Studying Survivorship Care Plans in Head and Neck Cancer
2020年1月14日 更新者：Duke University
Comparison of Enhanced Survivorship Care Plans in a Head and Neck Cancer Clinic to Standard of Care
The study will focus on survivorship care for head and neck cancer patients cared for within Duke Cancer Center clinics.
Standardized survivorship care plans (sSCP) are being implemented based on the American Society for Clinical Oncology's criteria.
These documents provide a summary of treatment received, and list side effects and follow-up information after cancer treatment.
Taking advantage of this transition, the investigator will study three groups of patients: (a) early survivors treated before the sSCP was implemented, (b) early survivors treated after the sSCP was implemented, and (c) current patients who will receive an individualized enhanced SCP (eSCP), which will include additional information tailored to patient preferences.
The investigators hypothesize that patients receiving enhanced survivorship care plans will increase their knowledge regarding their health care plan and wellness trajectory; increase their ability to identify the symptoms they most likely can expect as a result of their cancer treatment; and be more likely to engage in conversations with their PCP about healthy behaviors and screening guidelines.
調査の概要
研究の種類
介入
入学 (実際)
6
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
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North Carolina
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Durham、North Carolina、アメリカ、27710
- Duke Health, Duke Cancer Center
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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年歳以上 (大人、高齢者)
健康ボランティアの受け入れ
いいえ
受講資格のある性別
全て
説明
Inclusion Criteria:
- Completed treatment for a head or neck cancer at Duke Cancer Center within 4 months of consent OR
- Will complete treatment for a head and neck cancer at Duke Cancer Center within 3 weeks of consent AND
- Able to read and understand English
- Capable of giving informed consent
- Are at least age 18.
Exclusion Criteria:
- incompetent for interview (documented diagnosis of active psychosis or dementia) or unable to provide informed consent as assessed by the interviewer; or too sick to participate, as judged by a member of the research team
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：非ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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介入なし：No SCP Control
Patients returning for early follow-up who did not receive SCP.
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介入なし：SOC SCP Control
Patients returning for early follow-up who received a standard of care SCP.
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実験的：eSCP Intervention
Patients currently receiving treatment who will be enrolled to receive an "enhanced" SCP (eSCP) with additional information beyond ASCO guidelines tailored to patient concerns and preferences.
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The eSCP includes a treatment summary section, a section detailing follow-up and test recommendations, a section on anticipated and potential side effects, as well as additional information specific to their experience/concerns.
They will receive a patient education notebook outlining symptoms and their management that is tailored to those that the subject may be likely to experience during their survivorship care trajectory.
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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 |
|---|---|---|
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Head and Neck Cancer Survivor Knowledge
時間枠：5 minutes to complete 3 months after treatment end
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Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale
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5 minutes to complete 3 months after treatment end
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Change in Head and Neck Cancer Survivor Knowledge
時間枠：5 minutes to complete; measured pre-intervention and 3 months after intervention
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Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale in intervention group
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5 minutes to complete; measured pre-intervention and 3 months after intervention
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Distress in head and neck cancer survivors
時間枠：5 minutes to complete 3 months after treatment end
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Assesses risk of distress defined within post-traumatic stress after treatment through the use of the PTSD Checklist
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5 minutes to complete 3 months after treatment end
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Distress in head and neck cancer survivors
時間枠：5 minutes to complete 3 months after treatment end
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Assesses distress through the use of the NCCN Distress Thermometer
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5 minutes to complete 3 months after treatment end
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Change in distress for head and neck cancer survivors
時間枠：5 minutes to complete; measured pre-intervention and 3 months after intervention
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Assesses risk of distress defined within post-traumatic stress after treatment through the use of the PTSD Checklist in the intervention group
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5 minutes to complete; measured pre-intervention and 3 months after intervention
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Change in distress for head and neck cancer survivors
時間枠：5 minutes to complete; measured pre-intervention and 3 months after intervention
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Assesses distress through the use of the NCCN Distress Thermometer in the intervention group
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5 minutes to complete; measured pre-intervention and 3 months after intervention
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Uncertainty in head and neck cancer survivors
時間枠：5 minutes to complete 3 months after treatment end
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Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form
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5 minutes to complete 3 months after treatment end
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Change in uncertainty in head and neck cancer survivors
時間枠：5 minutes to complete; measured pre-intervention and 3 months after intervention
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Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form in the intervention group
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5 minutes to complete; measured pre-intervention and 3 months after intervention
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Quality of life in head and neck cancer survivors
時間枠：5 minutes to complete 3 months after treatment end
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Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head & Neck (QLQ H&N35)
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5 minutes to complete 3 months after treatment end
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Change in quality of life in head and neck cancer survivors
時間枠：5 minutes to complete; measured pre-intervention and 3 months after intervention
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Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head & Neck (QLQ H&N35) in the intervention group
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5 minutes to complete; measured pre-intervention and 3 months after intervention
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Self-efficacy in head and neck cancer survivors
時間枠：5 minutes to complete 3 months after treatment end
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Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale
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5 minutes to complete 3 months after treatment end
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Change in self-efficacy in head and neck cancer survivors
時間枠：5 minutes to complete; measured pre-intervention and 3 months after intervention
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Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale
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5 minutes to complete; measured pre-intervention and 3 months after intervention
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Information processing in head and neck cancer survivors
時間枠：5 minutes to complete 3 months after treatment end
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Assesses information processing in cancer patients through the use of the EORTC QLQ Information Module (QLQ INFO25)
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5 minutes to complete 3 months after treatment end
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Change in information processing in head and neck cancer survivors
時間枠：5 minutes to complete; measured pre-intervention and 3 months after intervention
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Assesses information processing through the use of the EORTC QLQ Information Module (QLQ INFO25)
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5 minutes to complete; measured pre-intervention and 3 months after intervention
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Survivorship care plan perceptions in head and neck cancer survivors
時間枠：5 minutes to complete 3 months after treatment end
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Using open ended questions during a qualitative interview, survivors will provide their perception of how survivorship care plans were useful or not in their care
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5 minutes to complete 3 months after treatment end
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Survivorship needs after treatment completion -- primary care provider documentation
時間枠：10 minutes to complete documentation review of 6 months of PCP records
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Using a documentation checklist developed by the study team, discussions on survivorship needs when returning to clinic will be assessed with a focus on symptom management or incorporation of healthy behaviors to reduce cancer recurrence
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10 minutes to complete documentation review of 6 months of PCP records
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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
捜査官
- 主任研究者：Deborah H Allen, PhD, RN、Duke Health
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)
2017年4月19日
一次修了 (実際)
2020年1月2日
研究の完了 (実際)
2020年1月2日
試験登録日
最初に提出
2017年3月29日
QC基準を満たした最初の提出物
2017年4月4日
最初の投稿 (実際)
2017年4月10日
学習記録の更新
投稿された最後の更新 (実際)
2020年1月18日
QC基準を満たした最後の更新が送信されました
2020年1月14日
最終確認日
2020年1月1日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。