- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00958698
Symptom Management in Patients With Recurrent or Persistent Ovarian Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer
NURSE-DELIVERED WRITE SYMPTOMS vs. SELF-DIRECTED WRITE SYMPTOMS vs. CARE AS USUAL FOR OPTIMAL SYMPTOM MANAGEMENT FOR WOMEN WITH RECURRENT OVARIAN, FALLOPIAN TUBE, OR PRIMARY PERITONEAL CANCER
Study Overview
Status
Conditions
Detailed Description
PRIMARY OBJECTIVE:
I. Compare the efficacy of nurse-delivered WRITE Symptoms? and self-directed WRITE Symptoms? vs usual care interventions in improving target symptom representations (i.e., decreases in symptom severity, symptom-related distress, and symptom consequences as measured by the Symptom Representation Questionnaire [SRQ]) in patients with recurrent or persistent ovarian, fallopian tube, or primary peritoneal cancer.
SECONDARY OBJECTIVES:
I. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving target symptom representations in these patients at 4 weeks.
II. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving target symptom controllability in these patients at 4, 8, and 12 weeks.
III. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving indicators of quality of life (QOL) of these patients as measured by the FACT-O and the CES-Depression inventory short form at 4, 8, and 12 weeks.
IV. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving communication with health care providers about symptoms, implementation of new symptom management strategies (health care provider recommended as well as patient-initiated changes), and perceived effectiveness of strategies (health care provider recommended as well as patient-initiated changes) in these patients at 4, 8, and 12 weeks.
V. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving patient-related barriers to symptom management as measured by the Symptom Management Barriers Questionnaire at 4, 8, and 12 weeks.
EXPLORATORY OBJECTIVES:
I. Compare trajectories of change for overall symptom severity in patients undergoing nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions using monthly assessments to explore potential long-term effects of the WRITE Symptoms? interventions.
II. Compare trajectories of change for QOL of patients undergoing nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions using monthly assessments to explore potential long-term effects of the WRITE Symptoms? interventions.
III. Compare trajectories of change for symptom severity, distress, communication, and implementation of new strategies for non-targeted symptoms in patients undergoing nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions using monthly assessments to explore whether patients are able to generalize the symptom management approaches taught in WRITE Symptoms? interventions to their other non-targeted symptoms.
IV. Explore whether changes in symptom representations mediate changes in QOL of these patients at 8 and 12 weeks.
V. Explore whether effects of the WRITE Symptoms? interventions on primary and secondary endpoints at 8 and 12 weeks differ based on the following patient characteristics assessed at baseline: age, education, and ethnicity; depression as measured by the CES-D short form; trait anxiety as measured by the STAI; optimism as measured by the LOT-R; social support as measured by the ISEL; and symptom severity as measured by the SRQ.
OUTLINE: This is a multicenter study. Patients are stratified according to race/ethnicity (non-Hispanic white vs Hispanic or non-white). Patients are randomized to 1 of 3 intervention arms.
ARM I (nurse-delivered intervention): Patients are given password-protected access to their own web-based message board to communicate with a research nurse. The nurse leads the patient through the WRITE Symptoms? intervention module comprising representational assessment; exploring concerns/misconceptions/gaps/confusions; creating conditions for conceptual change; introducing new information, goal setting, and development of a symptom management plan; and summary via asynchronous postings to the patient's message board. Patients work through 3 selected symptoms using the nurse-delivered WRITE Symptoms? intervention module over approximately 4 weeks. Two weeks later, the patient's symptom management strategy and their desire to make further changes are evaluated by additional interaction with the nurse via the message board. The nurse will encourage the patient to try new selected strategies, continue with effective strategies, and work with local health care providers in an ongoing process to improve symptom management. Patients are given access to a resource guide that includes self-care guides for 26 symptoms. They are encouraged to use the same process taught for their 3 selected symptoms for any other symptoms that arise after the course of the intervention.
