PainSquad+: A Smartphone App to Support Real-time Pain Management for Adolescents With Cancer
29. december 2017 opdateret af: Jennifer Stinson, The Hospital for Sick Children
PainSquad+: A Smartphone App to Support Real-time Pain Management for Adolescents
Adolescents with cancer (AWC) are in a unique developmental stage that may mean pain characteristics, the impact of pain, and pain treatment outcomes are different in adolescents compared to children and adults.
In response, we will develop and test the PainSquad+ pain management smartphone app.
First, we will conduct usability testing to refine PainSquad+ so that it is useable, acceptable and understandable for AWC.
Secondly we will: (a) test the feasibility of conducting a large-scale PainSquad+ experiment and (b) begin to examine how effective PainSquad+ is at helping adolescents manage pain.
We hope that once developed and tested for effectiveness, PainSquad+ will improve pain treatment and ultimately quality of life in AWC.
Studieoversigt
Status
Afsluttet
Betingelser
Detaljeret beskrivelse
Using a conservative estimate of 7 adolescents per cycle and 3 testing cycles, 21 adolescents will take part in usability testing of the PainSquad+ prototype.
Recruitment will be conducted in a single hematology/oncology division of a metropolitan and university-affiliated pediatric tertiary care center in Toronto, Canada.
This site hosts one of the largest cancer programs in North America, with approximately 350 new diagnoses each year.
Based on our previous research at this site, 72 ± 4% (M ± SD; range = 67-75%) of eligible AWC agreed to participate in similar studies (unpublished data).
Convenience sampling will be used to recruit eligible individuals.
The testing procedures will commence after eligibility is assessed, informed consent is obtained, and demographic and baseline outcome data are collected.
Inclusion criteria will be: (a) aged 12-18 years, (b) able to speak and read English, (c) actively undergoing cancer treatment on an in- or out-patient basis, (d) being at least 3 months from diagnosis and (d) having self-reported pain of any intensity in the week immediately prior to recruitment.
Exclusion criteria will be: (a) one or more major co-morbid (medical or psychiatric) conditions that would preclude use of a smartphone, and (b) palliative/end-of-life patients.
Undersøgelsestype
Observationel
Tilmelding (Faktiske)
40
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
12 år til 18 år (Barn, Voksen)
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Prøveudtagningsmetode
Ikke-sandsynlighedsprøve
Studiebefolkning
Adolescents aged 12-18 years who have been diagnosed at least 2 months with cancer and have had pain in the past week.
Beskrivelse
Inclusion Criteria:
- aged 12-18 years,
- able to speak and read English
- actively undergoing cancer treatment on an in- or out-patient basis
- being at least 3 months from diagnosis
- having self-reported pain of any intensity in the week immediately prior to recruitment
Exclusion Criteria:
- one or more major co-morbid (medical or psychiatric) conditions that would preclude use of a smartphone
- palliative/end-of-life patients.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Accrual and attrition rates
Tidsramme: 12 months
|
The Cancer Pain Management App Recruitment Log has been designed to record data related to the number of eligible adolescents per recruitment day, reasons for ineligibility, and reasons for nonparticipation.
The Cancer Pain Management App Activity Log has been designed to record data on attrition (occurrence/reasons for attrition), as well as technical difficulties, adherence and outcome measure completion.
|
12 months
|
|
Technical difficulties
Tidsramme: 12 months
|
The occurrence and description of technical problems will be recorded on the Cancer Pain Management App Activity Log.
|
12 months
|
|
Acceptability
Tidsramme: 12 months
|
The Acceptability E-Scale (AES) ascertains perceptions related to how helpful, difficult, and enjoyable e-based programs are to use, how understandable questions are, and how acceptable the time invested in reporting was (Wu, Johnson, Schepp, & Berry, 2011).
For the purpose of the present study, the wording of the AES will be slightly modified.
Specifically, the words "computer program" will be changed to "app" and open-ended questions regarding study acceptability will be added.
|
12 months
|
|
Adherence
Tidsramme: 12 months
|
Measured as the percentage of pain reports received on the secure server.
An RA will sign onto the server and extract data logged by AWC on Day 29 to calculate adherence (100% when 28/28 morning and evening reports are completed).
