- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05434208
Effects of Nurse-led Telephone Based Service for Early Palliative Care (PALTEL) (PALTEL)
Effects of Nurse-led Telephone Based Service for Early Palliative Care Patients With Advanced Cancer: the Paltel Randomized Controlled Trial
Non-pharmacological, interventional, two-arm, randomized controlled trial. Early Palliative Care cancer patients will be randomized to active telephonic follow-up program by specialist nurses until end-of-treatment (28 days) (group A, research arm) or face-to-face visit at end of treatment (28 days) (group B, control arm).
There are few studies demonstrating the efficacy of nurse-led telephone service in advanced cancer patients but it's still quite unclear how they can affect quality of life, symptom burden and caregivers distress. In addition, the ideal structure, method and timing of telephone follow-up as well are often not considered and have not been articulated. Nurse-led management by phone to advanced cancer patients could, for some patients, dramatically improve their care experience, quality of life and symptoms control.
Investigators want to build an effective and sustainable approach for implementing the telephone service providing nurse-led telephone-based support to Early Palliative Care cancer patients. The aim is to investigate the feasibility of a proactive approach and measure the efficacy in terms of symptom management, satisfaction with care and impact on health care resources.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Vanessa Valenti
- Phone Number: +39 0543 739998
- Email: vanessa.valenti@irst.emr.it
Study Contact Backup
- Name: Centro di Coordinamento Studi IRST
- Phone Number: +39 0544 285075
- Email: cc.ubsc@irst.emr.it
Study Locations
-
-
Forlì-Cesena
-
Meldola, Forlì-Cesena, Italy, 47014
- IRCCS Istituto Romagnolo per lo Studio dei Tumori "Dino Amadori" - IRST s.r.l.
-
Contact:
- Vanessa Valenti, Nurse
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Participant is willing and able to give informed consent for participation in the study;
- Patients having a defined Caregiver
- Cancer patients referred for the first time to the Early Palliative Care Outpatient Clinic;
- Both Female or Male, aged ≥ 18 years;
- Italian speaking patients.
Exclusion Criteria:
- Eastern Cooperative Oncology Group (ECOG) Performance Status score of 3 or higher
- Patients cognitively impaired or deaf;
- Patients not having a telephone or not capable of speaking/using a telephone;
- Patients referred to palliative Homecare or Hospice at the first visit Early Palliative Care Outpatient Clinic.
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: A RESEARCH ARM: active telephonic follow-up by specialist nurse
Early Palliative Care cancer patients will be randomized to active telephonic follow-up program by specialist nurses until end-of-treatment (28 days)
|
active telephonic follow-up program by specialist nurses until end-of-treatment (28 days)
|
No Intervention: B CONTROL GROUP: face-to-face visit at end of treatment
Early Palliative Care cancer patients will be randomized to face-to-face visit at end of treatment (28 days)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Edmonton Symptoms Assessments System (ESAS)
Time Frame: 3 years
|
ESAS is a questionnaire to rate common symptoms experienced by cancer patients, including pain, tiredness, nausea, depression, anxiety, drowsiness, appetite, well-being and shortness of breath.
The severity at the time of assessment of each symptom is rated from 0 to 10 on a numerical scale, with 0 meaning that the symptom is absent and 10 that it is the worst possible severity (total score 0-90).
|
3 years
|
Italian Integrated Palliative Care Outcome Scale (IPOS)
Time Frame: 3 years
|
The IPOS is a patient-reported outcome measures, valid and reliable both in patient self-report and staff proxy-report versions to assess and monitor symptoms and concerns in advanced illness, determine the impact of healthcare interventions, and demonstrate quality of care.
|
3 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
FAMCARE-2
Time Frame: 3 years
|
The FAMCARE-2 scale includes 17 items and measures caregivers satisfaction with care received by both patent and caregivers with the following four components of care: management of physical symptoms and comfort, provision of information, family support, and patient psychological care.
Each item is rated according to a 5-point Likert scale (5=very satisfied - 1=very dissatisfied).
The score range is between 17 and 85: high scores indicate high levels of satisfaction with care.
|
3 years
|
Use of healthcare services
Time Frame: 3 years
|
Number of unscheduled hospital admissions, emergency department visits, face-to-face visit in early Palliative Care Outpatient Clinic, unscheduled phone-calls to Palliative Care telephone service for patients or caregivers needs and unscheduled visits in oncological day-hospital.
All this data will be collected at End of Study using patients' medical records.
|
3 years
|
Number of hospital referrals
Time Frame: 3 years
|
Number of home care and hospital referrals in group A and B
|
3 years
|
Patients' access to the local Palliative care network
Time Frame: 3 years
|
Mean number of days in home care and hospital in group A and B
|
3 years
|
Intervention of Palliative Care Outpatient Clinic
Time Frame: 3 years
|
Collection of the reasons that led the oncologist to request the intervention of the Palliative Care Outpatient Clinic and categorization of each reson in the subset agreed by international panel on Lancet.
|
3 years
|
Collaborators and Investigators
Investigators
- Study Chair: Vanessa Valenti, Nurse, IRCCS IRST
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
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
Other Study ID Numbers
- IRST100.57
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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