Testing Accountability in Patient Adherence
9 september 2019 uppdaterad av: M.D. Anderson Cancer Center
The goal of this research study is to look for factors that influence whether or not head and neck cancer patients follow the swallowing exercises that they are asked to perform while receiving radiation treatment.
Studieöversikt
Status
Okänd
Betingelser
Intervention / Behandling
Detaljerad beskrivning
Head and neck cancer patients who receive radiation are at risk for permanent swallowing disorders. Because of these potential problems, swallowing exercises are an important part of recovery. Researchers want to learn what factors affect how well patients follow the swallowing schedule they are given, and what can be done to make it consistent.
If you agree to take part in this study, you will have the following procedures performed.
Videotaped Swallowing Exercise:
Researchers will ask you to perform 3 swallowing exercises while being recorded by a video camera. The length of the taping session will be 3 minutes. Afterward, you will fill out 3 questionnaires. The questionnaires will take about 10 minutes to complete.
Length of Study:
You will be asked to come in 1 time for this study.
For the next 2 years, information may be collected from your medical record. This information will include the cancer stage, if the disease has gotten worse, any treatment you receive, and any side effects you experience. This information will help researchers learn how certain treatments affect patients and their risk for future disease.
This is an investigational study.
Up to 225 patient will take part in this study. All will be enrolled at MD Anderson.
Studietyp
Observationell
Inskrivning (Förväntat)
225
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
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Texas
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Houston, Texas, Förenta staterna, 77030
- University of Texas MD Anderson Cancer Center
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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
18 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Allt
Testmetod
Icke-sannolikhetsprov
Studera befolkning
Head and neck cancer patients receiving radiation therapy at MDACC clinics.
Beskrivning
Inclusion Criteria:
- Are dispositioned to receive radiation with curative intent for nasopharyngeal, oropharyngeal, hypopharyngeal, laryngeal, or an unknown primary cancer with cervical metastases.
- Are stage II-IVB for oropharyngeal and laryngeal
- Are stage I-IVB for hypopharyngeal and nasopharyngeal
- At least 18 years of age
- Speak and read English
- Oriented to time, person, and place
- Have a Zubrod performance status of 0 to 2
Exclusion Criteria:
- Have other cancer diagnoses, except non-melanoma skin cancer
- Had treatment for previous H & N cancer or radiation to the head and neck
- Have a history of previous head and neck surgery (excluding biopsy and/or tonsillectomy and/or tracheotomy)
- Have a current oropharyngeal dysphagia unrelated to cancer diagnosis (e.g., dysphagia due to underlying neurogenic disorder)
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 |
|---|---|
|
Group 1(High Accountability-Human Monitoring)
Participants randomly assigned to receive one of three sets of instructions before starting.
Instructions for three swallowing exercises as well as an introductory script explaining the purpose of the exercises will be videotaped and shown to participants.
Participants perform 3 swallowing exercises while researcher leaves the room.
At the end of the testing period, researcher will come back into the room and record the number on participant's tracking device.
Participant to tell whether they did as many repetitions as possible and if not, why they were not able to do as many as possible.
This portion of the experiment will be videotaped.
Participants complete an M.D. Anderson Symptom Inventory for Head and Neck Cancer Patients before procedure as well as a brief 3-page post-session questionnaire.
|
Participants perform 3 swallowing exercises.
Participants complete an M.D. Anderson Symptom Inventory for Head and Neck Cancer Patients before swallowing exercise procedure.
Participants fill out 3 questionnaires after swallowing exercises.
The questionnaires will take about 10 minutes to complete.
Andra namn:
|
|
Group 2(Low Accountability-Human Monitoring)
Participants randomly assigned to receive one of three sets of instructions before starting.
Instructions for three swallowing exercises as well as an introductory script explaining the purpose of the exercises will be videotaped and shown to participants.
Participants perform 3 swallowing exercises while researcher leaves the room.
At the end of the testing period, researcher will come back into the room and record the number on participant's tracking device.
Participants complete an M.D. Anderson Symptom Inventory for Head and Neck Cancer Patients before procedure as well as a brief 3-page post-session questionnaire.
|
Participants perform 3 swallowing exercises.
Participants complete an M.D. Anderson Symptom Inventory for Head and Neck Cancer Patients before swallowing exercise procedure.
Participants fill out 3 questionnaires after swallowing exercises.
The questionnaires will take about 10 minutes to complete.
Andra namn:
|
|
Group 3(Low Accountability-Technological Monitoring)
Participants randomly assigned to receive one of three sets of instructions before starting.
Instructions for three swallowing exercises as well as an introductory script explaining the purpose of the exercises will be videotaped and shown to participants.
Participants perform 3 swallowing exercises while researcher leaves the room.
At the end of the testing period, researcher will come back into the room and record the number on participant's tracking device.
The videocamera will tape participant's session so evaluation can be made as to exercise accuracy.
Participants complete an M.D. Anderson Symptom Inventory for Head and Neck Cancer Patients before procedure as well as a brief 3-page post-session questionnaire.
|
Participants perform 3 swallowing exercises.
Participants complete an M.D. Anderson Symptom Inventory for Head and Neck Cancer Patients before swallowing exercise procedure.
Participants fill out 3 questionnaires after swallowing exercises.
The questionnaires will take about 10 minutes to complete.
Andra namn:
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Adherence to Swallowing Exercises
Tidsram: 1 day
|
Purpose of experiment is to determine whether an accountability manipulation and whether human vs technological monitoring result in higher patient adherence.
Main outcome measure is perseverance of effort which will be number of repetitions within one minute interval for each exercise.
|
1 day
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Eileen H. Shinn, PHD, MS, BA, M.D. Anderson 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 (Faktisk)
1 maj 2013
Primärt slutförande (Förväntat)
1 december 2020
Avslutad studie (Förväntat)
1 december 2021
Studieregistreringsdatum
Först inskickad
29 april 2013
Först inskickad som uppfyllde QC-kriterierna
29 april 2013
Första postat (Uppskatta)
1 maj 2013
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
11 september 2019
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
9 september 2019
Senast verifierad
1 september 2019
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 2013-0195
- 5R01DE019141-03 (U.S.S. NIH-anslag/kontrakt)
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