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为患有黑色素瘤和预先存在的自身免疫性疾病的患者测试一种教育工具，这些患者是免疫检查点抑制剂的候选者

2026年11月9日 更新者：M.D. Anderson Cancer Center

为患有黑色素瘤和伴随自身免疫性疾病的患者测试一种教育工具，这些患者是免疫检查点抑制剂辅助治疗的候选者：患者和提供者的可接受性和可用性

This study learn how easily patients can use an educational tool that will be created for patients with melanoma and pre-existing autoimmune diseases who receive or will receive immune checkpoint inhibitor drugs. Patients will be asked their opinions about the design, accessibility, and content of the tool. Researchers will use the information collected to improve the educational materials that will help patients make future decisions about their treatment.

研究概览

地位

招聘中

条件

干预/治疗

详细说明

PRIMARY OBJECTIVES:

I. To evaluate the acceptability (e.g., ease of use, design, accessibility, content) of the educational tool that will be developed for patients with melanoma and pre-existing autoimmune conditions considering or undergoing treatment with immune checkpoint inhibitors.

II. To test the usability in real world-settings of the educational tool (to be developed) and evaluate feasibility of patient recruitment (i.e., ability to identify enough patients and consent at least 50% of the identified patients) in a pilot study.

OUTLINE:

PART A: Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes.

PART B: 2 group of participants will be evaluated sequentially (Participants in group II will be enrolled after all the participants in group I have been assessed).

GROUP I: Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.

GROUP II: Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.

研究类型

观察性的

注册 (估计的)

125

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习联系方式

学习地点

  • 美国
    • Texas
      • Houston、Texas、美国、77030
        • 招聘中
        • M D Anderson Cancer Center
        • 接触：
          • Maria A. Lopez-Olivo
          • 电话号码：713-792-9175
        • 首席研究员：
          • Maria A. Lopez-Olivo

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

不

有资格学习的性别

全部

取样方法

非概率样本

研究人群

Patients with melanoma or pre-existing autoimmune disease and clinicians

描述

Inclusion Criteria:

  • Diagnosis of melanoma

  • Diagnosis of pre-existing autoimmune disease

    • Inflammatory bowel disease

      • Diagnosis of Crohn's disease or ulcerative colitis by a gastroenterologist
      • For ulcerative colitis, proof of chronic changes over time (i.e., 6 months) and signs of inflammation histologically
      • Treatment with aminosalicylates, corticosteroids, thiopurines, or immune modifiers (e.g., calcineurin inhibitors, methotrexate, adhesion molecule antagonists)

    • Rheumatoid arthritis

      • Diagnosis of rheumatoid arthritis by a rheumatologist
      • Treatment with traditional disease-modifying antirheumatic drugs (e.g., methotrexate, sulfasalazine, hydroxychloroquine) or targeted therapy

    • Systemic lupus erythematosus

      • Diagnosis of systemic lupus erythematosus by a rheumatologist

    • Psoriasis

      • Diagnosis of psoriasis by a dermatologist
      • Treatment with corticosteroids, vitamin D analogs, anthralin, topical retinoids, calcineurin inhibitors, salicylic acid, coal tar, or moisturizers; light therapy, including sunlight, ultraviolet B (UVB) phototherapy, narrowband UVB therapy, Goeckerman therapy, photochemotherapy, excimer laser, or pulsed dye laser; or systemic medications, including retinoids, methotrexate, cyclosporine, hydroxyurea, or thioguanine or targeted therapies

    • Spondyloarthropathies

      • Diagnosis of ankylosing spondylitis, reactive arthritis, psoriatic arthritis, or enteropathic arthritis/spondylitis by a rheumatologist
      • Treatment with disease-modifying antirheumatic drugs (e.g., sulfasalazine) or targeted therapy

  • Age of 18 years or older

  • Patients whose physicians had recommended they begin using any of the currently available immune checkpoint inhibitors or people who are in the midst of or have already made the decision on whether or not start an immune checkpoint inhibitor

  • E-mail access and computer with Internet access or telephone

  • Ability to communicate in English or Spanish

  • CLINICIAN

  • Prescribed immune checkpoint inhibitors

  • Are providing care for patients with melanoma

  • In the clinics at MD Anderson

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 观测模型：COHORT
  • 时间观点：PROSPECTIVE

队列和干预

团体/队列
干预/治疗
Part A (Interview)

Participants navigate the educational tool over 30-45 minutes then participate in an interview about their thoughts and opinions about the content, ease of use, and format of the tool over 45 minutes.
其他：Interview

