Advanced Cancer Clinical Trial
Official title:
Care Transition Intervention for Hospitalized Patients With Advanced Cancer
NCT number | NCT04640714 |
Other study ID # | 20-418 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | January 7, 2021 |
Est. completion date | July 14, 2021 |
Verified date | November 2021 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This research study is investigating an intervention called CONTINUity of care Under Management by Video visits (CONTINUUM-V). CONTINUUM-V involves a video visit with an oncology nurse practitioner within three business days of hospital discharge for patients with advanced cancer with the goal of reducing burdensome care transitions after hospitalization, including hospital readmissions.
Status | Completed |
Enrollment | 58 |
Est. completion date | July 14, 2021 |
Est. primary completion date | May 28, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. Age >= 18 years 2. Unplanned admission to the oncology service at Massachusetts General Hospital (MGH) 3. Known diagnosis of advanced breast, thoracic, genitourinary, or gastrointestinal cancers. Advanced cancer defined as not being treated with curative intent as determined by clinic notes and chemotherapy order entry. 4. Receiving ongoing oncology care at MGH 5. Verbal fluency in English 6. Must have internet/wifi/cellular data access Exclusion Criteria: 1. Admitted electively 2. Discharged to a location other than home or expired during admission 3. Discharged with hospice services |
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital Cancer Center | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | 30-day Hospital Readmissions | The investigators will assess whether study participants had a hospital re-admission within 30 days of discharge using the Electronic Health Record | Discharge to 30 days after discharge | |
Primary | Feasibility using enrollment and retention on study | The intervention will be deemed feasible if at least 70% of eligible patients participate in the study, and if at least 70% complete the video visit within three business days of discharge. | Discharge to 3 business days | |
Secondary | Patients' Confidence in Managing their Health Condition using the Patient Activation Measure (PAM-13) | The investigators will use the Patient Activation Measure 13 (PAM-13) to assess participants' confidence in managing their health condition at baseline and within 10-15 days of discharge (post-intervention). The PAM-13 is scored 0-100 with higher scores indicating greater confidence in managing one's health condition. | Baseline to 15 days after discharge | |
Secondary | Symptom Burden using the Edmonton Symptom Assessment Scale (ESAS-r) | The investigators will use a modified version of the self-administered, revised Edmonton Symptom Assessment System (ESAS-r) to assess participants' symptoms at baseline and within 10-15 days of discharge (post-intervention). The ESAS-r assesses pain, fatigue, drowsiness, nausea, appetite, dyspnea, depression, anxiety, and well being over the previous 24 hours. The ESAS-r also includes constipation. Individual symptoms are scored on a scale from 0 (reflecting absence of the symptom) to 10 (reflecting the worst possible severity). The investigators will compute the composite ESAS physical and total symptom variables that included scores of participants' physical symptoms (pain, fatigue, drowsiness, nausea, appetite, dyspnea, constipation) and total symptoms (pain, fatigue, drowsiness, nausea, appetite, dyspnea, depression, anxiety, well being, constipation). | Baseline to 15 days after discharge | |
Secondary | Psychological Symptoms using the Patient Health Questionnaire-4 (PHQ-4) | The investigators will use the Patient Health Questionnaire-4 (PHQ-4) to assess psychological symptoms at baseline and within 10-15 days of discharge (post-intervention). The PHQ-4 is a 4-item tool that contains two 2-item subscales assessing depression and anxiety symptoms. Both subscales and the composite PHQ-4 score can also be evaluated continuously, with higher scores indicating worse psychological distress. Scores on each subscale range from 0 to 6. | Baseline to 15 days after discharge | |
Secondary | Patient Satisfaction using the Patient Satisfaction Questionnaire | The investigators will use the patient satisfaction questionnaire within 10-15 days after discharge. The participants will be asked how useful the participants found the intervention, on a 0 to 10 scale, with 0 being not useful at all and 10 being extremely useful. | 10 to 15 days after discharge |
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