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Testen van een educatief hulpmiddel voor patiënten met een melanoom en een reeds bestaande auto-immuunziekte die in aanmerking komen voor immuuncheckpointremmers

9 november 2026 bijgewerkt door: M.D. Anderson Cancer Center

Testen van een educatief hulpmiddel voor patiënten met een melanoom en een bijkomende auto-immuunziekte die in aanmerking komen voor adjuvante therapie met immuuncontrolepuntremmers: aanvaardbaarheid en bruikbaarheid bij patiënten en zorgverleners

This study learn how easily patients can use an educational tool that will be created for patients with melanoma and pre-existing autoimmune diseases who receive or will receive immune checkpoint inhibitor drugs. Patients will be asked their opinions about the design, accessibility, and content of the tool. Researchers will use the information collected to improve the educational materials that will help patients make future decisions about their treatment.

Studie Overzicht

Gedetailleerde beschrijving

PRIMARY OBJECTIVES:

I. To evaluate the acceptability (e.g., ease of use, design, accessibility, content) of the educational tool that will be developed for patients with melanoma and pre-existing autoimmune conditions considering or undergoing treatment with immune checkpoint inhibitors.

II. To test the usability in real world-settings of the educational tool (to be developed) and evaluate feasibility of patient recruitment (i.e., ability to identify enough patients and consent at least 50% of the identified patients) in a pilot study.

OUTLINE:

PART A: Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes.

PART B: 2 group of participants will be evaluated sequentially (Participants in group II will be enrolled after all the participants in group I have been assessed).

GROUP I: Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.

GROUP II: Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.

Studietype

Observationeel

Inschrijving (Geschat)

125

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Studie Locaties

    • Texas
      • Houston, Texas, Verenigde Staten, 77030
        • Werving
        • M D Anderson Cancer Center
        • Contact:
          • Maria A. Lopez-Olivo
          • Telefoonnummer: 713-792-9175
        • Hoofdonderzoeker:
          • Maria A. Lopez-Olivo

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

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

Patients with melanoma or pre-existing autoimmune disease and clinicians

Beschrijving

Inclusion Criteria:

  • Diagnosis of melanoma

  • Diagnosis of pre-existing autoimmune disease

    • Inflammatory bowel disease

      • Diagnosis of Crohn's disease or ulcerative colitis by a gastroenterologist
      • For ulcerative colitis, proof of chronic changes over time (i.e., 6 months) and signs of inflammation histologically
      • Treatment with aminosalicylates, corticosteroids, thiopurines, or immune modifiers (e.g., calcineurin inhibitors, methotrexate, adhesion molecule antagonists)
    • Rheumatoid arthritis

      • Diagnosis of rheumatoid arthritis by a rheumatologist
      • Treatment with traditional disease-modifying antirheumatic drugs (e.g., methotrexate, sulfasalazine, hydroxychloroquine) or targeted therapy
    • Systemic lupus erythematosus

      • Diagnosis of systemic lupus erythematosus by a rheumatologist
    • Psoriasis

      • Diagnosis of psoriasis by a dermatologist
      • Treatment with corticosteroids, vitamin D analogs, anthralin, topical retinoids, calcineurin inhibitors, salicylic acid, coal tar, or moisturizers; light therapy, including sunlight, ultraviolet B (UVB) phototherapy, narrowband UVB therapy, Goeckerman therapy, photochemotherapy, excimer laser, or pulsed dye laser; or systemic medications, including retinoids, methotrexate, cyclosporine, hydroxyurea, or thioguanine or targeted therapies
    • Spondyloarthropathies

      • Diagnosis of ankylosing spondylitis, reactive arthritis, psoriatic arthritis, or enteropathic arthritis/spondylitis by a rheumatologist
      • Treatment with disease-modifying antirheumatic drugs (e.g., sulfasalazine) or targeted therapy
  • Age of 18 years or older

  • Patients whose physicians had recommended they begin using any of the currently available immune checkpoint inhibitors or people who are in the midst of or have already made the decision on whether or not start an immune checkpoint inhibitor

  • E-mail access and computer with Internet access or telephone

  • Ability to communicate in English or Spanish

  • CLINICIAN

  • Prescribed immune checkpoint inhibitors

  • Are providing care for patients with melanoma

  • In the clinics at MD Anderson

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

  • Observatiemodellen: COHORT
  • Tijdsperspectieven: PROSPECTIVE

Cohorten en interventies

Groep / Cohort
Interventie / Behandeling
Part A (Interview)

Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes.

