Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID05442957

A Multi-Site, Randomized Clinical Trial Comparing BRIGHT Tele-CBT With Attention Control for Body Image Distress in Head and Neck Cancer Survivors

Led by Medical University of South Carolina · Updated on 2025-09-24

180

Participants Needed

5

Research Sites

8 weeks

Total Duration

On this page

Sponsors

M

Medical University of South Carolina

Lead Sponsor

N

National Cancer Institute (NCI)

Collaborating Sponsor

AI-Summary

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.

CONDITIONS

Brief Title

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

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age greater than 18 years on the day of informed consent
  • History of confirmed squamous cell carcinoma or similar head and neck cancers
  • Completed curative intent surgery with or without additional therapy
  • Oncologic treatment finished within 6 weeks to 12 months before enrollment
  • Cancer-free at the time of enrollment
  • No planned major head and neck surgery requiring hospital stay during study or follow-up
  • Willingness to be randomly assigned to either BRIGHT or Attention Control
  • IMAGE-HN score of 22 or higher indicating significant body image distress
Not Eligible

You will not qualify if you...

  • Inability to speak or read English
  • Currently receiving psychotherapy for any disorder and unwilling to stop during the trial
  • Severe mental illness that would prevent participating in the trial

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person or remote)

Treatment

Duration - 6 weeks

Participants receive 6 weekly 60-minute sessions of either BRIGHT tele-CBT or Attention Control via video telehealth.

Weekly sessions for 6 weeks (remote)

Follow-up

Duration - Up to 9 months post-randomization

Participants are monitored for psychological and social well-being outcomes up to 9 months after randomization.

Assessments at 2, 3, 6, and 9 months post-randomization (remote or in-person)

Trial Site Locations

Total: 5 locations

1

Henry Ford Hospital

Detroit, Michigan, United States, 48202

Actively Recruiting

2

Washington University in St. Louis

St Louis, Missouri, United States, 63110

Actively Recruiting

3

Pennsylvania State University

Hershey, Pennsylvania, United States, 16802

Actively Recruiting

4

Medical University of South Carolina

Charleston, South Carolina, United States, 29425

Actively Recruiting

5

University of Texas Southwestern

Dallas, Texas, United States, 75235

Actively Recruiting

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Research Team

E

Evan M Graboyes, MD

T

Taylor McLeod, MPH

How is the study designed?

Study Type

INTERVENTIONAL

Masking

DOUBLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

SUPPORTIVE_CARE

Number of Arms

2

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Published Research Related To This Trial

Protocol for a multisite, parallel-group, randomized clinical trial comparing a brief tele-cognitive behavioral therapy intervention (BRIGHT) with attention control for the reduction of body image-related distress among head and neck cancer survivors.

Evan M Graboyes, Stacey N Maurer, Emily Kistner-Griffin...

https://pubmed.ncbi.nlm.nih.gov/40139457