ARM II (self-directed intervention): Patients are given password-protected access to an interactive web-based computer program that will lead them through a modified WRITE Symptoms? intervention module (comprising the same elements as in arm I) without guidance and individualized recommendations from a nurse. Patients work through 3 selected symptoms using the WRITE Symptoms? intervention module over approximately 4 weeks. Two weeks later, patients are prompted by the computer program to respond to questions about their symptom management strategy and their desire to make further changes. The program will generate an encouragement for the patient to try new selected strategies, continue with effective strategies, and continue the new approach to symptom management with local health care providers in an ongoing process to improve symptom management. Patients are given access to a resource guide that includes self-care guides for 26 symptoms. They are encouraged to use the same process taught for their 3 selected symptoms for any other symptoms that arise after the course of the intervention.
ARM III (usual care): Patients are given password-protected access to online questionnaires. Patients are prompted monthly to complete online questionnaires. Patients receive standard symptom management from their local health care providers.
In all arms, patients complete online questionnaires to assess outcome measures at baseline, at 4, 8, and 12 weeks, and then every 4 weeks for 1 year.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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Arizona
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Phoenix, Arizona, United States, 85012
- Gynecologic Oncology Group of Arizona
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California
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Los Angeles, California, United States, 90095
- UCLA / Jonsson Comprehensive Cancer Center
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Los Angeles, California, United States, 90048
- Cedars Sinai Medical Center
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Mountain View, California, United States, 94040
- Palo Alto Medical Foundation-Gynecologic Oncology
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Colorado
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Aurora, Colorado, United States, 80045
- University of Colorado Hospital
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Connecticut
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Hartford, Connecticut, United States, 06102
- Hartford Hospital
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New Britain, Connecticut, United States, 06050
- The Hospital of Central Connecticut
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Hawaii
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Honolulu, Hawaii, United States, 96813
- Queen's Medical Center
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Honolulu, Hawaii, United States, 96813
- University of Hawaii Cancer Center
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Honolulu, Hawaii, United States, 96826
- Kapiolani Medical Center for Women and Children
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Illinois
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Decatur, Illinois, United States, 62526
- Decatur Memorial Hospital
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Springfield, Illinois, United States, 62781
- Memorial Medical Center
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Urbana, Illinois, United States, 61801
- Carle Cancer Center
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Indiana
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Elkhart, Indiana, United States, 46515
- Elkhart General Hospital
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Elkhart, Indiana, United States, 46514
- Michiana Hematology Oncology PC-Elkhart
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Elkhart, Indiana, United States, 46514-2098
- Elkhart Clinic
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Indianapolis, Indiana, United States, 46202
- Indiana University/Melvin and Bren Simon Cancer Center
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Kokomo, Indiana, United States, 46904
- Community Howard Regional Health
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La Porte, Indiana, United States, 46350
- IU Health La Porte Hospital
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Mishawaka, Indiana, United States, 46545
- Michiana Hematology Oncology PC-Mishawaka
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Mishawaka, Indiana, United States, 46545
- Saint Joseph Regional Medical Center-Mishawaka
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Plymouth, Indiana, United States, 46563
- Michiana Hematology Oncology PC-Plymouth
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South Bend, Indiana, United States, 46601
- Memorial Hospital of South Bend
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South Bend, Indiana, United States, 46601
- Michiana Hematology Oncology PC-South Bend
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South Bend, Indiana, United States, 46628
- Northern Indiana Cancer Research Consortium
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South Bend, Indiana, United States, 46617
- South Bend Clinic
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Westville, Indiana, United States, 46391
- Michiana Hematology Oncology PC-Westville
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Iowa
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Clive, Iowa, United States, 50325
- Mercy Cancer Center-West Lakes
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Clive, Iowa, United States, 50325
- Medical Oncology and Hematology Associates-West Des Moines
