Pain Clinical Trial
Official title:
Adaptation of Ca-HELP Intervention in Rural Geriatric Cancer Patient Population
Verified date | March 2023 |
Source | Weill Medical College of Cornell University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The Cancer Health Empowerment for Living without Pain (Ca-HELP) is an evidence-based communication tool that empowers and engages patients to communicate effectively with their physicians about pain. The Ca-HELP intervention is rooted in social-cognitive theory which posits that behavior change and maintenance depends largely on individuals' ability and self-efficacy to execute a specific behavior. Ca-HELP coaches patients to ask questions, make requests, and signal distress to their physicians in order to achieve improved pain control. Previous research indicates significant improvement among cancer patients in their self-efficacy to communicate about their pain to their oncologists and reductions in pain misconceptions and pain-related impairment. Although a promising tool among geriatric cancer patients, Ca-HELP is not currently designed for optimal dissemination in rural settings.
Status | Completed |
Enrollment | 30 |
Est. completion date | May 5, 2022 |
Est. primary completion date | May 5, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility | Patient Inclusion Criteria: - 65 years of age or older - Diagnosed with cancer - English speaking - Reside in non-institutional, rural settings - Receive care at community-based clinic in rural area - Ability to provide informed consent - Have identified an informal caregiver. Patient Exclusion Criteria: - Severe cognitively impairment (Short Portable Mental Status Questionnaire scores of <6); - Receiving hospice at time of enrollment. Caregiver eligibility criteria include the following - The person (family member or friend) whom the patient indicates provides most of their informal care - Able to provide informed consent. Provider eligibility criteria: -Currently works with geriatric cancer patients OR in a healthcare system serving this patient population. Providers will include social workers, nurses, oncologists, and healthcare administrators. |
Country | Name | City | State |
---|---|---|---|
United States | Maury Regional Medical Center | Columbia | Tennessee |
Lead Sponsor | Collaborator |
---|---|
Weill Medical College of Cornell University | Brown University, Fred Hutchinson Cancer Center, Maury Regional Medical Center, National Institute on Aging (NIA) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feasibility (Aim 2), as Measured by Number of Subjects Accrued to the Study | Number of subjects accrued | Two weeks post-intervention | |
Primary | Feasibility (Aim 2), as Measured by Number of Subjects to Complete the Intervention | Number of subjects to complete intervention | Two weeks post-intervention | |
Primary | Acceptability (Aim 2), as Measured by Qualitative Feedback | Semi-structured interview assessing perceived satisfaction, helpfulness, usability, and readability. This interview will be coded qualitatively for themes that assess these components for assessment of overall acceptability. Qualitative data was analyzed as number of subjects endorsing specific themes. Themes around usability and readability did not emerge from the semi-structured interviews, thus no data on usability or readability were available to analyze. | Two weeks post-intervention | |
Primary | Acceptability (Aim 2), as Measured by Helpfulness | Likert scale item assessing perceived helpfulness. Likert scale from 1 (not at all helpful) to 5 (very helpful), with 5 indicating higher levels of acceptability. | Two weeks post-intervention | |
Primary | Acceptability (Aim 2), as Measured by Satisfaction | Likert scale item assessing perceived satisfaction. Likert scale from 1 (not at all satisfied) to 5 (very satisfied), with 5 indicating higher levels of acceptability. | Two weeks post-intervention | |
Primary | Acceptability (Aim 2), as Measured by Usability | Likert scale item assessing perceived usability by assessing how difficult the intervention content was to understand. Likert scale from 1 (not at all) to 5 (very much). The item was reverse scored so that 5 indicates higher levels of acceptability. | Two weeks post-intervention | |
Primary | Acceptability (Aim 2), as Measured by Readability | Yes/no items assessing perceived readability (wording was too complicated, ideas were too complicated, there was too much information, there was not enough information). Individual items will be summed to create a total readability score. Scores can range from 0 (no issues/ good readability) to 4 (poor readability). *Note these questions were only answered among participants who indicated that the intervention content was difficult to understand (eg, poor usability) by scoring >1 on the 1 to 5 Likert-scale of usability. | Two weeks post-intervention | |
Primary | Change in Pain Self-management (Aim 3) | Two items from the pain management subscale of the Chronic Pain Self-Efficacy scale. Items rated on a 5-point Likert scale (1 = not at all certain and 5 = extremely certain). Scores range from 2 (low self-management) to 10 (high self-management). | Baseline, two weeks post-intervention | |
Primary | Change in Pain Misconceptions (Aim 3) | Assessed using the 11 items based on the short version of the Barriers Questionnaire. Items are rated on a five-point Likert scale (1=disagree very much, 5=agree very much). Scores range from 1 (low misconception) to 5 (high misconception) as an average across all 11 items. | Baseline, two weeks post-intervention | |
Secondary | Treatment Fidelity as Measured by Number of Subjects for Which the Intervention Was Delivered With Fidelity | Treatment fidelity will be assessed with a checklist that captures whether session content was delivered and appropriate techniques were utilized. | Two weeks post-intervention | |
Secondary | Change in Self-efficacy for Communicating With Physicians About Pain Severity | Assessed using the 5-item Perceived Efficacy in Patient-Physician Interactions scale as modified to refer to communication with oncologists. Items are rated on a five-point Likert scale (1=not at all confident, 5 = very confident). Scores range from 5 (low self-efficacy) to 25 (high self-efficacy). | Baseline, two weeks post-intervention | |
Secondary | Change in Pain-related Impairment | Measured using the 6-item Medical Outcomes Study (MOS) Pain Impairment Scale. Items are rated on a five-point likert scale (1=not at all, 5 = extremely). Scores can range from 6 (low pain impairment) to 30 (high pain impairment). | Baseline, two weeks post-intervention | |
Secondary | Change in Pain Severity | Assessed as the mean of the average and worst pain over the past two weeks on a 0 to 10 scale (0 = no pain and 10 = worst pain imaginable). | Baseline, two weeks post-intervention |
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