The MuSt-PC: a Feasibility Study on Intent to Use a Tool With Regard to Symptom Management

Palliative Medicine Clinical Trial

Official title:

The MuSt-PC: A Multidimensional Strategy to Improve Quality of Life of Patients With Multiple Symptoms and Palliative Care Needs - Feasibility Study

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06110624
• Other study ID #: 11265
• Status: Not yet recruiting
• Start date: January 1, 2024
• Est. completion date: April 1, 2024

Study information

• Verified date: November 2023
• Source: University Medical Center Groningen
• Contact: AN KL Reyners, MD, PhD
• Phone: +31503612821
• Email: a.k.l.reyners[@]umcg.nl
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

A study on the intent to use a tool (MuSt-PC) to manage symptoms of patients in a palliative care trajectory.

Description:

A survey study will be conducted to evaluate if GHCPs have the Intention to Use (IU) MuSt- PC in daily practice. GHCPs are recruited via the connections of the seven Centers of Expertise in Palliative Care. To invite them to participate in the study, the GHCPs are approached directly via e-mail or telephone. Participating GHCPs will be educated on how to use MuSt-PC (educational materials and instruction webinar). GHCPs will be asked to use the CDSS for five individual patients. Every time after using MuSt-PC they will be asked to answer additional questions about their experience with using MuSt-PC in that specific instance. After using MuSt-PC for five patients, they are requested to fill out a comprehensive questionnaire about their overall experiences with using the CDSS.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 20
• Est. completion date: April 1, 2024
• Est. primary completion date: March 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

Residents (in Dutch: Arts In Opleiding tot Specialist (AIOS) or Arts Niet In Opleiding tot Specialist (ANIOS)), medical specialists and nurse practitioners working in the following disciplines are invited to participate:

• General practice

• Nursing home

• Hospital:

• Clinical geriatrics

• Medical oncology

• Radiation oncology

• Pulmonology

• Cardiology

Exclusion Criteria:

HCPs who were formally trained in palliative care ("kaderopleiding palliatieve zorg", "Masteropleiding Palliative Medicine for Health Care Professionals at Cardiff University" or "post-HBO opleiding palliatieve zorg") and/or who have been or are currently a consultant of a palliative care consultation team are considered specialists in palliative care, are excluded from participation.

GHCPs (e.g. nurses) who cannot independently decide about CDSS recommendation adherence, including drug interventions, are excluded from participation.

Related Conditions & MeSH terms

• Palliative Medicine

Intervention

Other:
• Survey
A survey study will be conducted to evaluate if GHCPs have the Intention to Use (IU) MuSt-PC in daily practice.

Locations

Country	Name	City	State
Netherlands	University Medical Center Groningen	Groningen
Netherlands	LUMC	Leiden

Sponsors (1)

Lead Sponsor	Collaborator
University Medical Center Groningen

Country where clinical trial is conducted

Netherlands, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	A focus group meeting will be conducted if =20% of all participating GHCPs have insufficient intention to use MuSt-PC and/or perceive MuSt-PC insufficiently useful and/or perceive MuSt-PC insufficiently easy to use	A focus group meeting will be conducted if =20% of all participating GHCPs have insufficient intention to use MuSt-PC and/or perceive MuSt-PC insufficiently useful and/or perceive MuSt-PC insufficiently easy to use: Insufficient IU is defined as a sum score of =12 for the 3 questions that measure Intention to Use by the modified TAM questionnaire (maximum sum score 21); Insufficient PU is defined as a sum score of =24 for the 6 questions that measure PU by the modified TAM questionnaire (maximum sum score 42); insufficient PEU is defined as a sum score of =24 for the 6 items that measure PEU by the modified TAM questionnaire (maximum sum score 42). (see Appendix G) Six to twelve GHCPs with a sum score of =12 (IU) and/or =24 (PU and/or PEU) will be invited to participate.	after 5 times use of the MuSt-PC tool within 3 months
Primary	Questions evaluating Intention to Use (IU)	Questions evaluating Intention to Use (IU) (7-point Likert scales)	after 5 times use of the MuSt-PC tool within 3 months
Secondary	Questions evaluating other modified TAM domains	Questions evaluating other modified TAM domains: Perceived Usefulness, Perceived Ease-of-Use, Attitude, Compatibility, Subjective norm, Facilitators, Habit (7-point Likert Scales).	after 5 times use of the MuSt-PC tool within 3 months
Secondary	Perceived benefits and disadvantages of using MuSt-PC	Perceived benefits and disadvantages of using MuSt-PC (open-ended questions).	after 5 times use within 3 months
Secondary	Suggestions to improve the MuSt-PC CDSS	Suggestions to improve the MuSt-PC CDSS (open-ended question).	after 5 times of the MuSt-PC tool within 3 months
Secondary	An overview of the content of questions of participating GHCPs regarding MuSt-PC use.	An overview of the content of questions of participating GHCPs regarding MuSt-PC use. Questions will be analyzed qualitatively; coding will be done independently by two researchers. In case of disagreement, consensus will be achieved through discussion. Coding will result in categorization of question subject. Categorizations are ranked from most prevalent to least prevalent question subject (proportion of respondents).	after 5 times use within 3 months
Secondary	Most useful elements of MuSt-PC will be evaluated with a multiple-choice question.	Most useful elements of MuSt-PC will be evaluated with a multiple-choice question. (multiple answers allowed) Frequency and percentage of total respondents who chose the multiple choice answer possibilities will be evaluated	after 5 times use within 3 months
Secondary	Mean scores of HCPs adherence to CDSS recommendations	Mean scores (5-point Likert scale) of HCPs adherence to CDSS recommendations (each time using MuSt-PC)	after 5 times use of the MuSt-PC tool within 3 months