Telehealth Self-Management Coaching Sessions to Improve Quality of Life in Pancreatic Cancer Survivors and Their Family Care Givers
Impacting Quality of Life and Pancreatic Cancer Survivorship Through a Telehealth Intervention
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
Study Locations
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-
California
-
Arcadia, California, United States, 91007
- Not yet recruiting
- City of Hope at Arcadia
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Corona, California, United States, 92879
- Not yet recruiting
- City of Hope Corona
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Duarte, California, United States, 91010
- Not yet recruiting
- City of Hope Comprehensive Cancer Center
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Duarte, California, United States, 91010
- Recruiting
- City of Hope at Duarte
-
Contact:
- Vincent Chung, MD
-
Glendale, California, United States, 91204
- Not yet recruiting
- City of Hope at Glendale
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Glendora, California, United States, 91741
- Not yet recruiting
- City of Hope at Glendora
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Huntington Beach, California, United States, 92648
- Not yet recruiting
- City of Hope Seacliff
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Irvine, California, United States, 92618
- Not yet recruiting
- City of Hope at Irvine Lennar
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Irvine, California, United States, 92618
- Not yet recruiting
- City of Hope at Irvine Sand Canyon
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Lancaster, California, United States, 93534
- Not yet recruiting
- City of Hope Antelope Valley
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Long Beach, California, United States, 90808
- Not yet recruiting
- City of Hope at Long Beach Worsham
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Long Beach, California, United States, 90813
- Not yet recruiting
- City of Hope at Long Beach Elm
-
Contact:
- Vincent Chung, MD
- Email: VChung@coh.org
-
Mission Hills, California, United States, 91345
- Not yet recruiting
- City of Hope Mission Hills
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Newport Beach, California, United States, 92660
- Not yet recruiting
- City of Hope at Newport Beach Fashion Island
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Palmdale, California, United States, 93551
- Not yet recruiting
- City of Hope at Palmdale
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Santa Clarita, California, United States, 91355
- Not yet recruiting
- City of Hope - Santa Clarita
-
Contact:
- Vincent Chung, MD
- Phone Number: 800-359-8111
- Email: VChung@coh.org
-
Simi Valley, California, United States, 93065
- Not yet recruiting
- City of Hope at Simi Valley
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
South Pasadena, California, United States, 91030
- Not yet recruiting
- City of Hope South Pasadena
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Thousand Oaks, California, United States, 91361
- Not yet recruiting
- City of Hope at Thousand Oaks
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Torrance, California, United States, 90503
- Not yet recruiting
- City of Hope South Bay
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
Upland, California, United States, 91786
- Not yet recruiting
- City of Hope Upland
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
West Covina, California, United States, 91790
- Not yet recruiting
- City of Hope West Covina
-
Contact:
- Vincent Chung, MD
- Phone Number: 626-359-8111
- Email: vchung@coh.org
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
• PATIENT: Documented informed consent of the participant and/or legally authorized representative
Assent, when appropriate, will be obtained per institutional guidelines
- PATIENT: Age: ≥ 18 years
- PATIENT: Eastern Cooperative Oncology Group (ECOG) ≤ 2
- PATIENT: Ability to read and understand English or Spanish for questionnaires
- PATIENT: Subjects must have histologically or cytologically confirmed diagnosis of metastatic pancreatic adenocarcinoma who are within 8 weeks of initial diagnosis
- FAMILY CARE GIVER: Documented informed consent of the participant and/or legally authorized representative
Assent, when appropriate, will be obtained per institutional guidelines
- FAMILY CARE GIVER: Age: ≥ 18 years
- FAMILY CARE GIVER: Ability to read and understand English or Spanish for questionnaires
- FAMILY CARE GIVER: A family member or friend identified by the patient and defined as a person who knows the patient well and is involved in the patient's medical care
Exclusion Criteria:
• An employee who is under the direct/ indirect supervision of the principal investigator (PI)/ a co-investigator/ the study manager
- A direct study team member
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Arm A (telehealth self-management coaching sessions)
Patients and FCGs attend telehealth self-management coaching sessions over 40-60 minutes every other week for 6 sessions over 3 months.
|
Ancillary studies
Attend telehealth self-management coaching sessions
Attend telehealth self-management coaching sessions
Ancillary studies
|
|
Active Comparator: Arm B (standard of care)
Patients and FCGs receive standard of care on study.
|
Ancillary studies
Receive standard of care
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Patient reported quality of life (QOL)
Time Frame: At baseline and at 3 months post randomization
|
Patient reported quality of life will be assessed by the Functional Assessment of Cancer Therapy- Hepatobiliary (FACT-Hep) quality of life score.
The primary analysis will be a treatment group comparison of the QOL at 3 months via linear regression model, with adjustment for baseline FACT-Hep score and stratification factors.
Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures.
The dependent variables will be transformed to approximate normality as appropriate.
|
At baseline and at 3 months post randomization
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Enrollment rate
Time Frame: Up to 25 months
|
Feasibility of the intervention will be defined as at least 60% of eligible participants enrolling.
Descriptive statistics will be used to summarize the feasibility of the intervention.
Reasons for non-participation will be recorded and used to make needed modifications for improvement in future studies.
|
Up to 25 months
|
|
Intervention completion rate
Time Frame: Up to 6 months
|
Feasibility of the intervention will be defined as at least 60% of participants completing ≥ 80% of the intervention (4 of 6 sessions).
Descriptive statistics will be used to summarize the feasibility of the intervention.
Reasons for attrition will be recorded and used to make needed modifications for improvement in future studies.
|
Up to 6 months
|
|
Rate of participants completing any follow-up assessments
Time Frame: Up to 6 months
|
Feasibility of the intervention will be defined as at least 60% of participants completing any follow-up assessments after randomization.
Descriptive statistics will be used to summarize the feasibility of the intervention.
Reasons for attrition will be recorded and used to make needed modifications for improvement in future studies.
|
Up to 6 months
|
|
Participant experience
Time Frame: Up to 6 months
|
Participant experiences with the intervention will be explored through qualitative data (structured exit interviews) from participants randomized to the intervention group and analyzed using content analysis approach.
Interviews will be transcribed and data analyzed.
Transcripts will be imported for the development of analytic categories, data coding, and review of coded data.
Codes will be sorted into themes based on links and relationship.
|
Up to 6 months
|
|
Patient reported symptom severity
Time Frame: At baseline and at 3 and 6 months post randomization
|
Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors.
Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures.
The dependent variables will be transformed to approximate normality as appropriate.
|
At baseline and at 3 and 6 months post randomization
|
|
Patient reported psychological distress
Time Frame: At baseline and at 3 and 6 months post randomization
|
Patient reported psychological distress will be measured using the National Comprehensive Cancer Network (NCCN) Distress Thermometer (DT).
Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors.
Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures.
The dependent variables will be transformed to approximate normality as appropriate.
|
At baseline and at 3 and 6 months post randomization
|
|
Family care giver (FCG) psychological distress
Time Frame: At baseline and at 3 and 6 months post randomization
|
FCG reported psychological distress will be measured using the NCCN DT.
Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors.
Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures.
The dependent variables will be transformed to approximate normality as appropriate.
|
At baseline and at 3 and 6 months post randomization
|
|
FCG caregiving burden
Time Frame: At baseline and at 3 and 6 months post randomization
|
FCG caregiving burden will be measured using the Montgomery Borgatta Caregiver Burden Scale.
Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors.
Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures.
The dependent variables will be transformed to approximate normality as appropriate.
|
At baseline and at 3 and 6 months post randomization
|
|
FCG QOL
Time Frame: At baseline and at 3 and 6 months post randomization
|
FCG QOL will be measured using City of Hope Quality of Life-Family questionnaire.
Treatment group comparisons will be assessed via repeated measures linear regression models with adjustment for baseline value of the outcome including sex and age and stratification factors.
Robust standard errors will be estimated via generalized estimating equations to adjust for correlation between repeated outcome measures.
The dependent variables will be transformed to approximate normality as appropriate.
|
At baseline and at 3 and 6 months post randomization
|
|
Overall survival
Time Frame: From initiation of intervention to death from any cause, up to 6 months
|
From initiation of intervention to death from any cause, up to 6 months
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Chemotherapy in last 14 days of life
Time Frame: At 3 and 6 months post randomization
|
At 3 and 6 months post randomization
|
|
Emergency room visits in the last days of life
Time Frame: At 3 and 6 months post randomization
|
At 3 and 6 months post randomization
|
|
Intensive care unit admissions in the last 30 days of life
Time Frame: At 3 and 6 months post randomization
|
At 3 and 6 months post randomization
|
|
Hospice care for less than 3 days before death
Time Frame: At 3 and 6 months post randomization
|
At 3 and 6 months post randomization
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Vincent Chung, MD, City of Hope Medical Center
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Carcinoma
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Health Services Administration
- Delivery of Health Care
- Health Care Quality, Access, and Evaluation
- Quality of Health Care
- Health Services
- Health Care Facilities Workforce and Services
- Community Health Services
- Behavioral Disciplines and Activities
- Mental Health Services
- Guidelines as Topic
- Quality Assurance, Health Care
- Patient Care Management
- Practice Guidelines as Topic
- Telemedicine
- Counseling
Other Study ID Numbers
Other Study ID Numbers
- 24172 (Health Institutes of Türkiye (TUSEB))
- NCI-2024-06078 (Other Identifier: P30)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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