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Verbal and Written Instruction Versus Verbal and Written Plus Simulation in Patients With Breast Cancer and Their Caregivers

3 september 2015 uppdaterad av: Memorial Sloan Kettering Cancer Center

A Comparison of Strategies for Injection Teaching: Verbal and Written Instruction Versus Verbal and Written Plus Simulation in Patients With Breast Cancer and Their Caregivers

The purpose of this study is to compare two different ways of teaching people how to give injections at home. The first is what we do now, which is teaching patients and/or their caregivers verbally and by giving written instructions. The second is what we do now (verbal and written instructions) along with a demonstration and practice using a needle and an injection pad that feels similar to skin and fat. This is being done to find the best method for teaching people to give an injection at home.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Studietyp

Observationell

Inskrivning (Faktisk)

51

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Förenta staterna
    • New York
      • New York, New York, Förenta staterna, 10065
        • Memorial Sloan Kettering Cancer Center

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

19 år och äldre (Vuxen, Äldre vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Allt

Testmetod

Icke-sannolikhetsprov

Studera befolkning

All breast cancer medical oncology clinics at MSKCC will serve as recruitment clinics for the proposed study. Nurses will notify the PI of any patient due to start adjuvantadjuvant or neoadjuvant treatment when the regimen includes pegfilgrastim.

Beskrivning

Inclusion Criteria:

  • English speaking
  • Over 18 years of age
  • No history of performing injections
  • Patient must be receiving pegfilgrastim during adjuvant or neoadjuvant chemotherapy
  • Patient will have the pegfilgrastim administered at home either by self administering or by a caregiver.

Exclusion Criteria:

  • Patient or caregiver desire to inject (with saline) during or immediately following the injection teaching
  • Prior self-injection or injection administration experience of any type
  • Patients with history of anaphylaxis or other severe reactions to latex
  • Patients that required pegfilgrastim injection be administered in clinic

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Intervention / Behandling
control injection teaching
The first 25 subjects recruited into the study will be that control group. Subjects accrued during the control phase will receive the control injection teaching, which at MSKCC is verbal instruction. To minimize practice variation, the teaching will be provided by the office-practice nurse guided by a verbal script. The consented subjects will complete a questionnaire before the teaching, immediately after the teaching, and after performing the injection the following day. The nurse who administered the teaching will also complete an evaluation immediately following the teaching.
Övrig: Verbal and Written Instruction

Pre-teaching Evaluation: Patient

  • Pre-teaching Evaluation: Caregiver

    o To be completed immediately before the teaching. Administered by the nurse who will provide the teaching. The form utilized will depend on if the patient or caregiver will be administering the injection.

  • Post-teaching Evaluation: Patient Post-teaching Evaluation: Caregiver To be completed immediately after the teaching. Administered by the nurse who provided the teaching. The form utilized will depend on if the patient or caregiver will be administering the injection.
intervention group
The subsequent 25 subjects enrolled into the study will be in the intervention group. Subjects accrued during the intervention phase will receive the verbal and written injection teaching, plus demonstration and return demonstration using an injection model. It is anticipated that the intervention teaching will take no longer then 5 additional minutes, however time will be evaluated as a secondary objective as well in both groups. The consented subjects will complete a questionnaire before the teaching, immediately after the teaching, and after performing the injection the following day. The nurse who administered the teaching will also complete an evaluation immediately following the teaching.
Övrig: Verbal and Written Plus Simulation

Post-injection Evaluation: Patient

  • Post-injection Evaluation: Caregiver

    o To be completed after the injection is administered (outside of MSKCC) by the patient or caregiver. The form utilized will depend on if the patient or caregiver has administered the injection. They will return this evaluation at the patient's next visit (2 weeks later).

  • Nurse Evaluation: Control
  • Nurse Evaluation: Model o To be completed immediately following the completion of the teaching by the nurse. The form utilized will depend on if the teaching was part of the control or intervention phase of the study.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
compare verbal and written teaching for injection teaching
Tidsram: 1 year

with verbal and written teaching + simulation using an injection model, in terms of:

  • Patient/caregiver satisfaction
  • Patient/caregiver self-confidence
  • Nurse satisfaction
1 year

Sekundära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Assess for changes in patient self-reported
Tidsram: 1 year
worry about injection before and after the injection teaching
1 year
Compare nurses' perceptions of patient/caregiver confidence levels
Tidsram: 1 year
after injection teaching to actual patient/caregiver reported confidence levels
1 year
Compare the amount of nurses' time spent teaching
Tidsram: 1 year
between the teaching modalities
1 year

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

Memorial Sloan Kettering Cancer Center

Utredare

  • Huvudutredare: Erica Fischer-Cartlidge, RN, MSN, Memorial Sloan Kettering Cancer Center

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Användbara länkar

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart

1 april 2013

Primärt slutförande (Faktisk)

1 september 2015

Avslutad studie (Faktisk)

1 september 2015

Studieregistreringsdatum

Först inskickad

9 april 2013

Först inskickad som uppfyllde QC-kriterierna

9 april 2013

Första postat (Uppskatta)

11 april 2013

Uppdateringar av studier

Senaste uppdatering publicerad (Uppskatta)

4 september 2015

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

3 september 2015

Senast verifierad

1 september 2015

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • 13-057

Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .

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