Test di uno strumento educativo per i pazienti con melanoma e malattia autoimmune preesistente che sono candidati per gli inibitori del checkpoint immunitario
Test di uno strumento educativo per i pazienti con melanoma e malattia autoimmune concomitante che sono candidati alla terapia adiuvante con inibitori del checkpoint immunitario: accettabilità e fruibilità con pazienti e fornitori
This study learn how easily patients can use an educational tool that will be created for patients with melanoma and pre-existing autoimmune diseases who receive or will receive immune checkpoint inhibitor drugs. Patients will be asked their opinions about the design, accessibility, and content of the tool. Researchers will use the information collected to improve the educational materials that will help patients make future decisions about their treatment.
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Descrizione dettagliata
PRIMARY OBJECTIVES:
I. To evaluate the acceptability (e.g., ease of use, design, accessibility, content) of the educational tool that will be developed for patients with melanoma and pre-existing autoimmune conditions considering or undergoing treatment with immune checkpoint inhibitors.
II. To test the usability in real world-settings of the educational tool (to be developed) and evaluate feasibility of patient recruitment (i.e., ability to identify enough patients and consent at least 50% of the identified patients) in a pilot study.
OUTLINE:
PART A: Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes.
PART B: 2 group of participants will be evaluated sequentially (Participants in group II will be enrolled after all the participants in group I have been assessed).
GROUP I: Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.
GROUP II: Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.
Tipo di studio
Tipo di studio
Iscrizione (Stimato)
Iscrizione
Contatti e Sedi
Contatto studio
Contatto studio
- Nome: Angeles Lopez-Olivo
- Numero di telefono: 713-792-9175
- Email: amlopezo@mdanderson.org
Luoghi di studio
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Texas
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Houston, Texas, Stati Uniti, 77030
- Reclutamento
- M D Anderson Cancer Center
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Contatto:
- Maria A. Lopez-Olivo
- Numero di telefono: 713-792-9175
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Investigatore principale:
- Maria A. Lopez-Olivo
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Metodo di campionamento
Popolazione di studio
Patients with melanoma or pre-existing autoimmune disease and clinicians
Descrizione
Inclusion Criteria:
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Diagnosis of melanoma
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Diagnosis of pre-existing autoimmune disease
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Inflammatory bowel disease
- Diagnosis of Crohn's disease or ulcerative colitis by a gastroenterologist
- For ulcerative colitis, proof of chronic changes over time (i.e., 6 months) and signs of inflammation histologically
- Treatment with aminosalicylates, corticosteroids, thiopurines, or immune modifiers (e.g., calcineurin inhibitors, methotrexate, adhesion molecule antagonists)
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Rheumatoid arthritis
- Diagnosis of rheumatoid arthritis by a rheumatologist
- Treatment with traditional disease-modifying antirheumatic drugs (e.g., methotrexate, sulfasalazine, hydroxychloroquine) or targeted therapy
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Systemic lupus erythematosus
- Diagnosis of systemic lupus erythematosus by a rheumatologist
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Psoriasis
- Diagnosis of psoriasis by a dermatologist
- Treatment with corticosteroids, vitamin D analogs, anthralin, topical retinoids, calcineurin inhibitors, salicylic acid, coal tar, or moisturizers; light therapy, including sunlight, ultraviolet B (UVB) phototherapy, narrowband UVB therapy, Goeckerman therapy, photochemotherapy, excimer laser, or pulsed dye laser; or systemic medications, including retinoids, methotrexate, cyclosporine, hydroxyurea, or thioguanine or targeted therapies
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Spondyloarthropathies
- Diagnosis of ankylosing spondylitis, reactive arthritis, psoriatic arthritis, or enteropathic arthritis/spondylitis by a rheumatologist
- Treatment with disease-modifying antirheumatic drugs (e.g., sulfasalazine) or targeted therapy
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Age of 18 years or older
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Patients whose physicians had recommended they begin using any of the currently available immune checkpoint inhibitors or people who are in the midst of or have already made the decision on whether or not start an immune checkpoint inhibitor
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E-mail access and computer with Internet access or telephone
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Ability to communicate in English or Spanish
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CLINICIAN
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Prescribed immune checkpoint inhibitors
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Are providing care for patients with melanoma
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In the clinics at MD Anderson
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Modelli osservazionali: COHORT
- Prospettive temporali: PROSPECTIVE
Numero di gruppi/coorti
Coorti e interventi
Gruppo / CoorteGruppo / Coorte |
Intervento / TrattamentoIntervento / Trattamento |
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Part A (Interview)
Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes. |
Participate in interview Navigate educational tool
Altri nomi:
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Part B Group I (standard information)
Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months. |
Complete questionnaire Complete surveys Receive standard educational information
Altri nomi:
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Part B Group II (educational tool)
Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months. |
Complete questionnaire Complete surveys Navigate educational tool
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Decisional conflict scale
Lasso di tempo: Up to 4 years
