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Partnership-Project - Reinforcing Partnership Between Cancer Patient, General Practitioner and Oncologist During Chemotherapy (PSP)

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ClinicalTrials.gov Identifier: NCT02716168
Recruitment Status : Recruiting
First Posted : March 23, 2016
Last Update Posted : January 9, 2019
Sponsor:
Collaborators:
National Research Center of Cancer Rehabilitation
Research Unit of General Practice, Odense
Department of Oncology, Vejle Hospital
Region of Southern Denmark
Odense Patient Data Explorative Network
Information provided by (Responsible Party):
Theis Trabjerg, University of Southern Denmark

Brief Summary:
Background International guidelines underline the importance of strengthening the coordination and continuity of cancer care. The different roles of general practitioners and oncologists with regard to treatment, follow-up and rehabilitation during and after cancer treatment are often obscure to cancer patients. Parallel courses of healthcare are often taking place instead of coordinated care characterized by continuity and partnership between care providers. Patients may feel uncertain about the health professionals' skills and area of responsibility. Healthcare seeking and support during and after cancer treatment may, therefore, be inappropriate, leaving patients feeling insecure and lost between care providers.The study aims to design and evaluate a new way of communication and shared decision-making that brings the patient, the oncologist and general practitioner together in a shared video-consultation in the early phase of chemotherapeutic treatment. The effect of the intervention in addition to usual care will be tested in a randomized controlled trial at Vejle Hospital in the Region of Southern Denmark. Based on sample size calculation, investigators intent to include 300 patients at the Department of Oncology and their general practitioners. Results and process outcomes will be evaluated qualitatively and quantitatively, questionnaires to patients, general practitioners and oncologists, and data from registers.

Condition or disease Intervention/treatment Phase
Cancer Other: Shared video consultation between patient, general practitioner and oncologist Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 300 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Health Services Research
Official Title: Partnership-Project - Reinforcing Partnership Between Cancer Patient, General Practitioner and Oncologist During Chemotherapy - a Randomized Controlled Trial
Study Start Date : May 2016
Estimated Primary Completion Date : May 2020
Estimated Study Completion Date : May 2020

Arm Intervention/treatment
Experimental: Video consultation
Video consultation between cancer patient, general practitioner and oncologist at the start of chemotherapy treatment
Other: Shared video consultation between patient, general practitioner and oncologist
At the start of the patients chemotherapy treatment a shared video consultation between the patient, general practitioner and oncologist will bee arranged. The video consultation should address distribution of roles, comorbidity, medicine, depression and anxiety symptoms, relatives and social resources.

No Intervention: usual care
Usual care. The patients General Practitioner will receive standard discharge summary and ambulant notes from the oncologist specialist



Primary Outcome Measures :
  1. Shared Care questionnaire [ Time Frame: 7 month after inclusion ]
    Patient reported outcome measure. Cancer patients assessment of their cancer trajectory and their assessment of the cooperation between their General Practitioner and the oncologist specialist.


Secondary Outcome Measures :
  1. Illness Intrusiveness Rating Scale (IIRS) [ Time Frame: 4 and 7 month after inclusion ]
    Patient reported outcome measure. Patients assessment of the cancer disease influence on their daily living.

  2. European Organisation for Research and Treatment of Cancer - Quality of Life questionnaire - Core 30 (EORTC QLQ C30) [ Time Frame: 4 and 7 month after inclusion ]
    Patient reported outcome measure. Cancer patients assessment of their quality of life

  3. European Organisation for Research and Treatment of Cancer - Quality of Life- information questionnaire (EORTC QLQ INFO25) [ Time Frame: 4 and 7 month after inclusion ]
  4. Generalised Anxiety Disorder Assessment (GAD-7) [ Time Frame: 4 and 7 month after inclusion ]
    Patient reported outcome measure. Screening tool and severity measure for generalised anxiety disorder

  5. Patient Health Questionnaire (PHQ-9) [ Time Frame: 4 and 7 month after inclusion ]
    Patient reported outcome measure.The questionnaire monitor the severity of depression and response to treatment.

  6. Oncologist assessment of a video consultation between the patient, General practitioner and oncologist. [ Time Frame: Directly after the video consultation intervention ]
    It measures the oncologist perception of the benefits with the video consultation intervention. Only the intervention group

  7. General practitioners assessment of a video consultation between the patient, General practitioner and oncologist. [ Time Frame: Directly after the video consultation intervention ]
    It measures the General Practitioners perception of the benefits with the video consultation intervention. Only the intervention group.

  8. Patients assessment of a video consultation between the patient, General practitioner and oncologist. [ Time Frame: Directly after the video consultation intervention ]
    It measures the patients perception of the benefits with the video consultation intervention.Only the intervention group

  9. General Practitioner cancer trajectory assessment [ Time Frame: 4 month after the inclusion of the patient. ]
    The General Practitioners assessment of the cooperation between the primary and secondary care regarding af specific cancer patient.



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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Newly referred cancer patient scheduled for chemotherapy at the Department for Oncology, Vejle Hospital, Region of Southern Denmark
  • Aged 18 years and over
  • Able to speak and read Danish
  • Mentally able to cooperate
  • Listed with a general practitioner (98 % of the danish population)
  • Written and verbal informed consent given

Exclusion Criteria:

  • none

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 ClinicalTrials.gov identifier (NCT number): NCT02716168


Contacts
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Contact: Theis B Trabjerg, MD +45 65509228 ttrabjerg@health.sdu.dk

Locations
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Denmark
Department of Oncology, Vejle Hospital, Region of Southern Denmark Recruiting
Vejle, Denmark, 7100
Contact: Theis B Trabjerg, MD    +45 65509228    ttrabjerg@health.sdu.dk   
Principal Investigator: Theis B Trabjerg, MD         
Sub-Investigator: Henrik Jensen, MD., Ph.d.         
Sponsors and Collaborators
University of Southern Denmark
National Research Center of Cancer Rehabilitation
Research Unit of General Practice, Odense
Department of Oncology, Vejle Hospital
Region of Southern Denmark
Odense Patient Data Explorative Network
Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Theis Trabjerg, MD, PhD fellow, University of Southern Denmark
ClinicalTrials.gov Identifier: NCT02716168    
Other Study ID Numbers: Partnership-Project
First Posted: March 23, 2016    Key Record Dates
Last Update Posted: January 9, 2019
Last Verified: January 2019
Keywords provided by Theis Trabjerg, University of Southern Denmark:
Cancer
tele-health
Shared care
Continuity