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Des Moines, Iowa, United States, 50309
- Iowa Methodist Medical Center
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Des Moines, Iowa, United States, 50314
- Mercy Medical Center - Des Moines
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Des Moines, Iowa, United States, 50309
- Medical Oncology and Hematology Associates-Des Moines
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Des Moines, Iowa, United States, 50316
- Iowa Lutheran Hospital
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Des Moines, Iowa, United States, 50309
- Iowa-Wide Oncology Research Coalition NCORP
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Des Moines, Iowa, United States, 50314
- Medical Oncology and Hematology Associates-Laurel
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Iowa City, Iowa, United States, 52242
- University of Iowa/Holden Comprehensive Cancer Center
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West Des Moines, Iowa, United States, 50266-7700
- Methodist West Hospital
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West Des Moines, Iowa, United States, 50266
- Mercy Medical Center-West Lakes
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Kansas
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Kansas City, Kansas, United States, 66112
- Providence Medical Center
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Overland Park, Kansas, United States, 66209
- Menorah Medical Center
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Overland Park, Kansas, United States, 66213
- Saint Luke's South Hospital
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Prairie Village, Kansas, United States, 66208
- Kansas City NCI Community Oncology Research Program
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Shawnee Mission, Kansas, United States, 66204
- Shawnee Mission Medical Center-KCCC
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Louisiana
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Shreveport, Louisiana, United States, 71105
- CHRISTUS Highland Medical Center
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Maryland
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Baltimore, Maryland, United States, 21287
- Johns Hopkins University/Sidney Kimmel Cancer Center
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Bethesda, Maryland, United States, 20889-5600
- Walter Reed National Military Medical Center
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Beth Israel Deaconess Medical Center
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Boston, Massachusetts, United States, 02114
- Massachusetts General Hospital Cancer Center
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Worcester, Massachusetts, United States, 01655
- University of Massachusetts Medical School
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Worcester, Massachusetts, United States, 01605
- University of Massachusetts Memorial Health Care
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Michigan
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Detroit, Michigan, United States, 48201
- Wayne State University/Karmanos Cancer Institute
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Escanaba, Michigan, United States, 49829
- Green Bay Oncology - Escanaba
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Grand Rapids, Michigan, United States, 49503
- Spectrum Health at Butterworth Campus
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Iron Mountain, Michigan, United States, 49801
- Green Bay Oncology - Iron Mountain
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Kalamazoo, Michigan, United States, 49007
- West Michigan Cancer Center
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Kalamazoo, Michigan, United States, 49007
- Bronson Methodist Hospital
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Kalamazoo, Michigan, United States, 49048
- Borgess Medical Center
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Niles, Michigan, United States, 49120
- Lakeland Hospital Niles
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Royal Oak, Michigan, United States, 48073
- William Beaumont Hospital-Royal Oak
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Saint Joseph, Michigan, United States, 49085
- Lakeland Medical Center Saint Joseph
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Saint Joseph, Michigan, United States, 49085
- Marie Yeager Cancer Center
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Minnesota
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Burnsville, Minnesota, United States, 55337
- Fairview Ridges Hospital
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Coon Rapids, Minnesota, United States, 55433
- Mercy Hospital
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Edina, Minnesota, United States, 55435
- Fairview-Southdale Hospital
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Fridley, Minnesota, United States, 55432
- Unity Hospital
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Hutchinson, Minnesota, United States, 55350
- Hutchinson Area Health Care
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Maplewood, Minnesota, United States, 55109
- Saint John's Hospital - Healtheast
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Maplewood, Minnesota, United States, 55109
- Minnesota Oncology Hematology PA-Maplewood
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Minneapolis, Minnesota, United States, 55415
- Hennepin County Medical Center
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Minneapolis, Minnesota, United States, 55407
- Abbott-Northwestern Hospital
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Minneapolis, Minnesota, United States, 55455
