Randomized Trial Comparing BRIGHT Tele-Cognitive Behavioral Therapy to Supportive Care for Reducing Body Image Distress in Head and Neck Cancer Survivors

What this Trial Is About

Researchers are evaluating a new brief video tele-cognitive behavioral therapy called BRIGHT for survivors of head and neck cancer who experience significant body image distress. This multi-center randomized clinical trial compares BRIGHT to an attention control supportive care intervention to see if BRIGHT can reduce body image distress and improve psychological and social well-being and quality of life. The study will include 180 participants and explore how BRIGHT affects coping skills and automatic negative thoughts related to body image. Participants will be randomly assigned to one of two groups BRIGHT or Attention Control AC. BRIGHT involves six weekly 60-minute sessions conducted one-on-one by a licensed clinical psychologist via video telehealth. Sessions cover topics such as understanding body image, self-monitoring, cognitive restructuring, coping strategies, social support, and planning for setbacks. The AC group receives six weekly 60-minute tele-supportive care sessions addressing non-body image topics like survivorship, side effects, psychosocial aspects, nutrition, financial distress, and cancer recurrence. Both interventions control for attention and delivery method. Throughout the study, participants will complete the IMAGE-HN questionnaire to measure body image distress, along with assessments of psychological symptoms, social participation, quality of life, and coping mechanisms at 2, 3, 6, and 9 months after randomization. Researchers will also conduct interviews and site visits to understand how to best implement BRIGHT in clinical care. The total follow-up lasts 9 months, with a focus on body image and mental health outcomes among head and neck cancer survivors.

Building a Renewed ImaGe After Head & Neck Cancer Treatment (BRIGHT) Multi-Site RCT