Using Whole-Person-Care Guide in Patients Receiving Care for Cancer or Complications From Cancer Treatment
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|ClinicalTrials.gov Identifier: NCT00608738|
Recruitment Status : Completed
First Posted : February 6, 2008
Last Update Posted : July 10, 2012
RATIONALE: Gathering information about patients with cancer and cancer-related conditions may help doctors learn more about a patient's needs and help doctors plan the best treatment.
PURPOSE: This clinical trial is studying how well a whole-person-care guide works in identifying patient needs in patients with cancer or complications from cancer treatment.
|Condition or disease||Intervention/treatment||Phase|
|Chemotherapeutic Agent Toxicity Infection Malnutrition Musculoskeletal Complications Neutropenia Radiation Toxicity Thrombocytopenia Unspecified Adult Solid Tumor, Protocol Specific||Other: informational intervention Other: medical chart review Other: questionnaire administration Procedure: assessment of therapy complications Procedure: management of therapy complications||Not Applicable|
- To determine what patient needs are detected from NEST13+ interviews of cancer patients and their caregivers.
- To determine the concordance among patient, caregiver, and team goals.
- To determine palliative care services provided.
OUTLINE: Participants are assigned sequentially to 1 of 2 intervention groups.
- Group 1 (NEST13+): Patients and caregivers undergo NEST13+ interviews at the time of admission to Northwestern Memorial Hospital (caregivers answer the NEST13+ interviews from the patient's perspective). A NEST13+ care plan is then derived from both patient and caregiver responses. Research MD or RN presents patient's NEST13+ findings and recommended interventions for integration with actual care. On the day of discharge, patients and caregivers undergo a second NEST13+ interview.
- Group 2 (control): Patients and caregivers undergo a sham interview at the time of admission to Northwestern Memorial Hospital. On the day of discharge, patients and caregivers undergo a NEST13+ interview as in group 1.
Medical charts for all patients are reviewed by a member of the research staff to document needs assessments in domains covered by NEST and to document palliative care-related decisions. Abstracted chart review by blinded experts is also performed to evaluate palliative care quality based on National Comprehensive Cancer Network guidelines.
PROJECTED ACCRUAL: A total of 500 patients and 250 caregivers will be accrued for this study.
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||750 participants|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Developing a Nested Whole-Person-Care Guide: Screening and Evaluation Steps (American Cancer Society) ACS|
|Study Start Date :||July 2001|
|Actual Primary Completion Date :||January 2005|
|Actual Study Completion Date :||January 2005|
- Patient needs detected
- Concordance among patient, caregiver, and team goals
- Qualitative and quantitative evaluation of palliative care services provided
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00608738
|Study Chair:||Linda Emanuel, MD, PhD||Robert H. Lurie Cancer Center|