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- Klinische proef NCT04751396
Testen van een educatief hulpmiddel voor patiënten met een melanoom en een reeds bestaande auto-immuunziekte die in aanmerking komen voor immuuncheckpointremmers
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
Toestand
Conditie
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
Inschrijving (Geschat)
Contacten en locaties
Studiecontact
- Naam: Angeles Lopez-Olivo
- Telefoonnummer: 713-792-9175
- E-mail: amlopezo@mdanderson.org
Studie Locaties
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Texas
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Houston, Texas, Verenigde Staten, 77030
- Werving
- M D Anderson Cancer Center
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Contact:
- Maria A. Lopez-Olivo
- Telefoonnummer: 713-792-9175
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Hoofdonderzoeker:
- Maria A. Lopez-Olivo
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-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Bemonsteringsmethode
Studie Bevolking
Patients with melanoma or pre-existing autoimmune disease and clinicians
Beschrijving
Inclusion Criteria:
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Diagnosis of melanoma
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Diagnosis of pre-existing autoimmune disease
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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)
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Rheumatoid arthritis
- Diagnosis of rheumatoid arthritis by a rheumatologist
- Treatment with traditional disease-modifying antirheumatic drugs (e.g., methotrexate, sulfasalazine, hydroxychloroquine) or targeted therapy
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Systemic lupus erythematosus
- Diagnosis of systemic lupus erythematosus by a rheumatologist
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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
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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
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Age of 18 years or older
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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
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E-mail access and computer with Internet access or telephone
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Ability to communicate in English or Spanish
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CLINICIAN
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Prescribed immune checkpoint inhibitors
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Are providing care for patients with melanoma
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In the clinics at MD Anderson
Studie plan
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:
|
|
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:
|
|
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:
|
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
Sponsor
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Angeles Lopez-Olivo, M.D. Anderson Cancer Center
Publicaties en nuttige links
Nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Post-infectieuze aandoeningen
- Axiale spondyloartritis
- Botziekten
- Musculoskeletale aandoeningen
- Pathologische processen
- Neoplasmata per site
- Neoplasmata
- Chronische ziekte
- Ziekte attributen
- Artritis
- Gewrichtsziekten
- Reumatische aandoeningen
- Darmziekten
- Bindweefselziekten
- Ziekten van het immuunsysteem
- Infecties
- Neoplasmata per histologisch type
- Ziekten van het spijsverteringsstelsel
- Gastro-intestinale aandoeningen
- Colon Ziekten
- Spinale ziekten
- Spondylarthropathieën
- Ankylose
- Huidziekten, papulosquameus
- Huidziektes
- Gastro-enteritis
- Neuro-ectodermale tumoren
- Neoplasmata, kiemcellen en embryonaal
- Neoplasmata, zenuwweefsel
- Neuro-endocriene tumoren
- Nevi en melanomen
- Huidneoplasmata
- Spondylartritis
- Spondylitis
- Colitis
- Artritis, besmettelijk
- Pathologische aandoeningen, tekenen en symptomen
- Huid- en bindweefselaandoeningen
- Lupus erythematosus, systemisch
- Spondylitis, ziekte van Bechterew
- Colitis, ulceratief
- Psoriasis
- Melanoma
- Ziekte van Crohn
- Auto-immuunziekten
- Artritis, reumatoïde
- Artritis, psoriatica
- Inflammatoire darmziekten
- Artritis, reactief
- Health Services Administration
- Kwaliteit, toegang en evaluatie van de gezondheidszorg
- Onderzoekstechnieken
- Epidemiologische methoden
- Gegevensverzameling
- Evaluatiemechanismen voor gezondheidszorg
- Kwaliteit van de gezondheidszorg
- Volksgezondheid
- Milieu en volksgezondheid
- Kwaliteitsindicatoren, gezondheidszorg
- Gezondheidsdiensten
- Gezondheidszorgfaciliteiten personeel en diensten
- Child Health Services
- Community Health Services
- Preventieve gezondheidsdiensten
- Sociaaleconomische factoren
- Bevolkingskenmerken
- Richtlijnen als onderwerp
- Kwaliteitsborging, gezondheidszorg
- Methoden
- Interviews als onderwerp
- Zorgstandaard
- Vroege interventie, educatief
- Educatieve status
- Oefen richtlijnen als onderwerp
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
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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