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Evaluating an Interactive Cancer Communication System (ICCS) in Lung Cancer

13. november 2019 oppdatert av: University of Wisconsin, Madison

Interactive Cancer Communication System (ICCS) in Lung Cancer: Evaluating Survival Benefits. Center of Excellence in Cancer Communication Research: Using Technology to Enhance Cancer Communication and Improve Clinical Outcomes

This study will examine the potential for an Interactive Cancer Communication System (ICCS) to impact not only psychosocial outcomes such as quality of life but also length of survival in an advanced stage lung cancer population. Two hypotheses will be tested: the Comprehensive Health Enhancement Support System- Lung Cancer (CHESS- LC) will significantly improve patient quality of life and length of overall survival as compared to a usual care control group.

Studieoversikt

Status

Fullført

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

The prognosis for Non-Small Cell Lung Cancer patients remains poor despite recent advances in anti-cancer therapies. A lung cancer diagnosis often inflicts fear, despair, and hopelessness on patients and loved ones. For lung cancer patients in particular, a population where palliation rather than cure is often the focus, interventions addressing communication about various types of suffering are crucial to quality of life (QOL). Our Center has done extensive research testing CHESS (Comprehensive Health Enhancement Support System), a non-commercial, web-based information and support system. The recent Clinician Integration Project tested the impact of CHESS versus an Internet only Control group on QOL for caregivers of advanced stage lung cancer patients. This study yielded an unanticipated finding that CHESS may have a survival benefit for patients as one year survival was significantly increased in the CHESS group (50%) compared to Internet (34.2%). As this project did not focus on patient outcomes, follow-up with a well-formulated study designed and powered to address specific hypotheses of the nature of this effect is critical. The proposed study will specifically test QOL and survival effects of CHESS on lung cancer patients. Using sites in Wisconsin, Connecticut,Houston, and Chicago, we will randomly assign 376 advanced lung cancer patients to two study arms: a patient control group receiving Usual Care (including access to a computer and Internet) and a group given access to the CHESS website. Patients may invite a caregiver to participate. Patients will be followed for 18 months or until patient death.

Studietype

Intervensjonell

Registrering (Faktiske)

284

Fase

  • Ikke aktuelt

Kontakter og plasseringer

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Studiesteder

  • Forente stater
    • Connecticut
      • Hartford, Connecticut, Forente stater, 06102
        • Harry Gray Cancer Center at Hartford Hospital
    • Illinois
      • Chicago, Illinois, Forente stater, 60612
        • University of Illinois at Chicago Cancer Center
    • Texas
      • Houston, Texas, Forente stater, 77030
        • M.D. Anderson Cancer Center
    • Wisconsin
      • Madison, Wisconsin, Forente stater, 53792
        • University of Wisconsin Carbone Cancer Center

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  • All patients must be diagnosed with non-small cell lung cancer (Stage IIIA non surgical, IIIB or IV)
  • All patients must be within 12 months of their primary lung cancer diagnosis or metastatic or recurrence disease.
  • All patients must be at least 18 years of age,
  • All patients must have an ECOG Performance Status rating of level 0, 1 or 2.
  • If patients have brain metastases, they must be stable
  • All patients must be under the care of a clinician who has consented to participate in the study.
  • All patients must be able to speak and read English (educational attainment of at least 6th grade).
  • All patients will be invited to have a caregiver also participate in the study, however this is not required.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Støttende omsorg
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: CHESS with Clinician Report + Internet access
An Internet-based system, Comprehensive Health Enhancement Support System for Lung Cancer(CHESS-LC) integrates over 14 services to provide tailored cancer information, support, and interactive tools.
Annen: CHESS website for lung cancer patient + internet access if needed
The Comprehensive Health Enhancement Support System (CHESS), a non-commercial, home-based system created by clinical, communication, and decision scientists at the University of Wisconsin, is distinguished by its quality, depth, and ease of use. It employs data on user health status to help users monitor their condition, guide them to tailored information and social support, make and implement important health decisions, and learn coping skills. Our tests and clinical trials demonstrate that an ICCS such as CHESS can be widely accepted and used, improve quality of life, information competence, and in some cases lead to more efficient use of health services. An Internet-based system, CHESS-LC integrates over 14 services to provide tailored cancer information, support, interactive tools, and communication with the clinical team.
Aktiv komparator: Usual care with Internet access
Control group patients will be given a list of URLs for 10-high quality lung cancer-related sites
Annen: CHESS website for lung cancer patient + internet access if needed
The Comprehensive Health Enhancement Support System (CHESS), a non-commercial, home-based system created by clinical, communication, and decision scientists at the University of Wisconsin, is distinguished by its quality, depth, and ease of use. It employs data on user health status to help users monitor their condition, guide them to tailored information and social support, make and implement important health decisions, and learn coping skills. Our tests and clinical trials demonstrate that an ICCS such as CHESS can be widely accepted and used, improve quality of life, information competence, and in some cases lead to more efficient use of health services. An Internet-based system, CHESS-LC integrates over 14 services to provide tailored cancer information, support, interactive tools, and communication with the clinical team.

Hva måler studien?

Primære resultatmål

Resultatmål
Tidsramme
Compared to a Usual Care control, CHESS will significantly improve lung cancer patient Quality of Life.
Tidsramme: 12-month intervention
12-month intervention
Compared to a Usual Care control, CHESS will significantly improve patient influence length of survival of lung cancer patient.
Tidsramme: 12-month intervention
12-month intervention

Sekundære resultatmål

Resultatmål
Tidsramme
Examine the effects of CHESS use on self-determination theory (SDT) constructs.
Tidsramme: 12 mos.
12 mos.
Examine the factors that moderate effect of CHESS use on self-determination theory (SDT) constructs.
Tidsramme: 12 mos.
12 mos.
Examine whether these constructs mediate the effects of CHESS use on patient quality of life.
Tidsramme: 12 mos.
12 mos.
Examine whether treatment participation mediates the effect patient quality of life has on survival.
Tidsramme: 12 mos/
12 mos/

Samarbeidspartnere og etterforskere

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Sponsor

University of Wisconsin, Madison

Samarbeidspartnere

M.D. Anderson Cancer Center
National Cancer Institute (NCI)
University of Illinois at Chicago
Hartford Hospital

Etterforskere

  • Hovedetterforsker: James Cleary, M.D., University of Wisconsin, Madison
  • Hovedetterforsker: Lori DuBenske, Ph.D., University of Wisconsin, Madison

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Hjelpsomme linker

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

1. november 2009

Primær fullføring (Faktiske)

15. mai 2014

Studiet fullført (Faktiske)

15. mai 2014

Datoer for studieregistrering

Først innsendt

10. november 2009

Først innsendt som oppfylte QC-kriteriene

12. november 2009

Først lagt ut (Anslag)

13. november 2009

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

15. november 2019

Siste oppdatering sendt inn som oppfylte QC-kriteriene

13. november 2019

Sist bekreftet

1. mars 2019

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • M-2009-1223
  • 2P50CA095817-06 (U.S. NIH-stipend/kontrakt)
  • XP08517 (Annen identifikator: University of Wisconsin, Madison)
  • NCI-2011-01004 (Registeridentifikator: NCI Trial ID)

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