A Decision Support Tool for Pancreatic Cancer Screening -Aim 2
1 september 2026 bijgewerkt door: UNC Lineberger Comprehensive Cancer Center
Pancreatic cancer has a rising incidence and poor survival.
Early detection in high-risk individuals may substantially improve outcomes.
Although guidelines recommend screening for individuals with hereditary cancer syndromes or certain genetic variants, pancreatic cancer screening remains uncertain due to limited evidence of mortality benefit, unclear screening strategies, potential harms, resource requirements, and low adherence.
Shared decision-making between patients and providers is therefore essential, but no decision aid currently exists to support pancreatic cancer screening decisions.
This record covers Aim 2, which will evaluate the acceptability, feasibility, and implementation of an electronic decision support tool designed to improve shared decision-making, value-concordant care, and screening adherence.
The pilot study will also provide training in clinical trial methodology and support development toward an independent research career.
Studie Overzicht
Toestand
Nog niet aan het werven
Conditie
Interventie / Behandeling
Studietype
Ingrijpend
Inschrijving (Geschat)
40
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.
Studiecontact
- Naam: Trevor Barlowe, MD
- Telefoonnummer: 919-984-0000
- E-mail: trevor_barlowe@med.unc.edu
Studie Locaties
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North Carolina
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Chapel Hill, North Carolina, Verenigde Staten, 27599
- University of North Carolina at Chapel Hill, Department of Gastroenterology and Hepatology
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Contact:
- Trevor Barlowe, MD
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Hoofdonderzoeker:
- Trevor Barlowe, MD
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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
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Ja
Beschrijving
Inclusion Criteria:
- Adults who are eligible for pancreatic cancer screening according to current National Comprehensive Cancer Network guidelines.
- Not currently enrolled in a pancreatic cancer screening program.
- Referred to or previously seen at the UNC High Risk GI Cancer Clinic.
- English-speaking.
- Able and willing to provide informed consent.
Exclusion Criteria:
- Currently enrolled in a pancreatic cancer screening program.
- Does not meet pancreatic cancer screening eligibility criteria according to National Comprehensive Cancer Network guidelines.
- Unable or unwilling to provide informed consent.
- Non-English speaking.
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: Preventie
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: Electronic Decision Support Tool
Patients eligible for pancreatic cancer screening will use an electronic decision support tool during clinical care to support shared decision-making regarding pancreatic cancer screening.
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Participants will use an electronic decision support tool designed to facilitate shared decision-making about pancreatic cancer screening.
The pilot study will evaluate the tool's acceptability, feasibility, and implementation in clinical practice.
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Geen tussenkomst: Standard of Care
Patients eligible for pancreatic cancer screening will receive usual clinical care without use of the electronic decision support tool.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Acceptability of the decision support tool
Tijdsspanne: Up to 3 months
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Participant-reported acceptability of the electronic decision support tool, assessed using a validated acceptability measures: acceptability of intervention measure (AIM) and intervention appropriateness measure (IAM).
The minimum score for both measures is 4 (all items rated "1 - Completely Disagree") and the maximum score is 20 (all items rated "5 - Completely Agree").
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Up to 3 months
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Feasibility, Barriers, and Facilitators of Implementing the Decision Support Tool - Recruitment Rate
Tijdsspanne: Up to 3 months
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Recruitment rate, defined as the proportion and number of eligible participants who enroll in the study, will be used to assess the feasibility of integrating and implementing the electronic decision support tool in clinical practice.
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Up to 3 months
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Feasibility, barriers, and facilitators of implementing the decision support tool - retention rate
Tijdsspanne: Up to 3 months
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Retention rate, defined as the number and proportion of enrolled participants who complete use of the electronic decision support tool and all study-related assessments, will be used to assess the feasibility of integrating and implementing the tool in clinical practice.
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Up to 3 months
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Change in score on 5 question knowledge assessment
Tijdsspanne: Up to 3 months
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Difference between participants' post-visit and pre-visit knowledge scores regarding the screening decision.
