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Individualized Education for Bortezomib-Related Symptom Management in Multiple Myeloma

19. August 2026 aktualisiert von: Can Lafci

Investigation of the Effect of Education Given to Patients With Multiple Myeloma on Symptom Severity

This study evaluated an individualized, nurse-delivered education program for managing treatment-related symptoms in patients with newly diagnosed multiple myeloma receiving bortezomib for the first time. A total of 40 patients participated. Twenty patients received two individual education sessions in addition to routine care, while 20 patients in the control group received routine care. The education focused on recognition, prevention, and management of common bortezomib-related symptoms, including peripheral neuropathy, pain, nausea, vomiting, diarrhea, constipation, fatigue, anemia, bleeding risk, infection risk, and dyspnea. Treatment-related symptoms were assessed before treatment and education (baseline), on day 21, and on day 63. The study aimed to evaluate whether individualized patient education was associated with differences in the occurrence and severity of treatment-related symptoms over time.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Studientyp

Interventionell

Einschreibung (Tatsächlich)

49

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienorte

    • Istanbul
      • İzmir, Istanbul, Türkei (türkiye), 34854
        • Ege University Faculty of Medicine, Berna Türek Chemotherapy Center

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene
  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Nein

Beschreibung

Inclusion Criteria:

  • Age 18 years or older
  • Newly diagnosed with multiple myeloma
  • Scheduled to receive bortezomib 1.3 mg/m² on days 1, 4, 8, and 11
  • Able to communicate
  • Able to read and write
  • Willing to participate in the study

Exclusion Criteria:

  • Younger than 18 years
  • Presence of a disease or condition that could affect the nervous system, such as brain metastasis or diabetes
  • Cognitive impairment
  • Unstable vital signs
  • History of alcohol use
  • Communication impairment
  • Unwilling to participate in the study

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Unterstützende Pflege
  • Zuteilung: Nicht randomisiert
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Individualized Education Group
Participants received two individualized, nurse-delivered education sessions in addition to routine care. The education addressed recognition, prevention, and management of common bortezomib-related symptoms. Written and visual educational materials were used, and participants were encouraged to monitor symptoms and contact the researcher when needed.
The intervention consisted of two individualized education sessions delivered by the researcher using a Care and Treatment Guide for Patients and Families. The program addressed multiple myeloma and management of bortezomib-related peripheral neuropathy, pain, nausea, vomiting, diarrhea, constipation, fatigue, anemia, bleeding risk, infection risk, and dyspnea. Written and visual materials were used. The second session reinforced topics that were not fully understood, encouraged symptom monitoring with a diary, and provided telephone access to the researcher.
Kein Eingriff: Routine Care Control Group
Participants received routine care during the study follow-up period without the individualized education intervention. The education booklet was provided after the final study assessment on day 63.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Motor Neuropathy Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Motor neuropathy severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 motor neuropathy grading scale. Severity was graded from 0 to 4, with 0 indicating no motor neuropathy and higher grades indicating greater severity; grade 4 indicates paralysis.
Baseline before treatment and education, Day 21, and Day 63
Sensory Neuropathy Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Sensory neuropathy severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 sensory neuropathy grading scale. Severity was graded from 0 to 4, with 0 indicating no sensory neuropathy and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Abdominal Pain Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Abdominal pain severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 abdominal pain grading scale. Severity was graded from 0 to 4, with 0 indicating no abdominal pain and higher grades indicating greater severity; grade 4 indicates life-threatening severity.
Baseline before treatment and education, Day 21, and Day 63
Nausea Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Nausea severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 nausea grading scale. Severity was graded from 0 to 3, with 0 indicating no nausea and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Vomiting Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Vomiting severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 vomiting grading scale. Severity was graded from 0 to 4, with 0 indicating no vomiting and higher grades indicating greater symptom severity; grade 4 indicates life-threatening severity.
Baseline before treatment and education, Day 21, and Day 63
Diarrhea Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Diarrhea severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 diarrhea grading scale. Severity was graded from 0 to 4, with 0 indicating no diarrhea and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Constipation Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Constipation severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 constipation grading scale. Severity was graded from 0 to 4, with 0 indicating no constipation and higher grades indicating greater symptom severity; grade 4 indicates obstruction or toxic megacolon.
Baseline before treatment and education, Day 21, and Day 63
Fatigue Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Fatigue severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 fatigue grading scale. Severity was graded from 0 to 4, with 0 indicating no fatigue and higher grades indicating greater symptom severity.
Baseline before treatment and education, Day 21, and Day 63
Dyspnea Severity Assessed by NCI-CTC Version 2.0
Zeitfenster: Baseline before treatment and education, Day 21, and Day 63
Dyspnea severity was assessed using the National Cancer Institute Common Toxicity Criteria (NCI-CTC) Version 2.0 dyspnea grading scale. Severity was graded from 0 to 4, with 0 indicating no dyspnea and higher grades indicating greater symptom severity; grade 4 indicates dyspnea at rest or a need for ventilatory support.
Baseline before treatment and education, Day 21, and Day 63

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

5. Februar 2018

Primärer Abschluss (Tatsächlich)

31. August 2018

Studienabschluss (Tatsächlich)

31. August 2018

Studienanmeldedaten

Zuerst eingereicht

15. August 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

15. August 2026

Zuerst gepostet (Tatsächlich)

19. August 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

20. August 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

19. August 2026

Zuletzt verifiziert

1. August 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

NEIN

Beschreibung des IPD-Plans

Individual participant data are not planned to be shared.

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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