Participate in interview

Navigate educational tool

Andere namen:
  • Onderwijs voor Interventie
  • Tussenkomst van het onderwijs
  • Interventie door middel van onderwijs
  • Interventie, educatief
Part B Group I (standard information)

Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.

Complete questionnaire

Complete surveys

Receive standard educational information

Andere namen:
  • zorgstandaard
  • standaard therapie
Part B Group II (educational tool)

Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.

Complete questionnaire

Complete surveys

Navigate educational tool

Andere namen:
  • Onderwijs voor Interventie
  • Tussenkomst van het onderwijs
  • Interventie door middel van onderwijs
  • Interventie, educatief

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Decisional conflict scale
Tijdsspanne: Up to 4 years

The scale will be used to assess personal perceptions of 1) uncertainty in choosing among options; 2) modifiable factors contributing to uncertainty, such as feeling uninformed, and 3) feeling that the choice is values-based and likely to be implemented.

Up to 4 years

Secundaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Knowledge
Tijdsspanne: Up to 3 months

Will be assessed using a questionnaire developed by the research team covering various content areas, including general information about immune checkpoint inhibitors and the associated adverse effects and benefits of the treatments.

Up to 3 months
Acceptability
Tijdsspanne: Immediately after the clinical encounter

A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures.

Immediately after the clinical encounter
Usability
Tijdsspanne: Immediately after the clinical encounter

A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures.

Immediately after the clinical encounter
Depression
Tijdsspanne: Up to 3 months

Will be assessed using the Depression and Anxiety Stress Scale (DASS). The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest/involvement, anhedonia, and inertia

Up to 3 months
Anxiety
Tijdsspanne: Up to 3 months

Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect.

Up to 3 months
Stress
Tijdsspanne: Up to 3 months

Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Stress scale is sensitive to levels of chronic non-specific arousal. It assesses difficulty relaxing, nervous arousal, and being easily upset/agitated, irritable/over-reactive and impatient.

Up to 3 months
CollaboRATE measure
Tijdsspanne: Immediately after the clinical encounter

The CollaboRATE questions ask about the effort made to help patients understand their health issues, listen to what matters most to them, and include what matters most to them in choosing what to do next.

Immediately after the clinical encounter
Shared decision-making process survey
Tijdsspanne: Immediately after the clinical encounter

This instrument measures the extent to which health care providers engage patients in shared decision making. Items are focused on four specific behaviors that are critical for shared decision making -discussion of options, pros, cons and preferences.

Immediately after the clinical encounter
Patient's perception of usefulness of the tool
Tijdsspanne: Immediately after the clinical encounter

Will use the Preparation for Decision Making Scale (Prep-DM) to assess the patients' perception of how useful the educational tool is in preparing them to communicate with their practitioner at a consultation. It is a 10-item scale developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners.

Immediately after the clinical encounter

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Onderzoekers

  • Hoofdonderzoeker: Angeles Lopez-Olivo, M.D. Anderson Cancer Center

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.

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)

20 april 2022

Primaire voltooiing (Geschat)

2 februari 2027

Studie voltooiing (Geschat)

2 februari 2027

Studieregistratiedata

Eerst ingediend

8 februari 2021

Eerst ingediend dat voldeed aan de QC-criteria

8 februari 2021

Eerst geplaatst (Werkelijk)

12 februari 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

12 november 2026

Laatste update ingediend die voldeed aan QC-criteria

9 november 2026

Laatst geverifieerd

1 november 2026

Meer informatie

Termen gerelateerd aan deze studie

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • 2020-0843
  • 2020-0843 (Andere identificatie: M D Anderson Cancer Center)
  • NCI-2021-00565 (Register-ID: CTRP (Clinical Trial Reporting Program))
  • K08CA237619 (Subsidie/contract van de Amerikaanse NIH)

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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