- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05292989
A Personalised Approach Utilising the Frailty Index to Empower Consumers
A Personalised Approach Utilising the Frailty Index to Empower Consumers to Make Informed Decisions About Having a Colonoscopy to Avoid Low Value Care. A Prospective Randomized Controlled Trial.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Queensland
-
Woolloongabba, Queensland, Australia, 4212
- Recruiting
- Princess Alexandra Hospital
-
Contact:
- Natasha Koloski, PhD
- Phone Number: 0407126897
- Email: Natasha.Koloski@newcastle.edu.au
-
Contact:
- Gerald Holtmann, MD
- Phone Number: 61 7 3176 2613
- Email: Gerald.Holtmann@health.qld.gov.au
-
Principal Investigator:
- Gerald Holtmann, PhD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Patients aged over 65 years of age
- Ability to understand the study instructions and answering questionnaires
Exclusion Criteria:
- Inability to consent or participate in the assessments (e.g. frailty assessment) that are required as part of this project.
- Lack of informed consent
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Screening
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Group 1- Personalised tailored approach
If patients are assigned to this group they will be asked to complete a frailty assessment which includes the Fraility Index short form, an assessment of grip strength, time to complete 5 sit-to-stands, balance test, and gait speed along with some questionnaires on comorbid medical condition.
The treating Gastroenterologist will then go through the results of the frailty assessment with the patient and based on this information will discuss the benefits and risks associated with having a surveillance colonoscopy.
The patient will then decide if they would like to go ahead with a surveillance colonoscopy and the treating Gastroenterologist will provide further advice as required.
The frailty assessment is intended to be done at the time of the appointment with the specialist.
However, operational requirements may dictate that e.g. a telehealth delivered occasion of service is done at a separate date.
|
Personalised (tailored) approach that includes assessment of frailty and structured information provided to the consumer
|
Placebo Comparator: Group 2- Standard Care
Patients assigned to this group will discuss the benefits and risks associated with having a surveillance colonoscopy with the treating Gastroenterologist and will decide whether to proceed with the colonoscopy.
|
Standard care practice
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Satisfaction with the respective outpatient service.
Time Frame: Week 0
|
'Based only upon your recent experience when you received a consultation in relation to a potential future endoscopic test, how likely are you to recommend the respective health care organization (PAH or RWBH) to a friend, family member or colleague?.' Please rate your experience on a scale of 1 to 10, where 1 is extremely unlikely and 10 extremely likely. |
Week 0
|
Patient satisfaction questions
Time Frame: Week 0
|
Patients will be asked Overall, how would you rate the care you received? 1. Very good 2. Good 3. Adequate 4. Poor 5. Very poor Were you involved as much as you wanted to be in decisions about your care and treatment? 1. Yes, definitely 2. Yes, to some extent 3. No, not enough How much information about your condition or treatment was given to you? 1. The right amount 2. Too much 3. Not enough |
Week 0
|
Comprehensive Endoscopy Satisfaction Tool
Time Frame: Week 2-4 After colonoscopy procedure
|
This captures the overall satisfaction with the service events (endoscopic procedure and relevant components including the pre-procedure assessment).
Higher scores greater satisfaction
|
Week 2-4 After colonoscopy procedure
|
Percentage of consumers in the intervention and control group that are referred for a surveillance colonoscopies who decide not have the procedure based upon the information provided.
Time Frame: Week 0-2 after consultation with doctor
|
• Percentage of consumers in the intervention and control group that are referred for a surveillance colonoscopies who decide not have the procedure based upon the information provided.
|
Week 0-2 after consultation with doctor
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of participants with colorectal cancer related morbidity
Time Frame: Colorectal cancer related morbidity within 5 years of the referral
|
The number of participants with colorectal cancer related morbidity within 5 years of the referral- including number of patients with clinical diagnoses, hospitalizations, emergency presentations, surgeries, medications
|
Colorectal cancer related morbidity within 5 years of the referral
|
Number of participants with non colorectal cancer related mortality information within 5 years of the referral
Time Frame: Non colorectal cancer related mortality information within 5 years of the referral
|
The number of participants with non colorectal cancer related mortality information within 5 years of the referral - including number of patients with clinical diagnoses, hospitalizations, outpatient visits, emergency presentations, surgeries
|
Non colorectal cancer related mortality information within 5 years of the referral
|
Collaborators and Investigators
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
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- Frailty Study
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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