- University of Minnesota/Masonic Cancer Center
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New Ulm, Minnesota, United States, 56073
- New Ulm Medical Center
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Robbinsdale, Minnesota, United States, 55422
- North Memorial Medical Health Center
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Saint Louis Park, Minnesota, United States, 55416
- Park Nicollet Clinic - Saint Louis Park
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Saint Louis Park, Minnesota, United States, 55416
- Metro Minnesota Community Oncology Research Consortium
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Saint Paul, Minnesota, United States, 55101
- Regions Hospital
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Saint Paul, Minnesota, United States, 55102
- United Hospital
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Shakopee, Minnesota, United States, 55379
- Saint Francis Regional Medical Center
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Stillwater, Minnesota, United States, 55082
- Lakeview Hospital
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Waconia, Minnesota, United States, 55387
- Ridgeview Medical Center
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Willmar, Minnesota, United States, 56201
- Rice Memorial Hospital
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Woodbury, Minnesota, United States, 55125
- Minnesota Oncology Hematology PA-Woodbury
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Missouri
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Kansas City, Missouri, United States, 64116
- North Kansas City Hospital
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Kansas City, Missouri, United States, 64111
- Saint Luke's Hospital of Kansas City
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Kansas City, Missouri, United States, 64132
- Research Medical Center
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Kansas City, Missouri, United States, 64108
- Truman Medical Center
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Kansas City, Missouri, United States, 64118
- Heartland Hematology and Oncology Associates Incorporated
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Kansas City, Missouri, United States, 64114
- Saint Joseph Health Center
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Lee's Summit, Missouri, United States, 64086
- Saint Luke's East - Lee's Summit
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Liberty, Missouri, United States, 64068
- Liberty Radiation Oncology Center
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Saint Joseph, Missouri, United States, 64507
- Saint Joseph Oncology Inc
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Saint Joseph, Missouri, United States, 64507
- Heartland Regional Medical Center
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Saint Louis, Missouri, United States, 63110
- Washington University School of Medicine
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Springfield, Missouri, United States, 65807
- CoxHealth South Hospital
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Springfield, Missouri, United States, 65804
- Mercy Hospital Springfield
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Montana
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Billings, Montana, United States, 59101
- Billings Clinic Cancer Center
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Nebraska
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Omaha, Nebraska, United States, 68114
- Nebraska Methodist Hospital
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Omaha, Nebraska, United States, 68198
- University of Nebraska Medical Center
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New Mexico
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Albuquerque, New Mexico, United States, 87102
- University of New Mexico Cancer Center
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Albuquerque, New Mexico, United States, 87106
- Southwest Gynecologic Oncology Associates Inc
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Las Cruces, New Mexico, United States, 88011
- Memorial Medical Center - Las Cruces
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New York
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Brightwaters, New York, United States, 11718
- Island Gynecologic Oncology
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Ohio
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Akron, Ohio, United States, 44307
- Cleveland Clinic Akron General
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Akron, Ohio, United States, 44304
- Summa Akron City Hospital/Cooper Cancer Center
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Cleveland, Ohio, United States, 44106
- Case Western Reserve University
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Cleveland, Ohio, United States, 44109
- MetroHealth Medical Center
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic Foundation
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Cleveland, Ohio, United States, 44111
- Cleveland Clinic Cancer Center/Fairview Hospital
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Columbus, Ohio, United States, 43214
- Riverside Methodist Hospital
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Columbus, Ohio, United States, 43210
- Ohio State University Comprehensive Cancer Center
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Dayton, Ohio, United States, 45409
- Miami Valley Hospital
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Mayfield Heights, Ohio, United States, 44124
- Hillcrest Hospital Cancer Center
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Mentor, Ohio, United States, 44060
- UH Seidman Cancer Center at Lake Health Mentor Campus
