- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04634097
DECLIC Patient Education Program : Assessment Through a Population Health Intervention Research Approach (LE DECLIC EPRI)
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Angers, France, 49000
- Recruiting
- Institut de Cancérologie de l'Ouest Paul Papin
-
Contact:
- Sabrina JUBIER-HAMON, MD
- Phone Number: +33.2.41.35.27.00
- Email: sabrina.jubier-hamon@ico.unicancer.fr
-
Principal Investigator:
- Sabrina JUBIER-HAMON, MD
-
Paris, France, 75005
- Recruiting
- Institut Curie
-
Contact:
- Anne-Sophie PLISSONNIER
- Email: anne-sophie.plissonnier@curie.fr
-
Contact:
- Evelyne RENAULT-TESSIER, MD
- Phone Number: +33.1.44.32.40.40
- Email: evelyne.renault-tessier@curie.fr
-
Principal Investigator:
- Evelyne RENAULT-TESSIER, MD
-
Paris, France, 75012
- Recruiting
- GH Diaconesses Croix Saint Simon (GHDCSS)
-
Contact:
- Laure COPEL, MD
- Phone Number: +33.1.44.74.28.10
- Email: lcopel@hpital-dcss.org
-
Principal Investigator:
- Laure COPEL, MD
-
Paris, France, 75013
- Recruiting
- AP-HP La Pitié Salpêtrière
-
Contact:
- Laure SERRESSE, MD
- Phone Number: +33.1.42.16.75.60
- Email: laure.serresse@aphp.fr
-
Principal Investigator:
- Laure SERRESSE, MD
-
Saint-cloud, France, 92210
- Recruiting
- Institut Curie
-
Contact:
- Anne-Sophie PLISSONNIER
- Email: anne-sophie.plissonnier@curie.fr
-
Contact:
- Joy BACRIE, MD
- Phone Number: +33.1.47.11.15.15
- Email: joy.bacrie@curie.fr
-
Principal Investigator:
- Joy BACRIE, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patient aged over 18.
- Followed in the participant comprehensive cancer center.
- All cancer types, location and stage.
- Patient under any anticancer treatment (including hormonal therapy) or patient has stopped his treatment (including hormonal therapy) maximum 2 years before inclusion.
- Patient experiencing cancer pain and/or his treatments for 3 months or more.
- All previous and concomitant treatments are accepted.
- Participation to another clinical trial is accepted.
- Patient has accepted to participate to the study and signed informed consent form or his legal representative.
- Patient affiliated to the social security healthcare.
Exclusion Criteria:
- Cognitive impairment preventing to understand the patient education program.
- Language barrier preventing to understand the patient education program.
- Physical impairment preventing patient to attend to the patient education program.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental group
Clusters will be proposed LE DECLIC EPRI intervention, which is a complex intervention, associating 3 components,: A. DECLIC program set up in the centers, open to concerned patients. B. 3 training sessions :
C. The collaboration of one primary care network, specialized in pain management, in order to reinforce the patient care pathway. |
Clusters will be proposed LE DECLIC EPRI intervention, which is a complex intervention, associating 3 components,: A. DECLIC program set up in the centers, open to concerned patients. B. 3 training sessions :
C. The collaboration of one primary care network, specialized in pain management, in order to reinforce the patient care pathway. |
Other: Standard group
Standard follow-up patient related to pain.
Specific to each center : with or without existing local ETP program (standard care).
|
Standard follow-up patient related to pain.
Specific to each center : with or without existing local ETP program (standard care).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Effectiveness of LE DECLIC EPRI intervention on the pain interference with the daily life
Time Frame: 6 months
|
Brief pain Inventory BPI Questionnaire
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Effectiveness of the intervention on other clinical outcomes
Time Frame: 6 months
|
Brief pain Inventory BPI, EQ-5D, DAMS questionnaires Other dimension of the QCD : current pain, average pain and worst pain in the last 24 hours. Number of area identified as painfull by the patient, and surface of those area, measured on the "figures" item of the QCD. Quality of life, assessed with the EQ-5D, in order to transform the results into utilities for the efficiency evaluation. Side effects occurrence, related to the toxicity of the analgesics, assessed with a questionnaire constructed by the research team (questionnaires ad hoc). Occurrence of atypical pain. Date of the occurrence of atypical pain. Occurrence of epiduritis. Date of the occurrence of epiduritis. Time between atypical pain occurrence and epiduritis diagnosis. Adhesion to analgesic medications assessed with a French translation of the questionnaire DAMS (Garfield et al), standardized per analgesic. |
6 months
|
The organizational effectiveness of the intervention.
Time Frame: 6 months
|
Organizational effectiveness Number of GPs recruited in the training sessions.
Number of other primary care professionals recruited in the training sessions.
Number of consultations with the GP by patient.
Number of cancer pain consultations with the GP by patient.
Number of consultation by patient due to pain with the GP.
Number of interactions developed between the pain management network and GPs.
Number of emergency consultations and hospitalisations due to pain by patient in the center.
|
6 months
|
Educational effectiveness of the intervention.
Time Frame: 6 months
|
quiz with certitude level assessement, sure test, HADS questionnaires, French-Canadian Chronic Pain Self-efficacy Scale (FC-CPSES). Knowledge, assessed with a quiz with certitude level assessement, developed specifically for the DECLIC program, by a multidisciplinary team of physicians, patients and reseachers. Skills assessed with scenarii (simulated cases) developed specifically for the DECLIC program, by a multidisciplinary team of physicians, patients and reseachers. Informed decision assessed with a scenario (simulated case) developed specifically for the DECLIC program, by a multidisciplinary team of physicians, patients and reseachers. Informed decision is assessed with the French version of the SURE test. Anxiety : with the HADS questionnaire. Self efficacy, with French-Canadian Chronic Pain Self-efficacy Scale (FC-CPSES). Sense of control with visual analogical scale. Ability to communicate with visual analogical scale developed specifically for the DECLIC program. |
6 months
|
Effectiveness of the intervention on patients value.
Time Frame: 6 months
|
D'Ivernois 2008 questionnaire, PAT-SAT 32 questionnaire, SMD Q9 questionnaire. Patient perceived quality of care will be assessed thanks to the medical consultation dimension of the PAT-SAT 32, a validated questionnaire in French. Reported share decision making, inside GPs consultation, by patient. Share decision making assessed in the center with the with the SMD Q9, validated in French. |
6 months
|
Efficiency of the intervention.
Time Frame: 6 months
|
Cost-effectiveness analysis.
|
6 months
|
Effect of patient's caracteristics on the intervention effectiveness and participation.
Time Frame: 6 months
|
EDI quintile and Newest Vital Sign
|
6 months
|
Implementation of the intervention
Time Frame: 48 months
|
participation rate in the training of GPs and KLOs, number of GPs contacting the network, number of GPs contacting the patient education team, number of oncologists referring patients to the DECLIC program, number of patients referred by oncologist, number of oncologist consulting the patient education DECLIC e-record. Reach : number of patients who agreed to participate/number of patients to whom the study was proposed. Reasons for refusal. |
48 months
|
Interaction between the contexts and the intervention effectiveness.
Time Frame: 48 months
|
Barriers and drivers to intervention adoption among KLOs and oncologists.
Barriers and drivers to effective intervention in GPs.
Barriers and drivers to effective intervention in patients.
|
48 months
|
Mechanisms of action of the intervention.
Time Frame: 48 months
|
Unexpected outcomes.
|
48 months
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
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
- IC 2019-06
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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