Intervention Study on Life Review Among Advanced Cancer Patients in Fuzhou, China

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: NCT00951262
Recruitment Status : Completed
First Posted : August 4, 2009
Last Update Posted : February 11, 2014
Information provided by:
The Hong Kong Polytechnic University

Brief Summary:
This study aims to develop a life review program and test its effectiveness on a sample of patients with advanced cancer patients receiving palliative care at home in Fuzhou.

Condition or disease Intervention/treatment Phase
Advanced Cancer Behavioral: a life review program Phase 4

Detailed Description:
A life review program is mainly developed based on Erickson's theory, Confucius's teaching on human development, and the empirical findings of the researcher's preliminary study and pre-pilot study. The program covers reviewing a life for advanced cancer patients and formulating a booklet for them. A randomized controlled trial will be adopted for evaluation of this program. Eligible patients will be randomly assigned to the experimental group and the control group. The subjects in the experimental group will receive a life review program for three weeks. The outcome measure is quality of life (QOL), including domains of physical discomfort, food-related concerns, health care concerns, support, negative emotions, sense of alienation, existential distress and value of life. Subjects' QOL will be assessed before commencement of the program (T0) and one day (T1) and three weeks (T2) after the completion of the program for all subjects in two groups. Perceptions of the program will be elicited within three days after the program for subjects in the experimental group.Descriptive statistics will be used to analyze patients' personal information, disease related information, functional performance and QOL of advanced cancer patients. Repeated measures ANOVA will be used to measure QOL differences in between-group, within-group and interaction effects. Content analysis will be used to analyze the qualitative data collected.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 80 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: Development and Evaluation of a Life Review Program for Advanced Cancer Patients in Fuzhou, China
Study Start Date : February 2009
Actual Primary Completion Date : April 2010
Actual Study Completion Date : June 2010

Arm Intervention/treatment
Experimental: life review
a life review program includes 3-session life review and formulation of a life review book as a gift for advanced cancer patients.
Behavioral: a life review program
The life review program includes reviewing a life and formalating a life booklet. Reviewing a life consists of three weekly sessions separately addressing illness experience, adulthood life and childhood and adolescence life. Each session lasts about 30 to 60mintues.A booklet with photos documented significant life events will be produced as a gift for the subjects. The edition, photos and contents fo the booklet are determined by the subjects.
Other Name: evaluative reminence

No Intervention: controlled group
the subjects in the controlled group do not receive the life review program

Primary Outcome Measures :
  1. quality of life [ Time Frame: three weeks and six 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

Inclusion Criteria:

  1. Patients who are newly admitted to the study hospice
  2. Patients who are suffering from cancer with metastasis made by a physician
  3. Patients who know their diagnosis, prognosis and therapy
  4. Patients' functional performance (the score of KPS) at or more than 50%
  5. Patients who are adults (≥18 years old)
  6. Patients who have no cognitive and verbal communication impairments

Exclusion Criteria:

  1. Patients with planned treatments, such as chemotherapy, radiotherapy or surgery
  2. Patients with psychiatric disorders
  3. Patients who live outside Fuzhou since the following-up home visit services are not extended to those areas

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): NCT00951262

China, Fujian
The Fujian Hospice
Fuzhou, Fujian, China, 350001
Sponsors and Collaborators
The Hong Kong Polytechnic University
Principal Investigator: Enid Kwong, PhD School of Nursing, The Hong Kong Polytechnic University

Responsible Party: Enid Kwong, School of Nursing, The Hong Kong Polytechinich University Identifier: NCT00951262     History of Changes
Other Study ID Numbers: HSEARS20090205002
First Posted: August 4, 2009    Key Record Dates
Last Update Posted: February 11, 2014
Last Verified: August 2009

Keywords provided by The Hong Kong Polytechnic University:
life review
quality of life
advanced cancer patients

Additional relevant MeSH terms: