Pretransplant Evaluation by Supportive Care Team for Patients Undergoing HCT for Hematological Malignancies
22 februari 2018 bijgewerkt door: Wendy Peltier, Medical College of Wisconsin
Feasibility of Implementing Pretransplant Evaluation by the Supportive Care Team for Patients Undergoing Hematopoietic Cell Transplantation for Hematological Malignancies
This is a feasibility study of pre-transplant involvement of a palliative care provider in the setting of HCT. Although this is primarily a feasibility pilot, the investigators will explore how patients are affected by the palliative care meetings as well as test data collection mechanisms that would be used in a future randomized clinical trial.
The investigators hypothesis is that patients will be amenable to pre-transplant involvement of the palliative care team and might welcome the chance to discuss palliative care issues separate from the primary team. Palliative care providers also have special training and experience in conducting these interactions and expertise in supportive care practices. They will be available should a patient's condition become life- threatening. This study is therefore designed primarily to evaluate the level of comfort / distress of patients when a palliative care consultation and follow-up are integrated into their care.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
After the patient provides written informed consent, they will be given a survey to collect baseline data.
Because input may be solicited from the caregiver, consent will also be obtained from a caregiver.
Participation is optional for the caregiver and a caregiver is not required for the participant to be in the study.
If the caregiver does not consent to participate in the study, his/her input during meetings will not be documented in the research record.
"Caregiver" may vary from patient to patient, but for the purposes of this study would be an individual who listens to the interview and responds to questions related to the patient's psychosocial history, goals and values.
This information gathered from the caregiver supports the details of the consult but does not stand alone.
The caregiver does not complete an evaluation of the interview but can reach out to study coordinators if the interview causes any distress.The first consultation will be scheduled with a palliative care provider, but will take place after the standard of care meeting with the social worker so that the palliative care clinician can read the social work note and not have to review the same information.
Within one to seven days after the meeting with palliative care, patients will be asked to complete a 15 minute interview to provide feedback on the meeting.
A brief questionnaire will also be administered to the palliative care provider who conducted the consultation, ideally immediately after the meeting.
Patients will meet at least monthly with the palliative care provider while they remain at the transplant center.
Patients will complete additional self-assessments at day 60+/- 7 days and 90+/- 7 days after their transplants.
These surveys may be completed by mail if the patient has been discharged from the center.
The medical records of participants will be reviewed to pilot items collecting data about references to the palliative care consultation and use of ACP within the first 100 days after HCT.
Costs for participants will be retrieved from the inpatient and outpatient accounting systems for the first 100 days after HCT.
Participants may decline to participate in any part of the study or discontinue participation at any time.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
7
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
-
-
Wisconsin
-
Milwaukee, Wisconsin, Verenigde Staten, 53226
- Froedtert Hospital and the Medical College of Wisconsin
-
-
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar en ouder (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Nee
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Written informed consent
- English as primary language
- Planned allogeneic stem cell transplantation
- At least 18 years of age
Exclusion Criteria:
- Major psychiatric diagnosis that impairs cognitive functioning or is not controlled at the time of the approach, as judged by the patient's medical team.
- First transplant of a planned tandem procedure (the second transplant is eligible)
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Palliative Care Support
Palliative care meetings will address the following issues: 1) values and meaning of life 2) greatest hopes and fears 3) communication preferences 4) proxy readiness to make decisions, and patient preferences, if the patient were to become seriously ill, and 5) symptom management strategies.
|
Palliative care meetings Quality of Life Assessments
|
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Study participation rates
Tijdsspanne: 1 year
|
The proportion of patients who consent to enroll in the study will be computed based on the number approached.
Reasons for non-participation will be summarized.
|
1 year
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Completion time for palliative care consultation
Tijdsspanne: up to 100 days
|
up to 100 days
|
|
|
Level of comfort / distress attributed to individual parts of the consultation
Tijdsspanne: Within 1-7 days after the initial consultation
|
The post-consultation scores measuring level of comfort or distress per topic in the palliative care consultation will be summarized per item.
|
Within 1-7 days after the initial consultation
|
|
Completeness of follow-up data collection
Tijdsspanne: 1 year after the date last patient is enrolled
|
Completeness is defined by the proportion of instrument scores that can be calculated per given time point.
The completeness of follow-up data collection will be calculated and reported as a proportion of successfully completed scales vs. scales attempted to be collected or completed by patients.
|
1 year after the date last patient is enrolled
|
Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Wendy Peltier, MD, Medical College of Wisconsin
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start
1 februari 2015
Primaire voltooiing (Werkelijk)
1 oktober 2017
Studie voltooiing (Werkelijk)
1 oktober 2017
Studieregistratiedata
Eerst ingediend
18 oktober 2014
Eerst ingediend dat voldeed aan de QC-criteria
16 december 2014
Eerst geplaatst (Schatting)
22 december 2014
Updates van studierecords
Laatste update geplaatst (Werkelijk)
23 februari 2018
Laatste update ingediend die voldeed aan QC-criteria
22 februari 2018
Laatst geverifieerd
1 februari 2018
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 21301
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .