Afprøvning af et pædagogisk værktøj til patienter med melanom og allerede eksisterende autoimmun sygdom, som er kandidater til immun checkpoint-hæmmere
Afprøvning af et pædagogisk værktøj til patienter med melanom og samtidig autoimmun sygdom, der er kandidater til adjuverende terapi med immuncheckpoint-hæmmere: Acceptabilitet og anvendelighed hos patienter og udbydere
This study learn how easily patients can use an educational tool that will be created for patients with melanoma and pre-existing autoimmune diseases who receive or will receive immune checkpoint inhibitor drugs. Patients will be asked their opinions about the design, accessibility, and content of the tool. Researchers will use the information collected to improve the educational materials that will help patients make future decisions about their treatment.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
PRIMARY OBJECTIVES:
I. To evaluate the acceptability (e.g., ease of use, design, accessibility, content) of the educational tool that will be developed for patients with melanoma and pre-existing autoimmune conditions considering or undergoing treatment with immune checkpoint inhibitors.
II. To test the usability in real world-settings of the educational tool (to be developed) and evaluate feasibility of patient recruitment (i.e., ability to identify enough patients and consent at least 50% of the identified patients) in a pilot study.
OUTLINE:
PART A: Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes.
PART B: 2 group of participants will be evaluated sequentially (Participants in group II will be enrolled after all the participants in group I have been assessed).
GROUP I: Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.
GROUP II: Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Angeles Lopez-Olivo
- Telefonnummer: 713-792-9175
- E-mail: amlopezo@mdanderson.org
Studiesteder
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Texas
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- M D Anderson Cancer Center
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Kontakt:
- Maria A. Lopez-Olivo
- Telefonnummer: 713-792-9175
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Ledende efterforsker:
- Maria A. Lopez-Olivo
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-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Patients with melanoma or pre-existing autoimmune disease and clinicians
Beskrivelse
Inclusion Criteria:
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Diagnosis of melanoma
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Diagnosis of pre-existing autoimmune disease
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Inflammatory bowel disease
- Diagnosis of Crohn's disease or ulcerative colitis by a gastroenterologist
- For ulcerative colitis, proof of chronic changes over time (i.e., 6 months) and signs of inflammation histologically
- Treatment with aminosalicylates, corticosteroids, thiopurines, or immune modifiers (e.g., calcineurin inhibitors, methotrexate, adhesion molecule antagonists)
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Rheumatoid arthritis
- Diagnosis of rheumatoid arthritis by a rheumatologist
- Treatment with traditional disease-modifying antirheumatic drugs (e.g., methotrexate, sulfasalazine, hydroxychloroquine) or targeted therapy
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Systemic lupus erythematosus
- Diagnosis of systemic lupus erythematosus by a rheumatologist
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Psoriasis
- Diagnosis of psoriasis by a dermatologist
- Treatment with corticosteroids, vitamin D analogs, anthralin, topical retinoids, calcineurin inhibitors, salicylic acid, coal tar, or moisturizers; light therapy, including sunlight, ultraviolet B (UVB) phototherapy, narrowband UVB therapy, Goeckerman therapy, photochemotherapy, excimer laser, or pulsed dye laser; or systemic medications, including retinoids, methotrexate, cyclosporine, hydroxyurea, or thioguanine or targeted therapies
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Spondyloarthropathies
- Diagnosis of ankylosing spondylitis, reactive arthritis, psoriatic arthritis, or enteropathic arthritis/spondylitis by a rheumatologist
- Treatment with disease-modifying antirheumatic drugs (e.g., sulfasalazine) or targeted therapy
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Age of 18 years or older
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Patients whose physicians had recommended they begin using any of the currently available immune checkpoint inhibitors or people who are in the midst of or have already made the decision on whether or not start an immune checkpoint inhibitor
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E-mail access and computer with Internet access or telephone
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Ability to communicate in English or Spanish
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CLINICIAN
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Prescribed immune checkpoint inhibitors
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Are providing care for patients with melanoma
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In the clinics at MD Anderson
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: PROSPECTIVE
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Part A (Interview)
Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes. |
Participate in interview Navigate educational tool
Andre navne:
|
|
Part B Group I (standard information)
Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months. |
Complete questionnaire Complete surveys Receive standard educational information
Andre navne:
|
|
Part B Group II (educational tool)
Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months. |
Complete questionnaire Complete surveys Navigate educational tool
Andre navne:
|
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Decisional conflict scale
Tidsramme: Up to 4 years
|
The scale will be used to assess personal perceptions of 1) uncertainty in choosing among options; 2) modifiable factors contributing to uncertainty, such as feeling uninformed, and 3) feeling that the choice is values-based and likely to be implemented. |
Up to 4 years
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Knowledge
Tidsramme: Up to 3 months
|
Will be assessed using a questionnaire developed by the research team covering various content areas, including general information about immune checkpoint inhibitors and the associated adverse effects and benefits of the treatments. |
Up to 3 months
|
|
Acceptability
Tidsramme: Immediately after the clinical encounter
|
A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures. |
Immediately after the clinical encounter
|
|
Usability
Tidsramme: Immediately after the clinical encounter
|
A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures. |
Immediately after the clinical encounter
|
|
Depression
Tidsramme: Up to 3 months
|
Will be assessed using the Depression and Anxiety Stress Scale (DASS). The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest/involvement, anhedonia, and inertia |
Up to 3 months
|
|
Anxiety
Tidsramme: Up to 3 months
|
Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect. |
Up to 3 months
|
|
Stress
Tidsramme: Up to 3 months
|
Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Stress scale is sensitive to levels of chronic non-specific arousal. It assesses difficulty relaxing, nervous arousal, and being easily upset/agitated, irritable/over-reactive and impatient. |
Up to 3 months
|
|
CollaboRATE measure
Tidsramme: Immediately after the clinical encounter
|
The CollaboRATE questions ask about the effort made to help patients understand their health issues, listen to what matters most to them, and include what matters most to them in choosing what to do next. |
Immediately after the clinical encounter
|
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Shared decision-making process survey
Tidsramme: Immediately after the clinical encounter
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This instrument measures the extent to which health care providers engage patients in shared decision making. Items are focused on four specific behaviors that are critical for shared decision making -discussion of options, pros, cons and preferences. |
Immediately after the clinical encounter
|
|
Patient's perception of usefulness of the tool
Tidsramme: Immediately after the clinical encounter
|
Will use the Preparation for Decision Making Scale (Prep-DM) to assess the patients' perception of how useful the educational tool is in preparing them to communicate with their practitioner at a consultation. It is a 10-item scale developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. |
Immediately after the clinical encounter
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Angeles Lopez-Olivo, M.D. Anderson Cancer Center
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
- Post-infektionssygdomme
- Aksial spondyloarthritis
- Knoglesygdomme
- Muskuloskeletale sygdomme
- Patologiske processer
- Neoplasmer efter sted
- Neoplasmer
- Kronisk sygdom
- Sygdomsegenskaber
- Gigt
- Ledsygdomme
- Reumatiske sygdomme
- Tarmsygdomme
- Bindevævssygdomme
- Sygdomme i immunsystemet
- Infektioner
- Neoplasmer efter histologisk type
- Sygdomme i fordøjelsessystemet
- Gastrointestinale sygdomme
- Tyktarmssygdomme
- Rygmarvssygdomme
- Spondylarthropatier
- Ankylose
- Hudsygdomme, Papulosquamous
- Hudsygdomme
- Gastroenteritis
- Neuroektodermale tumorer
- Neoplasmer, kimceller og embryonale
- Neoplasmer, nervevæv
- Neuroendokrine tumorer
- Nevi og melanomer
- Neoplasmer i huden
- Spondylarthritis
- Spondylitis
- Colitis
- Gigt, Infektiøs
- Patologiske tilstande, tegn og symptomer
- Hud- og bindevævssygdomme
- Lupus erythematosus, systemisk
- Spondylitis, ankyloserende
- Colitis, Ulcerativ
- Psoriasis
- Melanom
- Crohns sygdom
- Autoimmune sygdomme
- Gigt, reumatoid
- Gigt, psoriasis
- Inflammatoriske tarmsygdomme
- Gigt, Reaktiv
- Sundhedstjenester Administration
- Sundhedsvæsenets kvalitet, adgang og evaluering
- Undersøgelsesteknikker
- Epidemiologiske metoder
- Dataindsamling
- Evalueringsmekanismer til sundhedsvæsenet
- Sundhedskvalitet
- Folkesundhed
- Miljø og folkesundhed
- Kvalitetsindikatorer, sundhedsvæsenet
- Sundhedstjenester
- Sundhedsfaciliteter Arbejdsstyrke og tjenester
- Børns sundhedsydelser
- Fællesskabets sundhedsydelser
- Forebyggende sundhedsydelser
- Socioøkonomiske faktorer
- Befolkningsegenskaber
- Retningslinjer som emne
- Kvalitetssikring, sundhedsvæsen
- Metoder
- Interviews som emne
- Standard for pleje
- Tidlig indgriben, uddannelsesmæssig
- Uddannelsesstatus
- Øv retningslinjer som emne
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2020-0843
- 2020-0843 (Anden identifikator: M D Anderson Cancer Center)
- NCI-2021-00565 (Registry Identifier: CTRP (Clinical Trial Reporting Program))
- K08CA237619 (U.S. NIH-bevilling/kontrakt)
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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