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Symptom Management in Patients With Recurrent or Persistent Ovarian Cancer, Fallopian Tube Cancer, or Primary Peritoneal Cancer

8 marzo 2019 aggiornato da: Gynecologic Oncology Group

NURSE-DELIVERED WRITE SYMPTOMS vs. SELF-DIRECTED WRITE SYMPTOMS vs. CARE AS USUAL FOR OPTIMAL SYMPTOM MANAGEMENT FOR WOMEN WITH RECURRENT OVARIAN, FALLOPIAN TUBE, OR PRIMARY PERITONEAL CANCER

This randomized clinical trial is studying two different symptom management programs to see how well they work compared with usual care in patients with recurrent or persistent ovarian cancer, fallopian tube cancer, or primary peritoneal cancer. Developing a symptom management plan may help relieve symptoms related to cancer or cancer treatment and help improve quality of life.

Panoramica dello studio

Descrizione dettagliata

PRIMARY OBJECTIVE:

I. Compare the efficacy of nurse-delivered WRITE Symptoms? and self-directed WRITE Symptoms? vs usual care interventions in improving target symptom representations (i.e., decreases in symptom severity, symptom-related distress, and symptom consequences as measured by the Symptom Representation Questionnaire [SRQ]) in patients with recurrent or persistent ovarian, fallopian tube, or primary peritoneal cancer.

SECONDARY OBJECTIVES:

I. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving target symptom representations in these patients at 4 weeks.

II. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving target symptom controllability in these patients at 4, 8, and 12 weeks.

III. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving indicators of quality of life (QOL) of these patients as measured by the FACT-O and the CES-Depression inventory short form at 4, 8, and 12 weeks.

IV. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving communication with health care providers about symptoms, implementation of new symptom management strategies (health care provider recommended as well as patient-initiated changes), and perceived effectiveness of strategies (health care provider recommended as well as patient-initiated changes) in these patients at 4, 8, and 12 weeks.

V. Compare the efficacy of nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions in improving patient-related barriers to symptom management as measured by the Symptom Management Barriers Questionnaire at 4, 8, and 12 weeks.

EXPLORATORY OBJECTIVES:

I. Compare trajectories of change for overall symptom severity in patients undergoing nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions using monthly assessments to explore potential long-term effects of the WRITE Symptoms? interventions.

II. Compare trajectories of change for QOL of patients undergoing nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions using monthly assessments to explore potential long-term effects of the WRITE Symptoms? interventions.

III. Compare trajectories of change for symptom severity, distress, communication, and implementation of new strategies for non-targeted symptoms in patients undergoing nurse-delivered WRITE Symptoms? vs self-directed WRITE Symptoms? vs usual care interventions using monthly assessments to explore whether patients are able to generalize the symptom management approaches taught in WRITE Symptoms? interventions to their other non-targeted symptoms.

IV. Explore whether changes in symptom representations mediate changes in QOL of these patients at 8 and 12 weeks.

V. Explore whether effects of the WRITE Symptoms? interventions on primary and secondary endpoints at 8 and 12 weeks differ based on the following patient characteristics assessed at baseline: age, education, and ethnicity; depression as measured by the CES-D short form; trait anxiety as measured by the STAI; optimism as measured by the LOT-R; social support as measured by the ISEL; and symptom severity as measured by the SRQ.

OUTLINE: This is a multicenter study. Patients are stratified according to race/ethnicity (non-Hispanic white vs Hispanic or non-white). Patients are randomized to 1 of 3 intervention arms.

ARM I (nurse-delivered intervention): Patients are given password-protected access to their own web-based message board to communicate with a research nurse. The nurse leads the patient through the WRITE Symptoms? intervention module comprising representational assessment; exploring concerns/misconceptions/gaps/confusions; creating conditions for conceptual change; introducing new information, goal setting, and development of a symptom management plan; and summary via asynchronous postings to the patient's message board. Patients work through 3 selected symptoms using the nurse-delivered WRITE Symptoms? intervention module over approximately 4 weeks. Two weeks later, the patient's symptom management strategy and their desire to make further changes are evaluated by additional interaction with the nurse via the message board. The nurse will encourage the patient to try new selected strategies, continue with effective strategies, and work with local health care providers in an ongoing process to improve symptom management. Patients are given access to a resource guide that includes self-care guides for 26 symptoms. They are encouraged to use the same process taught for their 3 selected symptoms for any other symptoms that arise after the course of the intervention.

