- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT07674212
Take5Care+: A Self-management Educational Intervention (Take5Care+)
Take5Care+: A Self-management Educational Intervention to Support the Haematology Patients' Journey Following a Neoplastic Diagnosis.
Patients who are diagnosed with haematological malignancies may feel that they have little or no control over their health which can be distressing. However, a diagnosis can also be the opportunity for a "teachable moment" during which patients are more likely to open to behaviour change, which can positively impact on their health and wellbeing. Take Five to Age Well (Take Five) was designed to empower people to achieve effective, long-term self-management of health by introducing healthy habits in 30 days.
In collaboration with Northampton General Hospital (NGH) the current study will recruit newly diagnosed haematology patients who are either being actively monitored or only on non-intensive treatment to take part in a self-managed behaviour change intervention. This is primarily a feasibility study to inform main trials in the future.
The main aim of the research is:
To assess the feasibility of using Take5Care+ with patients newly diagnosed with indolent or chronic haematological malignancies, recruited via hospital departments
There are also secondary aims, including:
- To assess the impact of participating in Take5Care+ on patients' self-reported health and well-being, healthy behaviours and sense of control, knowledge and management of health
- To explore the perceptions of patients and clinicians about their participation in the Take5Care+ Patients who wish to take part will be asked to fill out a survey at baseline, complete a "challenge" where they commit to a healthy action for 30 days, fill out a second survey immediately after and a third survey three months later. Patients may also consent to participating in an interview post-challenge. Giving consent and completing the baseline survey will take place in NGH but the challenge is self-managed at home and remotely supported. Survey 2, Survey 3 and the optional interviews are also carried out online or over the phone.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Tipo de estudio
Inscripción (Estimado)
Fase
- No aplica
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
- Adulto
- Adulto Mayor
Acepta Voluntarios Saludables
Descripción
Inclusion Criteria:
- 18 years or older.
- Have been diagnosed within the last 3 months with one of the eligible conditions listed in Table 1.
Be managed with either:
- Active monitoring, or
- Non-intensive oral therapy, defined as outpatient oral regimens that do not require inpatient initiation and have lower expected toxicity (e.g., BTK inhibitors, TKIs, interferon, lenalidomide, hydroxycarbamide, low-dose alkylators).
- Have ECOG Performance Status 0-2.
- Be able to give informed consent.
- Be judged suitable for participation by the treating clinician.
Exclusion Criteria:
- Receiving intensive chemotherapy, immunotherapy, IV combination regimens, cellular therapy, radiotherapy or treatments requiring inpatient initiation.
- Received or expected to require regular blood product transfusions
- Life expectancy <12 months.
- Acutely terminal illness.
- ECOG ≥3.
- Cognitive impairment that would prevent the patient from giving informed consent, or reliably completing the daily action and follow-up assessments
- Pregnant or lactating.
- Currently participating in a CTIMP or other behavioural research intervention.
- Age <18.
Unstable, uncontrolled, or severe comorbidities:
- Uncontrolled heart failure, unstable angina, or MI <3 months.
- Stroke/TIA <3 months.
- Severe/unstable COPD or asthma with recent exacerbations.
- Poorly controlled diabetes
- Severe psychiatric illness interfering with participation.
- Concurrent active malignancy requiring systemic therapy.
- Any other condition that, in the investigator's judgement, would compromise safe participation.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: Take5Care+ treatment
Newly diagnosed haematology patients will be recruited to take part in a self-managed behaviour change intervention.
Participants commit to a behavioural action (a "healthy habit") from a predetermined list for 30 days.
|
Newly diagnosed haematology patients will be recruited to take part in a self-managed behaviour change intervention.
Participants commit to a behavioural action (a "healthy habit") from a predetermined list for 30 days.
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Feasibility of the intervention
Periodo de tiempo: From beginning of study (0 weeks) until data collection is completed (up to 10 months)
|
|
From beginning of study (0 weeks) until data collection is completed (up to 10 months)
|
|
Qualitative exploration of feasibility of study
Periodo de tiempo: Directly after participant completes the intervention (at 4 weeks)
|
|
Directly after participant completes the intervention (at 4 weeks)
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
Self-reported behaviours of healthy behaviour
Periodo de tiempo: Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
• Self-reported behaviours that facilitate improved nutrition, hydration, physical activity, cognitive stimulation and social engagement using a 7-point Likert scale ranging from "Never" to "Every day", collected at Survey 1, Survey 2 and Survey 3.
|
Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Self-reported health
Periodo de tiempo: Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
• Self-reported health as measured by SF-12, transformed into two scores:
|
Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Self-reported adherence to Take5Care+ actions
Periodo de tiempo: Survey 2 will be at 4 weeks and Survey 3 at 16 weeks.
|
• Participants will be asked how many days a week, on average, they are still doing their chosen action, from 1-7 days. This data will be collected at Survey 2 and Survey 3. |
Survey 2 will be at 4 weeks and Survey 3 at 16 weeks.
|
|
Subjective perception of health
Periodo de tiempo: Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Explore perceptions of patients and clinicians
Periodo de tiempo: Directly after the intervention (at 4 weeks)
|
Thematic analysis of perceptions of participation, barriers and facilitators via semi-structured interviews with patients (optional) and clinicians
|
Directly after the intervention (at 4 weeks)
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Estimado)
Finalización primaria (Estimado)
Finalización del estudio (Estimado)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- OpenU
- IRAS ID 368667 (Otro identificador: HRA and Health and Care Research Wales (HCRW))
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
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