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The scale will be used to assess personal perceptions of 1) uncertainty in choosing among options; 2) modifiable factors contributing to uncertainty, such as feeling uninformed, and 3) feeling that the choice is values-based and likely to be implemented. |
Up to 4 years
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Knowledge
Lasso di tempo: Up to 3 months
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Will be assessed using a questionnaire developed by the research team covering various content areas, including general information about immune checkpoint inhibitors and the associated adverse effects and benefits of the treatments. |
Up to 3 months
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Acceptability
Lasso di tempo: Immediately after the clinical encounter
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A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures. |
Immediately after the clinical encounter
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Usability
Lasso di tempo: Immediately after the clinical encounter
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A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures. |
Immediately after the clinical encounter
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Depression
Lasso di tempo: Up to 3 months
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Will be assessed using the Depression and Anxiety Stress Scale (DASS). The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest/involvement, anhedonia, and inertia |
Up to 3 months
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Anxiety
Lasso di tempo: Up to 3 months
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Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect. |
Up to 3 months
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Stress
Lasso di tempo: Up to 3 months
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Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Stress scale is sensitive to levels of chronic non-specific arousal. It assesses difficulty relaxing, nervous arousal, and being easily upset/agitated, irritable/over-reactive and impatient. |
Up to 3 months
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CollaboRATE measure
Lasso di tempo: Immediately after the clinical encounter
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The CollaboRATE questions ask about the effort made to help patients understand their health issues, listen to what matters most to them, and include what matters most to them in choosing what to do next. |
Immediately after the clinical encounter
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Shared decision-making process survey
Lasso di tempo: Immediately after the clinical encounter
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This instrument measures the extent to which health care providers engage patients in shared decision making. Items are focused on four specific behaviors that are critical for shared decision making -discussion of options, pros, cons and preferences. |
Immediately after the clinical encounter
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Patient's perception of usefulness of the tool
Lasso di tempo: Immediately after the clinical encounter
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Will use the Preparation for Decision Making Scale (Prep-DM) to assess the patients' perception of how useful the educational tool is in preparing them to communicate with their practitioner at a consultation. It is a 10-item scale developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners. |
Immediately after the clinical encounter
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Collaboratori e investigatori
Sponsor
Sponsor
Collaboratori
Collaboratori
Investigatori
Investigatori
- Investigatore principale: Angeles Lopez-Olivo, M.D. Anderson Cancer Center
Pubblicazioni e link utili
Collegamenti utili
Studiare le date dei record
Studia le date principali
Inizio studio (Effettivo)
Inizio studio
Completamento primario (Stimato)
Completamento primario
Completamento dello studio (Stimato)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Termini MeSH pertinenti aggiuntivi
- Disturbi post-infettivi
- Spondiloartrite assiale
- Malattie ossee
- Malattie muscoloscheletriche
- Processi patologici
- Neoplasie per sede
- Neoplasie
- Malattia cronica
- Attributi della malattia
- Artrite
- Malattie articolari
- Malattie reumatiche
- Malattie intestinali
- Malattie del tessuto connettivo
- Malattie del sistema immunitario
- Infezioni
- Neoplasie per tipo istologico
- Malattie dell'apparato digerente
- Malattie gastrointestinali
- Malattie del colon
- Malattie della colonna vertebrale
- Spondiloartropatie
- Anchilosi
- Malattie della pelle, papulosquamose
- Malattie della pelle
- Gastroenterite
- Tumori neuroectodermici
- Neoplasie, cellule germinali ed embrionali
- Neoplasie, tessuto nervoso
- Tumori neuroendocrini
- Nevi e melanomi
- Neoplasie cutanee
- Spondiloartrite
- Spondilite
- Colite
- Artrite, infettive
- Condizioni patologiche, segni e sintomi
- Malattie della pelle e del tessuto connettivo
- Lupus Eritematoso, Sistemico
- Spondilite, anchilosante
- Colite, ulcerosa
- Psoriasi
- Melanoma
- Malattia di Crohn
- Malattie autoimmuni
- Artrite, reumatoide
- Artrite, psoriasica
- Malattie infiammatorie intestinali
- Artrite, reattivo
- Amministrazione dei servizi sanitari
- Qualità, accesso e valutazione dell'assistenza sanitaria
- Tecniche investigative
- Metodi epidemiologici
- Raccolta dei dati
- Meccanismi di valutazione dell'assistenza sanitaria
- Qualità dell'assistenza sanitaria
- Sanità pubblica
- Ambiente e salute pubblica
- Indicatori di qualità, assistenza sanitaria
- Servizi sanitari
- Force di lavoro e servizi per le strutture sanitarie
- Servizi sanitari per bambini
- Servizi sanitari della comunità
- Servizi sanitari preventivi
- Fattori socioeconomici
- Caratteristiche della popolazione
- Linee guida come argomento
- Assicurazione della qualità, assistenza sanitaria
- Metodi
- Interviste come argomento
- Standard di cura
- Intervento precoce, educativo
- Stato educativo
- Pratica le linee guida come argomento
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- 2020-0843
- 2020-0843 (Altro identificatore: M D Anderson Cancer Center)
- NCI-2021-00565 (Identificatore di registro: CTRP (Clinical Trial Reporting Program))
- K08CA237619 (Sovvenzione/contratto NIH degli Stati Uniti)
Informazioni su farmaci e dispositivi, documenti di studio
Studia un prodotto farmaceutico regolamentato dalla FDA degli Stati Uniti
Studia un dispositivo regolamentato dalla FDA degli Stati Uniti
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