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- Essai clinique 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.
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
- Adulte plus âgé
Accepte les volontaires sains
La description
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 d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Soins de soutien
- Répartition: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Feasibility of the intervention
Délai: 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
Délai: Directly after participant completes the intervention (at 4 weeks)
|
|
Directly after participant completes the intervention (at 4 weeks)
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Self-reported behaviours of healthy behaviour
Délai: 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
Délai: 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
Délai: 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
Délai: 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
Délai: 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)
|
Collaborateurs et enquêteurs
Parrainer
Collaborateurs
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- OpenU
- IRAS ID 368667 (Autre identifiant: HRA and Health and Care Research Wales (HCRW))
Informations sur les médicaments et les dispositifs, documents d'étude
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