ARM II (self-directed intervention): Patients are given password-protected access to an interactive web-based computer program that will lead them through a modified WRITE Symptoms? intervention module (comprising the same elements as in arm I) without guidance and individualized recommendations from a nurse. Patients work through 3 selected symptoms using the WRITE Symptoms? intervention module over approximately 4 weeks. Two weeks later, patients are prompted by the computer program to respond to questions about their symptom management strategy and their desire to make further changes. The program will generate an encouragement for the patient to try new selected strategies, continue with effective strategies, and continue the new approach to symptom management with local health care providers in an ongoing process to improve symptom management. Patients are given access to a resource guide that includes self-care guides for 26 symptoms. They are encouraged to use the same process taught for their 3 selected symptoms for any other symptoms that arise after the course of the intervention.

ARM III (usual care): Patients are given password-protected access to online questionnaires. Patients are prompted monthly to complete online questionnaires. Patients receive standard symptom management from their local health care providers.

In all arms, patients complete online questionnaires to assess outcome measures at baseline, at 4, 8, and 12 weeks, and then every 4 weeks for 1 year.

Tipo di studio

Interventistico

Iscrizione (Effettivo)

485

Fase

  • Non applicabile

Contatti e Sedi

Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.

Luoghi di studio

    • Arizona
      • Phoenix, Arizona, Stati Uniti, 85012
        • Gynecologic Oncology Group of Arizona
    • California
      • Los Angeles, California, Stati Uniti, 90095
        • UCLA / Jonsson Comprehensive Cancer Center
      • Los Angeles, California, Stati Uniti, 90048
        • Cedars Sinai Medical Center
      • Mountain View, California, Stati Uniti, 94040
        • Palo Alto Medical Foundation-Gynecologic Oncology
    • Colorado
      • Aurora, Colorado, Stati Uniti, 80045
        • University of Colorado Hospital
    • Connecticut
      • Hartford, Connecticut, Stati Uniti, 06102
        • Hartford Hospital
      • New Britain, Connecticut, Stati Uniti, 06050
        • The Hospital of Central Connecticut
    • Hawaii
      • Honolulu, Hawaii, Stati Uniti, 96813
        • Queen's Medical Center
      • Honolulu, Hawaii, Stati Uniti, 96813
        • University of Hawaii Cancer Center
      • Honolulu, Hawaii, Stati Uniti, 96826
        • Kapiolani Medical Center for Women and Children
    • Illinois
      • Decatur, Illinois, Stati Uniti, 62526
        • Decatur Memorial Hospital
      • Springfield, Illinois, Stati Uniti, 62781
        • Memorial Medical Center
      • Urbana, Illinois, Stati Uniti, 61801
        • Carle Cancer Center
    • Indiana
      • Elkhart, Indiana, Stati Uniti, 46515
        • Elkhart General Hospital
      • Elkhart, Indiana, Stati Uniti, 46514
        • Michiana Hematology Oncology PC-Elkhart
      • Elkhart, Indiana, Stati Uniti, 46514-2098
        • Elkhart Clinic
      • Indianapolis, Indiana, Stati Uniti, 46202
        • Indiana University/Melvin and Bren Simon Cancer Center
      • Kokomo, Indiana, Stati Uniti, 46904
        • Community Howard Regional Health
      • La Porte, Indiana, Stati Uniti, 46350
        • IU Health La Porte Hospital
      • Mishawaka, Indiana, Stati Uniti, 46545
        • Michiana Hematology Oncology PC-Mishawaka
      • Mishawaka, Indiana, Stati Uniti, 46545
        • Saint Joseph Regional Medical Center-Mishawaka
      • Plymouth, Indiana, Stati Uniti, 46563
        • Michiana Hematology Oncology PC-Plymouth
      • South Bend, Indiana, Stati Uniti, 46601
        • Memorial Hospital of South Bend
