Advanced Lung Cancer Clinical Trial
Official title:
Pilot Trial of the Enhancing Quality of Life in Patients (EQUIP) Intervention for Patients With Advanced Lung Cancer
i. Project Background Patients with advanced lung cancer have a high symptom burden and low
quality of life. Early palliative care improves patient outcomes in newly diagnosed advanced
lung cancer patients, but previously tested models are not feasible for widespread adoption.
Hence, the aim of this study is to pilot a more sustainable nurse-led intervention -
Enhancing Quality of life in Patients (EQUIP).
ii. Hypothesis / Aim The aims of this study are three-fold. Firstly, the investigators aim to
determine the feasibility and acceptability of the EQUIP intervention itself. Secondly, the
investigators aim to obtain a tentative estimate of efficacy of the EQUIP intervention.
Thirdly, the investigators aim to determine the data completion rate of patient reported
outcome measures in the context of the EQUIP trial.
iii. Methods Patients with newly diagnosed stage 3 or stage 4 lung cancer will be recruited
and randomized to the EQUIP intervention or usual care (control) group. Patients randomized
to the EQUIP intervention group will receive four face-to-face sessions with a palliative
care nurse. The content of these educational sessions will equip patients with the knowledge
and skills to manage the three commonest symptoms of fatigue, breathlessness and anxiety.
All participants will complete the Functional Assessment of Cancer Therapy - Lung (FACT-L),
the Hospital Anxiety and Depression Scale (HADS) and the stigma subscale at four time points:
baseline, 4, 8 and 12 weeks after recruitment. Measures of healthcare use will also be
recorded. Additionally, participants in the intervention group will complete a feedback
survey after each intervention session.
A total sample of 60 patients (30 in each arm) will be recruited.
Clinical Significance
If successful, this study will lead to a larger scale phase III trial which tests various
components of the EQUIP intervention, in order to develop a sustainable and effective model
for the provision of palliative care to advanced lung cancer patients.
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