Change in knowledge will be defined as the difference between participants' post-visit and pre-visit knowledge scores on a five-item knowledge assessment, calculated as the post-knowledge score minus the pre-knowledge score.
Pre- and post-knowledge scores will be calculated by summing correct answers (equal to 1) and incorrect or incomplete responses (equal to 0).
The assessment will be administered immediately before and after the clinic visit.
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Up to 3 months
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Rate of Decision-Concordant Care
Tijdsspanne: Up to 3 months
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If the participant undergoes the screening test documented during the clinic visit within 3 months of the visit, this will be considered decision-concordant care.
The rate of decision concordant care will be equal to the number of participants who underwent decision-concordant care divided by the total number of participants in the study.
Medical record/chart review will be used for measurements
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Up to 3 months
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Duration of the clinic visit
Tijdsspanne: Up to 3 months
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Duration of the clinic visit will be measured as the duration of the index clinic visit using available clinical or electronic medical record timestamps.
This measure will be used to evaluate whether the intervention affects the amount of time required to complete the clinic visit.
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Up to 3 months
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Patient-reported assessment of shared decision-making quality -1
Tijdsspanne: Up to 3 months
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Patient-reported assessment of the quality of the shared decision-making process, including the extent to which patients received information about available options, understood the benefits and risks of those options, and had their preferences considered in the decision.
It will be measured using the collaboRATE questionnaire, administered immediately following the clinic visit and using the 9-item Shared Decision-Making Questionnaire (SDM-Q-9).
The SDM-Q-9 measures the extent to which patients perceive that key components of shared decision-making occurred during the clinical encounter.
The minimum score for the SDM-Q-9 is 0 (all items rated "0 - Completely Disagree") and the maximum score is 45 (all items rated "5 - Completely Agree").
Higher scores indicate a patient perception of better shared decision making.
It will be administered immediately following the clinic visit.
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Up to 3 months
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Patient-reported assessment of shared decision-making quality -2
Tijdsspanne: Up to 3 months
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Patient-reported perception of the extent to which shared decision-making occurred during the clinic visit will be additionally be assessed using the 3 question collaboRATE questionnaire.
The collaboRATE questionnaire measures the extent to which patients received information about available options, understood the benefits and risks of those options, and had their preferences considered.
The minimum score for collaborate is 0 (all items rated "0 - No Effort") and the maximum score is 12 (all items rated "4 - Every Effort").
T the collaboRATE questionnaire will be administered immediately following the clinic visit.
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Up to 3 months
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Patient-reported assessment of decisional conflict
Tijdsspanne: Up to 3 months
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Patient-reported uncertainty or conflict regarding the screening decision, including factors such as informed choice, will be assessed using the 16 question decisional Conflict Scale (DCS).
The minimum score for the DCS is 0 (no decisional conflict) and the maximum score is 100 (extremely high decisional conflict).
The DCS will be administered immediately following the clinic visit.
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Up to 3 months
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Onderzoekers
- Hoofdonderzoeker: Trevor Barlowe, MD, UNC Lineberger Comprehensive 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 (Geschat)
8 september 2026
Primaire voltooiing (Geschat)
8 september 2027
Studie voltooiing (Geschat)
8 september 2027
Studieregistratiedata
Eerst ingediend
25 augustus 2026
Eerst ingediend dat voldeed aan de QC-criteria
1 september 2026
Eerst geplaatst (Werkelijk)
9 september 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
9 september 2026
Laatste update ingediend die voldeed aan QC-criteria
1 september 2026
Laatst geverifieerd
1 september 2026
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- 25-3036AIM2
- K12TR004416 (Subsidie/contract van de Amerikaanse NIH)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
JA
Beschrijving IPD-plan
De-identified individual participant data (IPD) underlying published results will be made available to qualified researchers upon reasonable request, beginning one year after publication.
IPD-tijdsbestek voor delen
One year after publication
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 .