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
- University of Oklahoma Health Sciences Center
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Tulsa, Oklahoma, United States, 74146
- Oklahoma Cancer Specialists and Research Institute-Tulsa
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Pennsylvania
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Abington, Pennsylvania, United States, 19001
- Abington Memorial Hospital
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Allentown, Pennsylvania, United States, 18103
- Lehigh Valley Hospital-Cedar Crest
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Bryn Mawr, Pennsylvania, United States, 19010
- Bryn Mawr Hospital
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Paoli, Pennsylvania, United States, 19301
- Paoli Memorial Hospital
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Pittsburgh, Pennsylvania, United States, 15224
- West Penn Hospital
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Pittsburgh, Pennsylvania, United States, 15213
- UPMC-Magee Womens Hospital
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Pittsburgh, Pennsylvania, United States, 15232
- University of Pittsburgh Cancer Institute (UPCI)
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Wynnewood, Pennsylvania, United States, 19096
- Lankenau Medical Center
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Wynnewood, Pennsylvania, United States, 19096
- Main Line Health NCORP
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Rhode Island
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Providence, Rhode Island, United States, 02905
- Women and Infants Hospital
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South Carolina
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Charleston, South Carolina, United States, 29425
- Medical University of South Carolina
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Texas
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Houston, Texas, United States, 77030
- The Methodist Hospital System
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Virginia
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Richmond, Virginia, United States, 23298
- Virginia Commonwealth University/Massey Cancer Center
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Wisconsin
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Eau Claire, Wisconsin, United States, 54701
- Marshfield Clinic Cancer Center at Sacred Heart
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Green Bay, Wisconsin, United States, 54301
- Saint Vincent Hospital Cancer Center Green Bay
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Green Bay, Wisconsin, United States, 54303
- Saint Vincent Hospital Cancer Center at Saint Mary's
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Green Bay, Wisconsin, United States, 54303
- Green Bay Oncology Limited at Saint Mary's Hospital
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Green Bay, Wisconsin, United States, 54301-3526
- Green Bay Oncology at Saint Vincent Hospital
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Madison, Wisconsin, United States, 53792
- University of Wisconsin Hospital and Clinics
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Manitowoc, Wisconsin, United States, 54221
- Holy Family Memorial Hospital
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Marinette, Wisconsin, United States, 54143
- Bay Area Medical Center
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Marshfield, Wisconsin, United States, 54449
- Marshfield Medical Center-Marshfield
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Milwaukee, Wisconsin, United States, 53215
- Aurora Saint Luke's Medical Center
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Minocqua, Wisconsin, United States, 54548
- Marshfield Clinic-Minocqua Center
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Oconto Falls, Wisconsin, United States, 54154
- Saint Vincent Hospital Cancer Center at Oconto Falls
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Rice Lake, Wisconsin, United States, 54868
- Marshfield Medical Center-Rice Lake
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Sturgeon Bay, Wisconsin, United States, 54235
- Green Bay Oncology - Sturgeon Bay
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West Allis, Wisconsin, United States, 53227
- Aurora West Allis Medical Center
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Weston, Wisconsin, United States, 54476
- Marshfield Clinic - Weston Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Diagnosis of ovarian, fallopian tube, or primary peritoneal cancer that has recurred or persisted following primary therapy
- Active disease or current treatment are not required
Must be experiencing ? 3 symptoms associated with ovarian cancer or cancer treatment, including, but not limited to, any of the following:
- Abdominal bloating or cramping
- Nausea, vomiting, or diarrhea
- Constipation
- Anorexia
- Anxiety
- Depression
- Dizziness
- Drowsiness
- Dry mouth
- Fatigue
- Headaches
- Hair loss
- Hot flashes
- Memory concerns
- Mood swings
- Mouth sores
- Pain
- Peripheral neuropathies
- Sexuality concerns
- Sleep disturbances
- Shortness of breath
- Skin rash or palmar-plantar erythrodysesthesia
- Urinary problems
- Weight gain or loss
- GOG performance status 0-2
- Able to read and write English
- Access to computer and the Internet required
- Concurrent treatment on other clinical trials allowed
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: Arm I (nurse-assisted intervention module)
Patients are given password-protected access to their own web-based message board to communicate with a research nurse.
The nurse leads patients through WRITE Symptoms?
intervention module, with personalized support and advice.
