- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico NCT07674212
Take5Care+: A Self-management Educational Intervention (Take5Care+)
Take5Care+: A Self-management Educational Intervention to Support the Haematology Patients' Journey Following a Neoplastic Diagnosis.
Patients who are diagnosed with haematological malignancies may feel that they have little or no control over their health which can be distressing. However, a diagnosis can also be the opportunity for a "teachable moment" during which patients are more likely to open to behaviour change, which can positively impact on their health and wellbeing. Take Five to Age Well (Take Five) was designed to empower people to achieve effective, long-term self-management of health by introducing healthy habits in 30 days.
In collaboration with Northampton General Hospital (NGH) the current study will recruit newly diagnosed haematology patients who are either being actively monitored or only on non-intensive treatment to take part in a self-managed behaviour change intervention. This is primarily a feasibility study to inform main trials in the future.
The main aim of the research is:
To assess the feasibility of using Take5Care+ with patients newly diagnosed with indolent or chronic haematological malignancies, recruited via hospital departments
There are also secondary aims, including:
- To assess the impact of participating in Take5Care+ on patients' self-reported health and well-being, healthy behaviours and sense of control, knowledge and management of health
- To explore the perceptions of patients and clinicians about their participation in the Take5Care+ Patients who wish to take part will be asked to fill out a survey at baseline, complete a "challenge" where they commit to a healthy action for 30 days, fill out a second survey immediately after and a third survey three months later. Patients may also consent to participating in an interview post-challenge. Giving consent and completing the baseline survey will take place in NGH but the challenge is self-managed at home and remotely supported. Survey 2, Survey 3 and the optional interviews are also carried out online or over the phone.
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Tipo de estudo
Inscrição (Estimado)
Estágio
- Não aplicável
Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
Inclusion Criteria:
- 18 years or older.
- Have been diagnosed within the last 3 months with one of the eligible conditions listed in Table 1.
Be managed with either:
- Active monitoring, or
- Non-intensive oral therapy, defined as outpatient oral regimens that do not require inpatient initiation and have lower expected toxicity (e.g., BTK inhibitors, TKIs, interferon, lenalidomide, hydroxycarbamide, low-dose alkylators).
- Have ECOG Performance Status 0-2.
- Be able to give informed consent.
- Be judged suitable for participation by the treating clinician.
Exclusion Criteria:
- Receiving intensive chemotherapy, immunotherapy, IV combination regimens, cellular therapy, radiotherapy or treatments requiring inpatient initiation.
- Received or expected to require regular blood product transfusions
- Life expectancy <12 months.
- Acutely terminal illness.
- ECOG ≥3.
- Cognitive impairment that would prevent the patient from giving informed consent, or reliably completing the daily action and follow-up assessments
- Pregnant or lactating.
- Currently participating in a CTIMP or other behavioural research intervention.
- Age <18.
Unstable, uncontrolled, or severe comorbidities:
- Uncontrolled heart failure, unstable angina, or MI <3 months.
- Stroke/TIA <3 months.
- Severe/unstable COPD or asthma with recent exacerbations.
- Poorly controlled diabetes
- Severe psychiatric illness interfering with participation.
- Concurrent active malignancy requiring systemic therapy.
- Any other condition that, in the investigator's judgement, would compromise safe participation.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Cuidados de suporte
- Alocação: N / D
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
|
Experimental: Take5Care+ treatment
Newly diagnosed haematology patients will be recruited to take part in a self-managed behaviour change intervention.
Participants commit to a behavioural action (a "healthy habit") from a predetermined list for 30 days.
|
Newly diagnosed haematology patients will be recruited to take part in a self-managed behaviour change intervention.
Participants commit to a behavioural action (a "healthy habit") from a predetermined list for 30 days.
|
O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Feasibility of the intervention
Prazo: From beginning of study (0 weeks) until data collection is completed (up to 10 months)
|
|
From beginning of study (0 weeks) until data collection is completed (up to 10 months)
|
|
Qualitative exploration of feasibility of study
Prazo: Directly after participant completes the intervention (at 4 weeks)
|
|
Directly after participant completes the intervention (at 4 weeks)
|
Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
|
Self-reported behaviours of healthy behaviour
Prazo: Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
• Self-reported behaviours that facilitate improved nutrition, hydration, physical activity, cognitive stimulation and social engagement using a 7-point Likert scale ranging from "Never" to "Every day", collected at Survey 1, Survey 2 and Survey 3.
|
Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Self-reported health
Prazo: Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
• Self-reported health as measured by SF-12, transformed into two scores:
|
Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Self-reported adherence to Take5Care+ actions
Prazo: Survey 2 will be at 4 weeks and Survey 3 at 16 weeks.
|
• Participants will be asked how many days a week, on average, they are still doing their chosen action, from 1-7 days. This data will be collected at Survey 2 and Survey 3. |
Survey 2 will be at 4 weeks and Survey 3 at 16 weeks.
|
|
Subjective perception of health
Prazo: Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Survey 1 will be at 0 weeks, survey 2 will be at 4 weeks and survey 3 will be at 16 weeks
|
|
Explore perceptions of patients and clinicians
Prazo: Directly after the intervention (at 4 weeks)
|
Thematic analysis of perceptions of participation, barriers and facilitators via semi-structured interviews with patients (optional) and clinicians
|
Directly after the intervention (at 4 weeks)
|
Colaboradores e Investigadores
Patrocinador
Colaboradores
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- OpenU
- IRAS ID 368667 (Outro identificador: HRA and Health and Care Research Wales (HCRW))
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