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- Klinische proef NCT03002896
Mobilized Psychoeducation and Skills Based Intervention (Pep-Pal) for Caregivers of Patients With Advanced Illness
31 juli 2020 bijgewerkt door: 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.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
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.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
69
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
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Colorado
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Aurora, Colorado, Verenigde Staten, 80045
- University of Colorado, Denver
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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 tot 85 jaar (Volwassen, Oudere volwassene)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Women and men ≥ 18 years of age of any ethnicity
- Must endorse a moderate level of anxiety (e.g. Score above an 8 on the Hospital and Anxiety Depression Scale (HADS))
- Speak and read in English
- Caregiver of a patient with auto HSCT who are moving forward with bone marrow transplant or have receive a bone marrow transplant
- Caregiver of a patient in a Phase I Clinical Trial
- Caregiver of a patient diagnosed with advanced cancer (stage III or stage IV)
- No Cognitive or psychiatric conditions prohibiting participation
- 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).
- Have a computer, smartphone, or tablet with internet access
Exclusion Criteria:
- Caregivers below the age of 18
- Score below an 8 on the Hospital and Anxiety Depression Scale (HADS)
- Cannot speak and read in English
- Patient does not receive a bone marrow transplant
- Patient is not enrolled in a Phase I clinical trial
- Patient is not diagnosed with Stage III or Stage IV cancer
- Cognitive conditions prohibiting participation
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: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
---|---|
Experimenteel: 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.
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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.
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Actieve vergelijker: 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.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Evaluation of Exit Interviews
Tijdsspanne: 12 weeks
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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.
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12 weeks
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Pep-Pal Self-Report sessions at 12 Weeks
Tijdsspanne: 12 weeks
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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.
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12 weeks
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Evaluation of Self-Report Caregiver reported outcomes at Baseline
Tijdsspanne: Week 1
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Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A)
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Week 1
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Evaluation of Self-report caregiver reported outcomes at 12 weeks
Tijdsspanne: Week 12
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Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A)
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Week 12
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
---|---|---|
Evaluation of Self-report caregiver reported outcomes at baseline
Tijdsspanne: Week 1
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Center for Epidemiologic Studies Depression Scale (CESD)
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Week 1
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Evaluation of Self-report caregiver reported outcomes at baseline
Tijdsspanne: Week 1
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Perceived Stress Scale (PSS)
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Week 1
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Evaluation of Self-report caregiver reported outcomes at baseline
Tijdsspanne: Week 1
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Female Sexual Function Index (FSFI)
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Week 1
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Evaluation of Self-report caregiver reported outcomes at baseline
Tijdsspanne: Week 1
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Male Sexual Health Questionnaire(MSHQ)
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Week 1
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Evaluation of Self-report caregiver reported outcomes at baseline
Tijdsspanne: Week 1
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Measure of Current Status (MOCS-A)
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Week 1
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Evaluation of Self-report caregiver reported outcomes at 12 weeks
Tijdsspanne: Week 12
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Center for Epidemiologic Studies Depression Scale (CESD)
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Week 12
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Evaluation of Self-report caregiver reported outcomes at 12 weeks
Tijdsspanne: Week 12
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Perceived Stress Scale (PSS)
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Week 12
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Evaluation of Self-report caregiver reported outcomes at 12 weeks
Tijdsspanne: Week 12
|
Female Sexual Function Index (FSFI)
|
Week 12
|
Evaluation of Self-report caregiver reported outcomes at 12 weeks
Tijdsspanne: Week 12
|
Male Sexual Health Questionnaire(MSHQ)
|
Week 12
|
Evaluation of Self-report caregiver reported outcomes at 12 weeks
Tijdsspanne: Week 12
|
Measure of Current Status (MOCS-A)
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Week 12
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Nicole R Amoyal-Pensak, PhD, University of Colorado, Denver
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- Pensak NA, Carr AL, Jones J, Mikulich-Gilbertson SK, Kutner JS, Kilbourn K, Sannes TS, Brewer BB, Kolva E, Joshi T, Laudenslager ML. A pilot study of mobilized intervention to help caregivers of oncology patients manage distress. Psychooncology. 2021 Apr;30(4):520-528. doi: 10.1002/pon.5597. Epub 2020 Dec 2.
- Carr AL, Jones J, Mikulich Gilbertson S, Laudenslager ML, Kutner JS, Kilbourn K, Sannes TS, Brewer BW, Kolva E, Joshi T, Amoyal Pensak N. Impact of a Mobilized Stress Management Program (Pep-Pal) for Caregivers of Oncology Patients: Mixed-Methods Study. JMIR Cancer. 2019 May 3;5(1):e11406. doi: 10.2196/11406.
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 (Werkelijk)
1 december 2016
Primaire voltooiing (Werkelijk)
17 november 2017
Studie voltooiing (Werkelijk)
13 juli 2018
Studieregistratiedata
Eerst ingediend
28 september 2016
Eerst ingediend dat voldeed aan de QC-criteria
21 december 2016
Eerst geplaatst (Schatting)
26 december 2016
Updates van studierecords
Laatste update geplaatst (Werkelijk)
4 augustus 2020
Laatste update ingediend die voldeed aan QC-criteria
31 juli 2020
Laatst geverifieerd
1 juli 2020
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 16-0990
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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 .
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