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Mobilized Psychoeducation and Skills Based Intervention (Pep-Pal) for Caregivers of Patients With Advanced Illness

2020年7月31日 更新者:University of Colorado, Denver

A Pilot Study of a Mobilized Psychoeducation and Skills Based Intervention (Pep-Pal) for Caregivers of Patients With Advanced Illness

The proposed project is a pilot study of the Pep-Pal (Psychoeducation and Skills Based Intervention) versus a treatment as usual control group. A total of 60 caregivers; including caregivers of patients with HSCT (Hematopoietic Stem Cell Transplantation), caregivers enrolled in Phase I clinical trials, and caregivers of patients with advanced cancer (Stage III, solid tumor) will be enrolled in this study. The investigators do not expect different outcomes from these three groups, rather these populations are selected to optimize recruitment within a short time frame. The caregivers will be randomized to either treatment as usual or Pep-Pal intervention.

調査の概要

状態

完了

条件

介入・治療

詳細な説明

The proposed project is a pilot study of the Pep-Pal intervention versus a treatment as usual control group. A total of 60 caregivers; caregivers of patients with HSCT, caregivers of patients enrolled in phase I oncology trials, and caregivers of patients with advanced cancer (Stage IV, solid tumor) will be enrolled in this study. The investigators do not expect different outcomes from these three groups, rather these populations are selected to optimize recruitment within a short time frame. The caregivers will be randomized to either treatment as usual or Pep-Pal intervention. The proposed study population is based on prior research indicating that caregivers of patients receiving HSCT, caregivers of patients enrolled in phase I oncology trials, and caregivers of patients with advanced cancer experience significant distress. In addition, an initial study of caregivers of patients receiving allogeneic-HSCT were able to benefit from a brief, cognitive behavioral stress management treatment approach. A study examining distress in phase I oncology clinical trial patient caregivers highlighted the need for more support for this significantly distressed population. Furthermore, initial results of the qualitative development study for Pep-Pal yielded support for a mobilized platform delivery of resources for caregivers to manage distress because they acknowledged many barriers to engaging in in-person treatment to manage distress.

研究の種類

介入

入学 (実際)

69

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

    • Colorado
      • Aurora、Colorado、アメリカ、80045
        • University of Colorado, Denver

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

18年~85年 (大人、高齢者)

健康ボランティアの受け入れ

はい

受講資格のある性別

全て

説明

Inclusion Criteria:

  1. Women and men ≥ 18 years of age of any ethnicity
  2. Must endorse a moderate level of anxiety (e.g. Score above an 8 on the Hospital and Anxiety Depression Scale (HADS))
  3. Speak and read in English
  4. Caregiver of a patient with auto HSCT who are moving forward with bone marrow transplant or have receive a bone marrow transplant
  5. Caregiver of a patient in a Phase I Clinical Trial
  6. Caregiver of a patient diagnosed with advanced cancer (stage III or stage IV)
  7. No Cognitive or psychiatric conditions prohibiting participation
  8. Must meet criteria for being a primary caregiver, defined as, the person in the patient's life who is primarily responsible for care decisions, emotionally invested in the patient's care, provides instrumental care such as transportation for a patient receiving auto-HSCT, enrolled in a phase I oncology clinical trial, or of a patient diagnosed with advanced cancer (stage IV, solid tumor).
  9. Have a computer, smartphone, or tablet with internet access

Exclusion Criteria:

  1. Caregivers below the age of 18
  2. Score below an 8 on the Hospital and Anxiety Depression Scale (HADS)
  3. Cannot speak and read in English
  4. Patient does not receive a bone marrow transplant
  5. Patient is not enrolled in a Phase I clinical trial
  6. Patient is not diagnosed with Stage III or Stage IV cancer
  7. Cognitive conditions prohibiting participation

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか?

デザインの詳細

  • 主な目的:支持療法
  • 割り当て:ランダム化
  • 介入モデル:並列代入
  • マスキング:独身

武器と介入

参加者グループ / アーム
介入・治療
実験的:Pep-Pal + Treatment as Usual
If the caregiver is assigned to the Pep-Pal intervention condition, the RA will provide access to the mobilized website (passcode) through an email. Caregivers will be instructed to watch each session at least once. It will be recommended that caregivers watch one to two new sessions per week so that they can have enough time to practice the skills between sessions. In addition, they will be told that they can go back and watch the sessions for review as many times as they like. Full participation will be defined as watching at least 7/9 sessions (75% of program) based on previous criteria for similar intervention completion in a prior trial with advanced cancer patients.
Pep-Pal is designed to complement the utilization of other resources, provide support when no other resources can be obtained, or provide support in the interim until greater resources can be obtained. In this way, Pep-Pal is a resource for our most hard to reach caregivers.
アクティブコンパレータ:Treatment as Usual
Treatment as usual provides voluntary (at the caregiver's discretion) support services for the caregivers which is rarely used by the caregivers.

この研究は何を測定していますか?

主要な結果の測定

結果測定
メジャーの説明
時間枠
Evaluation of Exit Interviews
時間枠:12 weeks
Qualitative feedback will be gathered from the first 15 Pep-Pal completer's for individual interviews (5 from Phase I group, 5 from Hematopoietic stem cell transplantation (HSCT) group, 5 from medical oncology) upon completion of the follow-up assessments at 12 weeks about usage, acceptability of content, and impressions of using Pep-Pal.
12 weeks
Pep-Pal Self-Report sessions at 12 Weeks
時間枠:12 weeks
The Investigators will assess feasibility by examining recruitment, retention, as well as reasons for refusal, frequency of sessions watched and length of time spent watching each session. Self report usage of peppal: Usage of Pep-Pal will be quantitatively assessed by asking each participant in the intervention group about their usage including frequency; how many times they watched each session and length of viewing for each session (partial or complete). They will be asked to rate level of usage based on a Likert-scale ranging from not at all to very often for each session (0-10). They will be asked to rank order the list of sessions from most helpful to least helpful.
12 weeks
Evaluation of Self-Report Caregiver reported outcomes at Baseline
時間枠:Week 1
Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A)
Week 1
Evaluation of Self-report caregiver reported outcomes at 12 weeks
時間枠:Week 12
Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A)
Week 12

二次結果の測定

結果測定
メジャーの説明
時間枠
Evaluation of Self-report caregiver reported outcomes at baseline
時間枠:Week 1
Center for Epidemiologic Studies Depression Scale (CESD)
Week 1
Evaluation of Self-report caregiver reported outcomes at baseline
時間枠:Week 1
Perceived Stress Scale (PSS)
Week 1
Evaluation of Self-report caregiver reported outcomes at baseline
時間枠:Week 1
Female Sexual Function Index (FSFI)
Week 1
Evaluation of Self-report caregiver reported outcomes at baseline
時間枠:Week 1
Male Sexual Health Questionnaire(MSHQ)
Week 1
Evaluation of Self-report caregiver reported outcomes at baseline
時間枠:Week 1
Measure of Current Status (MOCS-A)
Week 1
Evaluation of Self-report caregiver reported outcomes at 12 weeks
時間枠:Week 12
Center for Epidemiologic Studies Depression Scale (CESD)
Week 12
Evaluation of Self-report caregiver reported outcomes at 12 weeks
時間枠:Week 12
Perceived Stress Scale (PSS)
Week 12
Evaluation of Self-report caregiver reported outcomes at 12 weeks
時間枠:Week 12
Female Sexual Function Index (FSFI)
Week 12
Evaluation of Self-report caregiver reported outcomes at 12 weeks
時間枠:Week 12
Male Sexual Health Questionnaire(MSHQ)
Week 12
Evaluation of Self-report caregiver reported outcomes at 12 weeks
時間枠:Week 12
Measure of Current Status (MOCS-A)
Week 12

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

協力者

捜査官

  • 主任研究者:Nicole R Amoyal-Pensak, PhD、University of Colorado, Denver

出版物と役立つリンク

研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始 (実際)

2016年12月1日

一次修了 (実際)

2017年11月17日

研究の完了 (実際)

2018年7月13日

試験登録日

最初に提出

2016年9月28日

QC基準を満たした最初の提出物

2016年12月21日

最初の投稿 (見積もり)

2016年12月26日

学習記録の更新

投稿された最後の更新 (実際)

2020年8月4日

QC基準を満たした最後の更新が送信されました

2020年7月31日

最終確認日

2020年7月1日

詳しくは

本研究に関する用語

追加の関連 MeSH 用語

その他の研究ID番号

  • 16-0990

個々の参加者データ (IPD) の計画

個々の参加者データ (IPD) を共有する予定はありますか?

いいえ

医薬品およびデバイス情報、研究文書

米国FDA規制医薬品の研究

いいえ

米国FDA規制機器製品の研究

いいえ

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