The nurse will encourage the patient to try new selected strategies, continue with effective strategies, and work with local health care providers in an ongoing process to improve symptom management.
|
Ancillary studies
Other Names:
Ancillary studies
Ancillary studies
Other Names:
Ancillary studies
Ancillary studies
Other Names:
Ancillary studies
|
|
Experimental: Arm II (self-directed intervention module)
Patients are given password-protected access to an interactive web-based computer program that will lead them through a modified WRITE Symptoms?
intervention module (comprising the same elements as in arm I) without guidance and individualized recommendations from a nurse.
Patients work through 3 selected symptoms using the WRITE Symptoms?
intervention module over approximately 4 weeks.
The program will generate an encouragement for the patient to try new selected strategies, continue with effective strategies, and continue the new approach to symptom management with local health care providers in an ongoing process to improve symptom management.
|
Ancillary studies
Other Names:
Ancillary studies
Ancillary studies
Other Names:
Ancillary studies
Other Names:
Ancillary studies
|
|
Active Comparator: Arm III (standard care from local provider)
Patients are given password-protected access to online questionnaires.
Patients are prompted monthly to complete online questionnaires.
Patients receive standard symptom management from their local health care providers.
|
Ancillary studies
Other Names:
Ancillary studies
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Symptom severity, symptom-related distress, consequences, and control of symptoms as measured by the Symptom Representation Questionnaire
Time Frame: Baseline and at 4, 8, and 12 weeks
|
Baseline and at 4, 8, and 12 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Health-related quality of life as measured by the FACT-O
Time Frame: Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
|
Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
|
|
Depressive symptoms as measured by the CES-D short form
Time Frame: Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
|
Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
|
|
Communication with health care providers and use of self-care strategies assessed by investigator-developed survey
Time Frame: Baseline and at 4, 8, and 12 weeks
|
Baseline and at 4, 8, and 12 weeks
|
|
Implementation and perceived effectiveness of new symptom management strategies assessed by questionnaire
Time Frame: Baseline and at 4, 8, and 12 weeks
|
Baseline and at 4, 8, and 12 weeks
|
|
Barriers to symptom management as measured by the Symptom Management Barriers Questionnaire
Time Frame: Baseline and at 4, 8, and 12 weeks
|
Baseline and at 4, 8, and 12 weeks
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Heidi Donovan, Gynecologic Oncology Group
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- GOG-0259 (Other Identifier: CTEP)
- U10CA101165 (U.S. NIH Grant/Contract)
- NCI-2011-01950 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- CDR0000648729
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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Kantonsspital AarauRecruiting
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Jonsson Comprehensive Cancer CenterWithdrawnInfiltrating Bladder Urothelial CarcinomaUnited States
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University of Southern CaliforniaNational Cancer Institute (NCI)TerminatedBreast CarcinomaUnited States
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Case Comprehensive Cancer CenterActive, not recruitingUnspecified Adult Solid Tumor | Tumors Metastatic to BrainUnited States
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M.D. Anderson Cancer CenterRecruitingEvaluation of Quality of Life and Utilities Following Surgical Treatment of Stage I-IV Rectal CancerStage III Rectal Cancer AJCC v8 | Stage IIIA Rectal Cancer AJCC v8 | Stage IIIB Rectal Cancer AJCC v8 | Stage IIIC Rectal Cancer AJCC v8 | Stage IV Rectal Cancer AJCC v8 | Stage IVA Rectal Cancer AJCC v8 | Stage IVB Rectal Cancer AJCC v8 | Stage IVC Rectal Cancer AJCC v8 | Rectal Adenocarcinoma | Stage... and other conditionsUnited States
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M.D. Anderson Cancer CenterRecruitingHematopoietic and Lymphoid Cell Neoplasm | Malignant Solid Neoplasm | Breast Carcinoma | Head and Neck Carcinoma | Lung Carcinoma | Esophageal Carcinoma | Malignant Digestive System Neoplasm | Malignant Central Nervous System Neoplasm | Genitourinary System CarcinomaUnited States