Participate in interview

其他：Educational Intervention

Navigate educational tool

其他名称：
  • 干预教育
  • 教育干预
  • 通过教育进行干预
  • 干预，教育
Part B Group I (standard information)

Patients receive standard educational information during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.
其他：Questionnaire Administration

Complete questionnaire

其他：Survey Administration

Complete surveys

其他：Best Practice

Receive standard educational information

其他名称：
  • 护理标准
  • 标准疗法
Part B Group II (educational tool)

Patients navigate educational tool over 20 minutes during their clinician encounter. Patients also complete questionnaires over 30-45 minutes at baseline within a week prior to their clinician encounter, immediately after the encounter, and at 3 months.
其他：Questionnaire Administration

Complete questionnaire

其他：Survey Administration

Complete surveys

其他：Educational Intervention

Navigate educational tool

其他名称：
  • 干预教育
  • 教育干预
  • 通过教育进行干预
  • 干预，教育

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Decisional conflict scale
大体时间：Up to 4 years

The scale will be used to assess personal perceptions of 1) uncertainty in choosing among options; 2) modifiable factors contributing to uncertainty, such as feeling uninformed, and 3) feeling that the choice is values-based and likely to be implemented.
Up to 4 years

次要结果测量

结果测量
措施说明
大体时间
Knowledge
大体时间：Up to 3 months

Will be assessed using a questionnaire developed by the research team covering various content areas, including general information about immune checkpoint inhibitors and the associated adverse effects and benefits of the treatments.
Up to 3 months
Acceptability
大体时间：Immediately after the clinical encounter

A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures.
Immediately after the clinical encounter
Usability
大体时间：Immediately after the clinical encounter

A standard assessment questionnaire will be used to obtain users' ratings of various features of the educational tool, including ease of use, presentation, usefulness and satisfaction. The items in the questionnaire come from the Ottawa Acceptability Measures.
Immediately after the clinical encounter
Depression
大体时间：Up to 3 months

Will be assessed using the Depression and Anxiety Stress Scale (DASS). The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Depression scale assesses dysphoria, hopelessness, devaluation of life, self-deprecation, lack of interest/involvement, anhedonia, and inertia
Up to 3 months
Anxiety
大体时间：Up to 3 months

Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Anxiety scale assesses autonomic arousal, skeletal muscle effects, situational anxiety, and subjective experience of anxious affect.
Up to 3 months
Stress
大体时间：Up to 3 months

Will be assessed using the DASS. The DASS is a 21-item self report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. The Stress scale is sensitive to levels of chronic non-specific arousal. It assesses difficulty relaxing, nervous arousal, and being easily upset/agitated, irritable/over-reactive and impatient.
Up to 3 months
CollaboRATE measure
大体时间：Immediately after the clinical encounter

The CollaboRATE questions ask about the effort made to help patients understand their health issues, listen to what matters most to them, and include what matters most to them in choosing what to do next.
Immediately after the clinical encounter
Shared decision-making process survey
大体时间：Immediately after the clinical encounter

This instrument measures the extent to which health care providers engage patients in shared decision making. Items are focused on four specific behaviors that are critical for shared decision making -discussion of options, pros, cons and preferences.
Immediately after the clinical encounter
Patient's perception of usefulness of the tool
大体时间：Immediately after the clinical encounter

Will use the Preparation for Decision Making Scale (Prep-DM) to assess the patients' perception of how useful the educational tool is in preparing them to communicate with their practitioner at a consultation. It is a 10-item scale developed to evaluate decision processes relating to the preparation of patients for decision making and dialoguing with their practitioners.
Immediately after the clinical encounter

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

M.D. Anderson Cancer Center

合作者

National Cancer Institute (NCI)

调查人员

  • 首席研究员：Angeles Lopez-Olivo、M.D. Anderson Cancer Center

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

有用的网址

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2022年4月20日

初级完成 (估计的)

2027年2月2日

研究完成 (估计的)

2027年2月2日

研究注册日期

首次提交

2021年2月8日

首先提交符合 QC 标准的

2021年2月8日

首次发布 (实际的)

2021年2月12日

研究记录更新

最后更新发布 (实际的)

2026年11月12日

上次提交的符合 QC 标准的更新

2026年11月9日

最后验证

2026年11月1日

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号

  • 2020-0843
  • 2020-0843 (其他标识符：M D Anderson Cancer Center)
  • NCI-2021-00565 (注册表标识符：CTRP (Clinical Trial Reporting Program))
  • K08CA237619 (美国 NIH 拨款/合同)

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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