      • South Bend, Indiana, Stati Uniti, 46601
        • Michiana Hematology Oncology PC-South Bend
      • South Bend, Indiana, Stati Uniti, 46628
        • Northern Indiana Cancer Research Consortium
      • South Bend, Indiana, Stati Uniti, 46617
        • South Bend Clinic
      • Westville, Indiana, Stati Uniti, 46391
        • Michiana Hematology Oncology PC-Westville
    • Iowa
      • Clive, Iowa, Stati Uniti, 50325
        • Mercy Cancer Center-West Lakes
      • Clive, Iowa, Stati Uniti, 50325
        • Medical Oncology and Hematology Associates-West Des Moines
      • Des Moines, Iowa, Stati Uniti, 50309
        • Iowa Methodist Medical Center
      • Des Moines, Iowa, Stati Uniti, 50314
        • Mercy Medical Center - Des Moines
      • Des Moines, Iowa, Stati Uniti, 50309
        • Medical Oncology and Hematology Associates-Des Moines
      • Des Moines, Iowa, Stati Uniti, 50316
        • Iowa Lutheran Hospital
      • Des Moines, Iowa, Stati Uniti, 50309
        • Iowa-Wide Oncology Research Coalition NCORP
      • Des Moines, Iowa, Stati Uniti, 50314
        • Medical Oncology and Hematology Associates-Laurel
      • Iowa City, Iowa, Stati Uniti, 52242
        • University of Iowa/Holden Comprehensive Cancer Center
      • West Des Moines, Iowa, Stati Uniti, 50266-7700
        • Methodist West Hospital
      • West Des Moines, Iowa, Stati Uniti, 50266
        • Mercy Medical Center-West Lakes
    • Kansas
      • Kansas City, Kansas, Stati Uniti, 66112
        • Providence Medical Center
      • Overland Park, Kansas, Stati Uniti, 66209
        • Menorah Medical Center
      • Overland Park, Kansas, Stati Uniti, 66213
        • Saint Luke's South Hospital
      • Prairie Village, Kansas, Stati Uniti, 66208
        • Kansas City NCI Community Oncology Research Program
      • Shawnee Mission, Kansas, Stati Uniti, 66204
        • Shawnee Mission Medical Center-KCCC
    • Louisiana
      • Shreveport, Louisiana, Stati Uniti, 71105
        • CHRISTUS Highland Medical Center
    • Maryland
      • Baltimore, Maryland, Stati Uniti, 21287
        • Johns Hopkins University/Sidney Kimmel Cancer Center
      • Bethesda, Maryland, Stati Uniti, 20889-5600
        • Walter Reed National Military Medical Center
    • Massachusetts
      • Boston, Massachusetts, Stati Uniti, 02215
        • Beth Israel Deaconess Medical Center
      • Boston, Massachusetts, Stati Uniti, 02114
        • Massachusetts General Hospital Cancer Center
      • Worcester, Massachusetts, Stati Uniti, 01655
        • University of Massachusetts Medical School
      • Worcester, Massachusetts, Stati Uniti, 01605
        • University of Massachusetts Memorial Health Care
    • Michigan
      • Detroit, Michigan, Stati Uniti, 48201
        • Wayne State University/Karmanos Cancer Institute
      • Escanaba, Michigan, Stati Uniti, 49829
        • Green Bay Oncology - Escanaba
      • Grand Rapids, Michigan, Stati Uniti, 49503
        • Spectrum Health at Butterworth Campus
      • Iron Mountain, Michigan, Stati Uniti, 49801
        • Green Bay Oncology - Iron Mountain
      • Kalamazoo, Michigan, Stati Uniti, 49007
        • West Michigan Cancer Center
      • Kalamazoo, Michigan, Stati Uniti, 49007
        • Bronson Methodist Hospital
      • Kalamazoo, Michigan, Stati Uniti, 49048
        • Borgess Medical Center
      • Niles, Michigan, Stati Uniti, 49120
        • Lakeland Hospital Niles
      • Royal Oak, Michigan, Stati Uniti, 48073
        • William Beaumont Hospital-Royal Oak
      • Saint Joseph, Michigan, Stati Uniti, 49085
        • Lakeland Medical Center Saint Joseph
      • Saint Joseph, Michigan, Stati Uniti, 49085
        • Marie Yeager Cancer Center
    • Minnesota
      • Burnsville, Minnesota, Stati Uniti, 55337
        • Fairview Ridges Hospital
      • Coon Rapids, Minnesota, Stati Uniti, 55433
        • Mercy Hospital
