Partnership-Project - Reinforcing Partnership Between Cancer Patient, General Practitioner and Oncologist During Chemotherapy (PSP)

October 16, 2020 updated by: Theis Trabjerg, University of Southern Denmark

Partnership-Project - Reinforcing Partnership Between Cancer Patient, General Practitioner and Oncologist During Chemotherapy - a Randomized Controlled Trial

Background International guidelines underline the importance of strengthening the coordination and continuity of cancer care. The different roles of general practitioners and oncologists with regard to treatment, follow-up and rehabilitation during and after cancer treatment are often obscure to cancer patients. Parallel courses of healthcare are often taking place instead of coordinated care characterized by continuity and partnership between care providers. Patients may feel uncertain about the health professionals' skills and area of responsibility. Healthcare seeking and support during and after cancer treatment may, therefore, be inappropriate, leaving patients feeling insecure and lost between care providers.The study aims to design and evaluate a new way of communication and shared decision-making that brings the patient, the oncologist and general practitioner together in a shared video-consultation in the early phase of chemotherapeutic treatment. The effect of the intervention in addition to usual care will be tested in a randomized controlled trial at Vejle Hospital in the Region of Southern Denmark. Based on sample size calculation, investigators intent to include 300 patients at the Department of Oncology and their general practitioners. Results and process outcomes will be evaluated qualitatively and quantitatively, questionnaires to patients, general practitioners and oncologists, and data from registers.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

281

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Denmark
      • Vejle, Denmark, 7100
        • Department of Oncology, Vejle Hospital, Region of Southern Denmark

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

18 years and older (Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Newly referred cancer patient scheduled for chemotherapy at the Department for Oncology, Vejle Hospital, Region of Southern Denmark
  • Aged 18 years and over
  • Able to speak and read Danish
  • Mentally able to cooperate
  • Listed with a general practitioner (98 % of the danish population)
  • Written and verbal informed consent given

Exclusion Criteria:

  • none

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Health Services Research
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Video consultation
Video consultation between cancer patient, general practitioner and oncologist at the start of chemotherapy treatment
Other: Shared video consultation between patient, general practitioner and oncologist
At the start of the patients chemotherapy treatment a shared video consultation between the patient, general practitioner and oncologist will bee arranged. The video consultation should address distribution of roles, comorbidity, medicine, depression and anxiety symptoms, relatives and social resources.
No Intervention: usual care
Usual care. The patients General Practitioner will receive standard discharge summary and ambulant notes from the oncologist specialist

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Shared Care questionnaire
Time Frame: 7 month after inclusion
Patient reported outcome measure. Cancer patients assessment of their cancer trajectory and their assessment of the cooperation between their General Practitioner and the oncologist specialist.
7 month after inclusion

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Illness Intrusiveness Rating Scale (IIRS)
Time Frame: 4 and 7 month after inclusion
Patient reported outcome measure. Patients assessment of the cancer disease influence on their daily living.
4 and 7 month after inclusion
European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire - Core 30 (EORTC QLQ C30)
Time Frame: 4 and 7 month after inclusion
Patient reported outcome measure. Cancer patients assessment of their quality of life
4 and 7 month after inclusion
European Organisation for Research and Treatment of Cancer - Quality of Life- information questionnaire (EORTC QLQ INFO25)
Time Frame: 4 and 7 month after inclusion
4 and 7 month after inclusion
Generalised Anxiety Disorder Assessment (GAD-7)
Time Frame: 4 and 7 month after inclusion
Patient reported outcome measure. Screening tool and severity measure for generalised anxiety disorder
4 and 7 month after inclusion
Patient Health Questionnaire (PHQ-9)
Time Frame: 4 and 7 month after inclusion
Patient reported outcome measure.The questionnaire monitor the severity of depression and response to treatment.
4 and 7 month after inclusion
Oncologist assessment of a video consultation between the patient, General practitioner and oncologist.
Time Frame: Directly after the video consultation intervention
It measures the oncologist perception of the benefits with the video consultation intervention. Only the intervention group
Directly after the video consultation intervention
General practitioners assessment of a video consultation between the patient, General practitioner and oncologist.
Time Frame: Directly after the video consultation intervention
It measures the General Practitioners perception of the benefits with the video consultation intervention. Only the intervention group.
Directly after the video consultation intervention
Patients assessment of a video consultation between the patient, General practitioner and oncologist.
Time Frame: Directly after the video consultation intervention
It measures the patients perception of the benefits with the video consultation intervention.Only the intervention group
Directly after the video consultation intervention
General Practitioner cancer trajectory assessment
Time Frame: 4 month after the inclusion of the patient.
The General Practitioners assessment of the cooperation between the primary and secondary care regarding af specific cancer patient.
4 month after the inclusion of the patient.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Southern Denmark

Collaborators

Vejle Hospital
Region of Southern Denmark
Odense Patient Data Explorative Network
Research Unit of General Practice, Odense
National Research Center of Cancer Rehabilitation

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 1, 2016

Primary Completion (Actual)

August 1, 2020

Study Completion (Actual)

August 1, 2020

Study Registration Dates

First Submitted

March 3, 2016

First Submitted That Met QC Criteria

March 22, 2016

First Posted (Estimate)

March 23, 2016

Study Record Updates

Last Update Posted (Actual)

October 20, 2020

Last Update Submitted That Met QC Criteria

October 16, 2020

Last Verified

October 1, 2020

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • Partnership-Project

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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