Enhanced Supportive Care for Advanced Cancer Patients: Evaluation of Standardized Care Pathway
The purpose of this study is to evaluate the efficacy of the standardized care pathway which provides enhanced supportive care for patients with advanced cancer.
A pilot study (single arm pre-post test) will be conducted to evaluate feasibility of applying standardized care pathway to provide enhanced supportive care. A Randomized Controlled Trial will be conducted by randomly allocating participants in a 1:1 ratio to intervention arm (receiving enhanced supportive care according to the standardized care pathway) or control arm (receiving usual care: symptom monitoring only). Participants in the intervention arm will receive enhanced supportive care consisted of symptom management and coping enhancement counseling for 5 times. Data from advanced cancer patients will be collected at baseline (before start of chemotherapy), during chemotherapy (intervention arm), at the visit for cycle 5 of chemotherapy, at 6 month, and at 12 month Data from caregivers will be collected at baseline, 3 month, and 6 month. Primary outcomes will be measured as advanced cancer patients' symptom, coping and quality of life.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Voraussichtlich)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Jiyeon Lee, Ph.D
- Telefonnummer: 82-2-2228-3255
- E-Mail: jiyeonest@yuhs.ac
Studienorte
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Seoul, Korea, Republik von
- Rekrutierung
- Yonsei University
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Kontakt:
- Jiyeon Lee, Ph.D
- Telefonnummer: 82-2-2228-3255
- E-Mail: jiyeonest@yuhs.ac
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
Inclusion Criteria:
- adult (age >=19 years old),
- cancer patients and their family
- ECOG =<2
Exclusion Criteria:
- patients with cognitive or psychiatric issue
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Sonstiges
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
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Experimental: A
Experimental group with application of the standardized care pathways and symptom management education
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Enhanced supportive care based on standard care pathway is consisted of 1) symptom management (symptom assessment and according management) and 2) coping enhancement (nurse-led counseling).
The enhanced supportive care will be provided 5 times, according to the standardized care pathway.
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Sonstiges: B
Control group with usual care (symptom monitoring only)
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Control group will receive usual care (symptom monitoring only)
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
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Symptom measured by the ESAS (Edmonton Symptom Assessment Scale + 5 additional symptoms)
Zeitfenster: at the visit for cycle 5 (each cycle is from 2 weeks to 4 weeks depending on chemotherapy regimen) of chemotherapy (at average 3 month)
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at the visit for cycle 5 (each cycle is from 2 weeks to 4 weeks depending on chemotherapy regimen) of chemotherapy (at average 3 month)
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Coping measured by brief COPE
Zeitfenster: at the visit for cycle 5 of chemotherapy (at average 3 month)
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at the visit for cycle 5 of chemotherapy (at average 3 month)
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Quality of life measured by the EORTC QLQ C-30
Zeitfenster: at the visit for cycle 5 of chemotherapy (at average 3 month)
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at the visit for cycle 5 of chemotherapy (at average 3 month)
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
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Depression measured by the HADS (Hospital Anxiety and Depression Scale) : research participation
Zeitfenster: at the visit for cycle 5 of chemotherapy (at average 3 month)
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at the visit for cycle 5 of chemotherapy (at average 3 month)
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Depression measured by the HADS (Hospital Anxiety and Depression Scale) : research participation
Zeitfenster: at 6 month
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at 6 month
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Depression measured by the HADS (Hospital Anxiety and Depression Scale) : caregiver
Zeitfenster: at the visit for cycle 5 of chemotherapy (at average 3 month)
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at the visit for cycle 5 of chemotherapy (at average 3 month)
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Depression measured by the HADS (Hospital Anxiety and Depression Scale) : caregiver
Zeitfenster: at 6 month
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at 6 month
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Self-efficacy measured by the Cancer Behavior Inventory 3.0
Zeitfenster: at the visit for cycle 5 of chemotherapy (at average 3 month)
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at the visit for cycle 5 of chemotherapy (at average 3 month)
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Self-efficacy measured by the Cancer Behavior Inventory 3.0
Zeitfenster: at 6 month
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at 6 month
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Survival
Zeitfenster: at 6 month
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at 6 month
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Survival
Zeitfenster: at 12 month
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at 12 month
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Symptom measured by the ESAS (Edmonton Symptom Assessment Scale+5 additional symptoms)
Zeitfenster: at 6 month
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at 6 month
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Coping measured by brief COPE
Zeitfenster: at 6 month
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at 6 month
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Quality of life measured by the EORTC QLQ C-30
Zeitfenster: at 6 month
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at 6 month
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Symptom change measured by the ESAS (Edmonton Symptom Assessment Scale + 5 additional symptoms): from baseline to 3 month
Zeitfenster: At baseline, at the beginning of Cycle 2, Cycle 3, Cycle 4, Cycle 5 (each cycle is from 2 weeks to 4 weeks depending on chemotherapy regimen)(at average 3 month)
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At baseline, at the beginning of Cycle 2, Cycle 3, Cycle 4, Cycle 5 (each cycle is from 2 weeks to 4 weeks depending on chemotherapy regimen)(at average 3 month)
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Depression change measured by the HADS (Hospital Anxiety and Depression Scale): from baseline to 3 month
Zeitfenster: At baseline, at the beginning of Cycle 2, Cycle 3, Cycle 4, Cycle 5 (each cycle is from 2 weeks to 4 weeks depending on chemotherapy regimen)(at average 3 month)
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At baseline, at the beginning of Cycle 2, Cycle 3, Cycle 4, Cycle 5 (each cycle is from 2 weeks to 4 weeks depending on chemotherapy regimen)(at average 3 month)
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Studienbeginn
Primärer Abschluss (Voraussichtlich)
Primärer Abschluss
Studienabschluss (Voraussichtlich)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- 4-2020-0304
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Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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