      • Edina, Minnesota, Stati Uniti, 55435
        • Fairview-Southdale Hospital
      • Fridley, Minnesota, Stati Uniti, 55432
        • Unity Hospital
      • Hutchinson, Minnesota, Stati Uniti, 55350
        • Hutchinson Area Health Care
      • Maplewood, Minnesota, Stati Uniti, 55109
        • Saint John's Hospital - Healtheast
      • Maplewood, Minnesota, Stati Uniti, 55109
        • Minnesota Oncology Hematology PA-Maplewood
      • Minneapolis, Minnesota, Stati Uniti, 55415
        • Hennepin County Medical Center
      • Minneapolis, Minnesota, Stati Uniti, 55407
        • Abbott-Northwestern Hospital
      • Minneapolis, Minnesota, Stati Uniti, 55455
        • University of Minnesota/Masonic Cancer Center
      • New Ulm, Minnesota, Stati Uniti, 56073
        • New Ulm Medical Center
      • Robbinsdale, Minnesota, Stati Uniti, 55422
        • North Memorial Medical Health Center
      • Saint Louis Park, Minnesota, Stati Uniti, 55416
        • Park Nicollet Clinic - Saint Louis Park
      • Saint Louis Park, Minnesota, Stati Uniti, 55416
        • Metro Minnesota Community Oncology Research Consortium
      • Saint Paul, Minnesota, Stati Uniti, 55101
        • Regions Hospital
      • Saint Paul, Minnesota, Stati Uniti, 55102
        • United Hospital
      • Shakopee, Minnesota, Stati Uniti, 55379
        • Saint Francis Regional Medical Center
      • Stillwater, Minnesota, Stati Uniti, 55082
        • Lakeview Hospital
      • Waconia, Minnesota, Stati Uniti, 55387
        • Ridgeview Medical Center
      • Willmar, Minnesota, Stati Uniti, 56201
        • Rice Memorial Hospital
      • Woodbury, Minnesota, Stati Uniti, 55125
        • Minnesota Oncology Hematology PA-Woodbury
    • Missouri
      • Kansas City, Missouri, Stati Uniti, 64116
        • North Kansas City Hospital
      • Kansas City, Missouri, Stati Uniti, 64111
        • Saint Luke's Hospital of Kansas City
      • Kansas City, Missouri, Stati Uniti, 64132
        • Research Medical Center
      • Kansas City, Missouri, Stati Uniti, 64108
        • Truman Medical Center
      • Kansas City, Missouri, Stati Uniti, 64118
        • Heartland Hematology and Oncology Associates Incorporated
      • Kansas City, Missouri, Stati Uniti, 64114
        • Saint Joseph Health Center
      • Lee's Summit, Missouri, Stati Uniti, 64086
        • Saint Luke's East - Lee's Summit
      • Liberty, Missouri, Stati Uniti, 64068
        • Liberty Radiation Oncology Center
      • Saint Joseph, Missouri, Stati Uniti, 64507
        • Saint Joseph Oncology Inc
      • Saint Joseph, Missouri, Stati Uniti, 64507
        • Heartland Regional Medical Center
      • Saint Louis, Missouri, Stati Uniti, 63110
        • Washington University School of Medicine
      • Springfield, Missouri, Stati Uniti, 65807
        • CoxHealth South Hospital
      • Springfield, Missouri, Stati Uniti, 65804
        • Mercy Hospital Springfield
    • Montana
      • Billings, Montana, Stati Uniti, 59101
        • Billings Clinic Cancer Center
    • Nebraska
      • Omaha, Nebraska, Stati Uniti, 68114
        • Nebraska Methodist Hospital
      • Omaha, Nebraska, Stati Uniti, 68198
        • University of Nebraska Medical Center
    • New Mexico
      • Albuquerque, New Mexico, Stati Uniti, 87102
        • University of New Mexico Cancer Center
      • Albuquerque, New Mexico, Stati Uniti, 87106
        • Southwest Gynecologic Oncology Associates Inc
      • Las Cruces, New Mexico, Stati Uniti, 88011
        • Memorial Medical Center - Las Cruces
    • New York
      • Brightwaters, New York, Stati Uniti, 11718
        • Island Gynecologic Oncology
    • Ohio
      • Akron, Ohio, Stati Uniti, 44307
        • Cleveland Clinic Akron General
      • Akron, Ohio, Stati Uniti, 44304
        • Summa Akron City Hospital/Cooper Cancer Center
      • Cleveland, Ohio, Stati Uniti, 44106
