What Impact Does an Initial Psycho-oncological Contact Have on People With Cancer?
PICS
The Impact of a Standardised Initial Contact by a Psycho-oncological Counsellor on Anxiety and Depression, Quality of Life and the Use of Psycho-oncological Support in Cancer Patients: A Patient-initiated Multicentre Randomised Controlled Study - the Psycho-oncological Initial Contact Study (PICS)
1 other identifier
interventional
148
1 country
5
Brief Summary
When diagnosed with cancer, patients or their relatives may, if they wish, on the recommendation of the treatment team and/or in cases of high stress, seek psycho-oncological support. This study investigates whether an initial consultation with a psycho-oncological specialist reduces anxiety and depression, improves quality of life, and whether patients subsequently make greater use of support services. Participants will be randomised, meaning they will be assigned to groups at random to ensure that the results are comparable. In the intervention group, participants will receive a detailed initial consultation with a psycho-oncology specialist and standard treatment. In the control group, participants receive standard treatment. To gather results, questionnaires are administered at regular intervals (at the start, after 3 and 6 months). The study lasts a total of 6 months. The study was developed by patients. It is being conducted simultaneously at several hospitals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable cancer
Started Jun 2026
Typical duration for not_applicable cancer
5 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 15, 2026
CompletedFirst Posted
Study publicly available on registry
April 22, 2026
CompletedStudy Start
First participant enrolled
June 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2028
Study Completion
Last participant's last visit for all outcomes
December 31, 2028
April 22, 2026
April 1, 2026
2.6 years
April 15, 2026
April 15, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in anxiety and depression
Change in anxiety and depression from study entry to the 6 months follow-up survey, measured using a summary measure of the entire HADS
6 months follow-up
Secondary Outcomes (6)
Change in anxiety and depression components
6 months follow-up
Change in quality of life
6 months follow-up
Change in quality-of-life components
6 months follow-up
Change in patient's global distress
6 months follow-up
Use of psycho-oncological support
6 months follow-up
- +1 more secondary outcomes
Study Arms (2)
Initial psycho-oncological contact
EXPERIMENTALParticipants in the Intervention Arm will be contacted by a psycho-oncological counsellor. The study intervention is a 45 minutes psycho-oncological counselling and a 3 months follow-up contact.
Standard
ACTIVE COMPARATORParticipants in the Control Arm will receive actual standard of care psycho- oncological support according to local processes.
Interventions
initial psycho-oncological contact and a 3 months follow-up contact
actual standard of care psycho-oncological support according to local processes
Eligibility Criteria
You may qualify if:
- Patients with an oncological disease diagnosed within the last 3 months with planned or ongoing systemic oncologic treatment (e.g. chemotherapy, immunotherapy, hormone therapy) or a planned or ongoing radiotherapy
- Patient is ≥18 years of age and legally competent
- Patients must have understood and signed the study information and the informed consent form
- Patients are willing and able to complete scheduled follow-up evaluations / questionnaires as described in the informed consent
- No previous contact with psycho-oncological services
You may not qualify if:
- Documented severe functional impairment according to the ECOG Performance Status (ECOG 3-4)
- Patients receiving or planned to receive treatments associated with a severe risk of toxicity (e.g., CAR-T cell therapy, myeloablative therapy)
- Insufficient language skills in German
- Inability to give informed consent
- Refusal to participate in the study, unsigned informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Lindenhofgruppe AGlead
- Insel Gruppe AG, University Hospital Berncollaborator
- St. Claraspital AGcollaborator
- Klinik Hirslanden, Zurichcollaborator
Study Sites (5)
St. Claraspital
Basel, 4058, Switzerland
University Hospital Insel Gruppe AG
Bern, 3010, Switzerland
Lindenhofgruppe
Bern, 3012, Switzerland
See-Spital
Horgen, 8810, Switzerland
Klinik für Hämatologie und Onkologie Hirs landen Zürich AG
Zurich, 8032, Switzerland
Related Publications (7)
Zwahlen D, Tondorf T, Rothschild S, Koller MT, Rochlitz C, Kiss A. Understanding why cancer patients accept or turn down psycho-oncological support: a prospective observational study including patients' and clinicians' perspectives on communication about distress. BMC Cancer. 2017 May 30;17(1):385. doi: 10.1186/s12885-017-3362-x.
PMID: 28558713BACKGROUNDFang L, Chuang DM, Al-Raes M. Social support, mental health needs, and HIV risk behaviors: a gender-specific, correlation study. BMC Public Health. 2019 May 28;19(1):651. doi: 10.1186/s12889-019-6985-9.
PMID: 31138239BACKGROUNDHecht K, Gunther MP, Kirchebner J, Gotz A, von Kanel R, Schulze JB, Euler S. Predictive Factors Associated with Declining Psycho-Oncological Support in Patients with Cancer. Curr Oncol. 2023 Nov 4;30(11):9746-9759. doi: 10.3390/curroncol30110707.
PMID: 37999127BACKGROUNDSinger S, Wunsch A, Ihrig A, Bruns G, Holz F, Jakob J, Besseler M, Engesser D, Blettner M, Konig J, Bayer O. Men's Access to Outpatient Psychosocial Cancer Counseling-a Cluster-Randomized Trial. Dtsch Arztebl Int. 2024 Feb 23;121(4):121-127. doi: 10.3238/arztebl.m2024.0005.
PMID: 38231700BACKGROUNDSenf B, Fettel J, Demmerle C, Maiwurm P. Physicians' attitudes towards psycho-oncology, perceived barriers, and psychosocial competencies: Indicators of successful implementation of adjunctive psycho-oncological care? Psychooncology. 2019 Feb;28(2):415-422. doi: 10.1002/pon.4962. Epub 2018 Dec 21.
PMID: 30512208BACKGROUNDMizuno K, Watanabe T. Sarcoid granulomatous cyclitis. Am J Ophthalmol. 1976 Jan;81(1):82-5. doi: 10.1016/0002-9394(76)90195-1.
PMID: 1251875BACKGROUNDMehnert A, Brahler E, Faller H, Harter M, Keller M, Schulz H, Wegscheider K, Weis J, Boehncke A, Hund B, Reuter K, Richard M, Sehner S, Sommerfeldt S, Szalai C, Wittchen HU, Koch U. Four-week prevalence of mental disorders in patients with cancer across major tumor entities. J Clin Oncol. 2014 Nov 1;32(31):3540-6. doi: 10.1200/JCO.2014.56.0086. Epub 2014 Oct 6.
PMID: 25287821BACKGROUND
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Janine Antonov, PhD, eMBA
Forschungszentrum Lindenhofgruppe
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 15, 2026
First Posted
April 22, 2026
Study Start (Estimated)
June 1, 2026
Primary Completion (Estimated)
December 31, 2028
Study Completion (Estimated)
December 31, 2028
Last Updated
April 22, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share