-III colorectal cancer and
speak English. Participants will be randomized into two groups: 8 weekly 1-hour long sessions
of problem solving skills therapy delivered by a trained therapist vs. care as usual. Bright
IDEAS Adult Colorectal (Bright IDEAS-AC) therapy will be delivered in the most
patient-friendly way. Sessions will be face-to-face at the location of patient choice
(hospital, clinic, or participant's home) or over the phone. A supportive other or caregiver
is also invited to participate in this study. This project does not involve any experimental
drugs and does not affect the regular care or patient relationship with doctor(s).

At the time of enrollment, after 3 months and after 6 months, all participants in the
intervention and control arms, as well as any participating supportive others/caregivers will
be asked about their healthcare utilization since the last assessment including primary care,
specialist and emergency department visits and any hospital stays. During the same three time
points, both patients and supportive others/caregivers will be asked to fill in 4 short
questionnaires assessing their problem solving skills, health status, mood and function

Inclusion Criteria:

- stage I-III Colorectal Cancer

- meet the screening criteria for psychological distress (NCCN Distress >2)

- be able to speak English

- have a 5-year survival rate of 50% or greater as deemed by their oncologist,
surgeon,or other relevant attending physician (suggesting a reasonable rate of cure or
prolonged medical survival with state-of-the-art medical care)

- be willing to provide written informed consent to participate in the study which
includes several clinical evaluations, provide access to medical records/PCP, and
allow all interviews and PSST therapy sessions to be audiotaped.

- Among patients treated in the urban centers, we will specifically target patients who
live more than 40 miles away from the clinic as they are more likely to experience
problems with access to care.

- Age 21 or older

Exclusion Criteria:

- a diagnosis of mental retardation,

- and/or acute suicidal behavior