        • Case Western Reserve University
      • Cleveland, Ohio, Stati Uniti, 44109
        • MetroHealth Medical Center
      • Cleveland, Ohio, Stati Uniti, 44195
        • Cleveland Clinic Foundation
      • Cleveland, Ohio, Stati Uniti, 44111
        • Cleveland Clinic Cancer Center/Fairview Hospital
      • Columbus, Ohio, Stati Uniti, 43214
        • Riverside Methodist Hospital
      • Columbus, Ohio, Stati Uniti, 43210
        • Ohio State University Comprehensive Cancer Center
      • Dayton, Ohio, Stati Uniti, 45409
        • Miami Valley Hospital
      • Mayfield Heights, Ohio, Stati Uniti, 44124
        • Hillcrest Hospital Cancer Center
      • Mentor, Ohio, Stati Uniti, 44060
        • UH Seidman Cancer Center at Lake Health Mentor Campus
    • Oklahoma
      • Oklahoma City, Oklahoma, Stati Uniti, 73104
        • University of Oklahoma Health Sciences Center
      • Tulsa, Oklahoma, Stati Uniti, 74146
        • Oklahoma Cancer Specialists and Research Institute-Tulsa
    • Pennsylvania
      • Abington, Pennsylvania, Stati Uniti, 19001
        • Abington Memorial Hospital
      • Allentown, Pennsylvania, Stati Uniti, 18103
        • Lehigh Valley Hospital-Cedar Crest
      • Bryn Mawr, Pennsylvania, Stati Uniti, 19010
        • Bryn Mawr Hospital
      • Paoli, Pennsylvania, Stati Uniti, 19301
        • Paoli Memorial Hospital
      • Pittsburgh, Pennsylvania, Stati Uniti, 15224
        • West Penn Hospital
      • Pittsburgh, Pennsylvania, Stati Uniti, 15213
        • UPMC-Magee Womens Hospital
      • Pittsburgh, Pennsylvania, Stati Uniti, 15232
        • University of Pittsburgh Cancer Institute (UPCI)
      • Wynnewood, Pennsylvania, Stati Uniti, 19096
        • Lankenau Medical Center
      • Wynnewood, Pennsylvania, Stati Uniti, 19096
        • Main Line Health NCORP
    • Rhode Island
      • Providence, Rhode Island, Stati Uniti, 02905
        • Women and Infants Hospital
    • South Carolina
      • Charleston, South Carolina, Stati Uniti, 29425
        • Medical University of South Carolina
    • Texas
      • Houston, Texas, Stati Uniti, 77030
        • The Methodist Hospital System
    • Virginia
      • Richmond, Virginia, Stati Uniti, 23298
        • Virginia Commonwealth University/Massey Cancer Center
    • Wisconsin
      • Eau Claire, Wisconsin, Stati Uniti, 54701
        • Marshfield Clinic Cancer Center at Sacred Heart
      • Green Bay, Wisconsin, Stati Uniti, 54301
        • Saint Vincent Hospital Cancer Center Green Bay
      • Green Bay, Wisconsin, Stati Uniti, 54303
        • Saint Vincent Hospital Cancer Center at Saint Mary's
      • Green Bay, Wisconsin, Stati Uniti, 54303
        • Green Bay Oncology Limited at Saint Mary's Hospital
      • Green Bay, Wisconsin, Stati Uniti, 54301-3526
        • Green Bay Oncology at Saint Vincent Hospital
      • Madison, Wisconsin, Stati Uniti, 53792
        • University of Wisconsin Hospital and Clinics
      • Manitowoc, Wisconsin, Stati Uniti, 54221
        • Holy Family Memorial Hospital
      • Marinette, Wisconsin, Stati Uniti, 54143
        • Bay Area Medical Center
      • Marshfield, Wisconsin, Stati Uniti, 54449
        • Marshfield Medical Center-Marshfield
      • Milwaukee, Wisconsin, Stati Uniti, 53215
        • Aurora Saint Luke's Medical Center
      • Minocqua, Wisconsin, Stati Uniti, 54548
        • Marshfield Clinic-Minocqua Center
      • Oconto Falls, Wisconsin, Stati Uniti, 54154
        • Saint Vincent Hospital Cancer Center at Oconto Falls
      • Rice Lake, Wisconsin, Stati Uniti, 54868
        • Marshfield Medical Center-Rice Lake
      • Sturgeon Bay, Wisconsin, Stati Uniti, 54235
        • Green Bay Oncology - Sturgeon Bay
      • West Allis, Wisconsin, Stati Uniti, 53227
        • Aurora West Allis Medical Center
      • Weston, Wisconsin, Stati Uniti, 54476
        • Marshfield Clinic - Weston Center