These data will be recorded on the Cancer Pain Management App Activity Log.
|
12 months
|
|
Outcome measure feasibility
Tidsramme: 12 months
|
Measured as the percentage of completed questionnaires at baseline and study completion.
An RA will sign onto the server and extract data logged by AWC on Day 29 to calculate the percentage of completed questionnaires (100% when all questionnaires are completed).
These data will be recorded on the Cancer Pain Management App Activity Log.
|
12 months
|
|
Pain intensity
Tidsramme: 12 months
|
Measured using the pain intensity items (current pain intensity and worst, average, and least pain intensity in the previous week) of the Brief Pain Inventory (BPI).
The BPI is considered the standard for clinical and research use in cancer patients (Mathias et al., 2011).
Each item is rated numerically from 0-10.
Individual scores on each of the 4 items may be summed and to provide a composite pain intensity score.
Individual and summary scores will be used in our analyses.
Validity and reliability have been well-established in adults with cancer and the intensity sub-scale has been used successfully in AWC (Ameringer, 2010).
|
12 months
|
|
Pain interference
Tidsramme: 12 months
|
The Patient Reported Outcomes Measurement Information System Pediatric (PROMIS) Pain Interference Short-form Scale is an 8-item scale describing how pain restricts daily activities related to physical, psychological, and social functioning, as well as sleep, school, and enjoyment of life.
Each item is scored on a 5-point Likert response scale and totaling the scores generates a summary score, which will be used in our analyses.
Construct validity has been established in AWC (Hinds et al., 2013).
|
12 months
|
|
Health-related quality of life (HRQL)
Tidsramme: 12 months
|
The Pediatric Quality of Life Inventory (PedsQL) 4.0 is a 23-item generic HRQL scale not specific to pain.
It is comprised of physical, emotional, social and school functioning subscales with each subscale containing 5 to 8 items.
PedsQL4.0 is a reliable and valid measure of HRQL in AWC (Varni, Burwinkle, Katz, Meeske, & Dickinson, 2002).
We will use age-appropriate versions of PedsQL4.0 (i.e., appropriate item wording for 12 and 13-18 year olds).
Total and subscale scores will be used in analyses.
|
12 months
|
|
Self-efficacy
Tidsramme: 12 months
|
The Sherer's General Self-Efficacy Scale (GSES) is a 17-item scale that measures general belief in personal competence and has been used in children as young as 10 years old.
Each item is scored on a 5-point Likert scale.
Item scores are summed to provide an overall self-efficacy score to be used in analyses.
The psychometric properties of the measure have been demonstrated in AWC (Hinds et al., 2000).
|
12 months
|
|
Healthcare utilization
Tidsramme: 12 months
|
Healthcare utilization related to pain will be examined as the number of visits/calls to primary care provider, emergency room visits, oncology clinic visits and hospitalizations (i.e., bed days of care).
RN calls will not be included in healthcare utilization analyses.
Data will be collected using adolescent self-report and medical health records (by site specific RAs at end of study).
|
12 months
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Sponsor
Efterforskere
- Ledende efterforsker: Jennifer Stinson, RN, PhD, The Hospital for Sick Children
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Jibb LA, Cafazzo JA, Nathan PC, Seto E, Stevens BJ, Nguyen C, Stinson JN. Development of a mHealth Real-Time Pain Self-Management App for Adolescents With Cancer: An Iterative Usability Testing Study [Formula: see text]. J Pediatr Oncol Nurs. 2017 Jul/Aug;34(4):283-294. doi: 10.1177/1043454217697022. Epub 2017 Apr 4.
- Jibb LA, Stevens BJ, Nathan PC, Seto E, Cafazzo JA, Johnston DL, Hum V, Stinson JN. Implementation and preliminary effectiveness of a real-time pain management smartphone app for adolescents with cancer: A multicenter pilot clinical study. Pediatr Blood Cancer. 2017 Oct;64(10). doi: 10.1002/pbc.26554. Epub 2017 Apr 19.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. april 2015
Primær færdiggørelse (Faktiske)
1. april 2016
Studieafslutning (Faktiske)
1. maj 2016
Datoer for studieregistrering
Først indsendt
12. september 2016
Først indsendt, der opfyldte QC-kriterier
14. september 2016
Først opslået (Skøn)
15. september 2016
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
3. januar 2018
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
29. december 2017
Sidst verificeret
1. december 2017
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 100045124
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