Study of the Therapeutic Use of Language in Patients With Metastatic Colorectal Cancer

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00711672
Recruitment Status : Completed
First Posted : July 9, 2008
Last Update Posted : June 3, 2015
Information provided by:
Hematology and Oncology Associates of NE Pennsylvania

Brief Summary:
The purpose of this study is to determine if the degree of agreement between patients and their physicians regarding the "story" of the illness correlates with improved patient symptom control and quality of life. Another goal of the study is to examine the actual language used by patients and physicians in a specific clinical situation.

Condition or disease
Colorectal Cancer

Detailed Description:
The purpose of this study is to investigate the co-created therapeutic narrative in scheduled office visits between adult patients with metastatic colorectal carcinoma and their medical oncologists in a community practice setting. The study will focus on the negotiation of the illness narrative and the semiotic (primarily linguistic) tools employed. The study will involve patients from a large community cancer center from Northeastern Pennsylvania (this center sees about 3,000 new patients each year). About 85% of patients with cancer in the United States are treated in this type of setting (National Cancer Institute, 2007), and so many results from this population are applicable to most cancer patients in the United States. The location of this study makes it very different from the majority of medical anthropological studies that are usually performed in urban academic medical centers or in sites outside of the United States or Western Europe. Although community cancer centers are the location of most of the treatment of patients with cancer in the United States, there are few to no studies published studying this patient population.

Study Type : Observational
Actual Enrollment : 5 participants
Observational Model: Cohort
Time Perspective: Prospective
Official Title: Critical Negotiations: Narrative Agreement, Negotiation, and Register Use in Encounters Between Patients With Metastatic Colorectal Carcinoma and Their Oncologists
Study Start Date : July 2008
Actual Primary Completion Date : October 2009
Actual Study Completion Date : October 2009

Resource links provided by the National Library of Medicine

Medical Oncologists treating patients with metastatic colorectal cancer
Patients with metastatic colorectal cancer receiving re-staging CT scans

Primary Outcome Measures :
  1. Correlation of degree of "narrative agreement" with validated quality of life measures [ Time Frame: 6-8 weeks ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Patients with metastatic colorectal carcinoma and their physicians at a large community cancer center in Northeastern Pennsylvania.

Inclusion Criteria:

  • Patients and Physicians at Hematology and Oncology Associates of NE Pennsylvania
  • Patients must have metastatic (stage IV) colorectal carcinoma
  • Patients must be on treatment for their disease
  • Patients must be scheduled for re-staging CT scans
  • Patients must be older than 18 years old

Exclusion Criteria:

  • Patients with a diagnosis other than metastatic colorectal carcinoma
  • Patients not receiving active treatment or not having re-staging CT scans
  • Patients younger than 18 years old

Information from the National Library of Medicine

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 identifier (NCT number): NCT00711672

United States, Pennsylvania
Hematology and Oncology Associates of Northeastern Pennsylvania, PC
Dunmore, Pennsylvania, United States, 18512
Sponsors and Collaborators
Hematology and Oncology Associates of NE Pennsylvania
Principal Investigator: Christian S Adonizio, MD Hematology and Oncology Associates of NE Pennsylvania

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Responsible Party: Christian S Adonizio MD, Hematology and Oncology Associates of Northeastern Pennsylvania, PC Identifier: NCT00711672     History of Changes
Other Study ID Numbers: 808231
First Posted: July 9, 2008    Key Record Dates
Last Update Posted: June 3, 2015
Last Verified: June 2011

Keywords provided by Hematology and Oncology Associates of NE Pennsylvania:
Personal Communication
Doctor Patient Relations
Narrative Medicine

Additional relevant MeSH terms:
Colorectal Neoplasms
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Digestive System Diseases
Gastrointestinal Diseases
Colonic Diseases
Intestinal Diseases
Rectal Diseases