Criteri di partecipazione

I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.

Criteri di ammissibilità

Età idonea allo studio

18 anni e precedenti (Adulto, Adulto più anziano)

Accetta volontari sani

No

Sessi ammissibili allo studio

Femmina

Descrizione

Inclusion Criteria:

  • Diagnosis of ovarian, fallopian tube, or primary peritoneal cancer that has recurred or persisted following primary therapy

    • Active disease or current treatment are not required
  • Must be experiencing ? 3 symptoms associated with ovarian cancer or cancer treatment, including, but not limited to, any of the following:

    • Abdominal bloating or cramping
    • Nausea, vomiting, or diarrhea
    • Constipation
    • Anorexia
    • Anxiety
    • Depression
    • Dizziness
    • Drowsiness
    • Dry mouth
    • Fatigue
    • Headaches
    • Hair loss
    • Hot flashes
    • Memory concerns
    • Mood swings
    • Mouth sores
    • Pain
    • Peripheral neuropathies
    • Sexuality concerns
    • Sleep disturbances
    • Shortness of breath
    • Skin rash or palmar-plantar erythrodysesthesia
    • Urinary problems
    • Weight gain or loss
  • GOG performance status 0-2
  • Able to read and write English
  • Access to computer and the Internet required
  • Concurrent treatment on other clinical trials allowed

Piano di studio

Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.

Come è strutturato lo studio?

Dettagli di progettazione

  • Scopo principale: Terapia di supporto
  • Assegnazione: Randomizzato
  • Modello interventistico: Assegnazione parallela
  • Mascheramento: Nessuno (etichetta aperta)

Armi e interventi

Gruppo di partecipanti / Arm
Intervento / Trattamento
Sperimentale: Arm I (nurse-assisted intervention module)
Patients are given password-protected access to their own web-based message board to communicate with a research nurse. The nurse leads patients through WRITE Symptoms? intervention module, with personalized support and advice. The nurse will encourage the patient to try new selected strategies, continue with effective strategies, and work with local health care providers in an ongoing process to improve symptom management.
Studi accessori
Altri nomi:
  • Valutazione della qualità della vita
Studi accessori
Studi accessori
Altri nomi:
  • Assistenza/valutazione psicosociale
Ancillary studies
Ancillary studies
Altri nomi:
  • Educazione all'intervento
  • Intervento dell'Educazione
  • Intervenire attraverso l'educazione
  • Intervento, Educativo
Ancillary studies
Sperimentale: Arm II (self-directed intervention module)
Patients are given password-protected access to an interactive web-based computer program that will lead them through a modified WRITE Symptoms? intervention module (comprising the same elements as in arm I) without guidance and individualized recommendations from a nurse. Patients work through 3 selected symptoms using the WRITE Symptoms? intervention module over approximately 4 weeks. The program will generate an encouragement for the patient to try new selected strategies, continue with effective strategies, and continue the new approach to symptom management with local health care providers in an ongoing process to improve symptom management.
Studi accessori
Altri nomi:
  • Valutazione della qualità della vita
Studi accessori
Studi accessori
Altri nomi:
  • Assistenza/valutazione psicosociale
Ancillary studies
Altri nomi:
  • Educazione all'intervento
  • Intervento dell'Educazione
  • Intervenire attraverso l'educazione
  • Intervento, Educativo
Ancillary studies
Comparatore attivo: Arm III (standard care from local provider)
Patients are given password-protected access to online questionnaires. Patients are prompted monthly to complete online questionnaires. Patients receive standard symptom management from their local health care providers.
Studi accessori
Altri nomi:
  • Valutazione della qualità della vita
Studi accessori

Cosa sta misurando lo studio?

Misure di risultato primarie

Misura del risultato
Lasso di tempo
Symptom severity, symptom-related distress, consequences, and control of symptoms as measured by the Symptom Representation Questionnaire
Lasso di tempo: Baseline and at 4, 8, and 12 weeks
Baseline and at 4, 8, and 12 weeks

Misure di risultato secondarie

Misura del risultato
Lasso di tempo
Health-related quality of life as measured by the FACT-O
Lasso di tempo: Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
Depressive symptoms as measured by the CES-D short form
Lasso di tempo: Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
Baseline and at 4, 8, and 12 weeks, and every 4 weeks for 1 year
Communication with health care providers and use of self-care strategies assessed by investigator-developed survey
Lasso di tempo: Baseline and at 4, 8, and 12 weeks
Baseline and at 4, 8, and 12 weeks
Implementation and perceived effectiveness of new symptom management strategies assessed by questionnaire
Lasso di tempo: Baseline and at 4, 8, and 12 weeks
Baseline and at 4, 8, and 12 weeks
Barriers to symptom management as measured by the Symptom Management Barriers Questionnaire
Lasso di tempo: Baseline and at 4, 8, and 12 weeks
Baseline and at 4, 8, and 12 weeks

Collaboratori e investigatori

Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.

Investigatori

  • Investigatore principale: Heidi Donovan, Gynecologic Oncology Group

Pubblicazioni e link utili

La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.

Studiare le date dei record

Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.

Studia le date principali

Inizio studio (Effettivo)

19 gennaio 2010

Completamento primario (Effettivo)

8 gennaio 2017

Date di iscrizione allo studio

Primo inviato

12 agosto 2009

Primo inviato che soddisfa i criteri di controllo qualità

12 agosto 2009

Primo Inserito (Stima)

13 agosto 2009

Aggiornamenti dei record di studio

Ultimo aggiornamento pubblicato (Effettivo)

12 marzo 2019

Ultimo aggiornamento inviato che soddisfa i criteri QC

8 marzo 2019

Ultimo verificato

1 marzo 2019

Maggiori informazioni

Termini relativi a questo studio

Altri numeri di identificazione dello studio

  • GOG-0259 (Altro identificatore: CTEP)
  • U10CA101165 (Sovvenzione/contratto NIH degli Stati Uniti)
  • NCI-2011-01950 (Identificatore di registro: CTRP (Clinical Trial Reporting Program))
  • CDR0000648729

Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .

Prove cliniche su Carcinoma ovarico ricorrente

Prove cliniche su Valutazione della qualità della vita

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