试验雷达 AI | ||
|---|---|---|
临床试验 NCT04733469 (EMPOWER 3) 针对癌症,恶性肿瘤目前进行中(不再招募)。请查看临床试验雷达卡片视图和 AI 发现工具了解所有详情,或在此提出任何问题。 | ||
EMPOWER 3: Improving Palliative Care Health Literacy and Utilization 172 随机化
EMPOWER 3: Improving Palliative Care Health Literacy and Utilization
- EMPOWER 3
- 134579-RSG-20-058-01-PCSM
| 参与者组/试验组 | 干预措施/治疗方法 |
|---|---|
实验性Multimedia Psychoeducational Intervention + Enhanced Usual Care Intervention participants receive the Multimedia Psychoeducational Intervention in addition to Enhanced Usual Care | Multimedia Psychoeducational Intervention The Multimedia Psychoeducational Intervention includes a multimedia educational video plus additional resources to reinforce the video content. The Multimedia Psychoeducational Intervention includes the following:
* A multimedia educational video about palliative care that is individually tailored to each patient's level of education and health literacy
* Take-home and online copies of the video for repeat viewing
*...显示更多 增强的常规护理 Enhanced Usual Care refers to usual care plus minor enhancement to improve quality and standardization. Enhanced Usual Care includes the following:
* Usual care
* A packet of flyers and handouts with general information on psychosocial oncology services derived from the American Society of Clinical Oncology (ASCO), Center to Advance Palliative Care (CAPC), and American Cancer Society (ACS) |
其他Enhanced Usual Care Control participants receive Enhanced Usual Care | 增强的常规护理 Enhanced Usual Care refers to usual care plus minor enhancement to improve quality and standardization. Enhanced Usual Care includes the following:
* Usual care
* A packet of flyers and handouts with general information on psychosocial oncology services derived from the American Society of Clinical Oncology (ASCO), Center to Advance Palliative Care (CAPC), and American Cancer Society (ACS) |
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
Aim 1: Palliative Care Knowledge Scale (PaCKS) | Percentage correct on 13 items; higher scores indicate greater knowledge | Post-test of Visit 1, typically day 1 |
| 结果指标 | 度量标准描述 | 时间框架 |
|---|---|---|
Aim 2a: Palliative Care Attitudes Scale (PCAS-9) | Total score from 0-36; higher scores indicate more positive attitudes | Post-test of Visit 1, typically day 1 |
Aim 2b: Palliative Care Utilization | Utilization of palliative care (presence/absence) | Up to 90 days |
Aim 3a: Patient-Reported Outcome Measurement Information System (PROMIS) Self-Efficacy for Managing Chronic Conditions | Total score from 8-40 on 8 items from PROMIS self-efficacy for managing symptoms and self-efficacy for managing emotions items banks; higher scores indicate greater self-efficacy | Follow-up at 14, 90, and 180 days |
Aim 3b: PROMIS Emotional Distress | Total score from 8-40 on 8 items from the PROMIS Depression and Anxiety item banks; higher scores indicate greater symptom severity | Follow-up at 14, 90, and 180 days |
Aim 3c: Edmonton Symptom Assessment Scale (ESAS)-Physical | Total score from 0-60 on 6 ESAS ratings of pain, tiredness, drowsiness, nausea, poor appetite, and difficulty breathing; higher scores indicate greater symptom severity | Follow-up at 14, 90, and 180 days |
Adult, age 18 or older
Meets criteria for 2a or 2b. 2a) The patient's doctor believes they may be appropriate for palliative cancer care OR 2b) The patient has a new diagnosis, recurrence, or progression of cancer in the past 90 days AND any of the following:
Advanced cancer, such as:
Lung Cancer: Stage IIIB or IV non-small cell, or extensive stage small cell
Breast Cancer: Stage IV
Gastrointestinal (GI) Cancers: Unresectable stage III or stage IV
Genitourinary (GU) Cancers: Stage IV
Melanoma: Stage IV
Hematologic Malignancies
- Leukemia (e.g., acute myeloid leukemia \[AML\], acute lymphoblastic leukemia \[ALL\], chronic myeloid leukemia (CML), chronic lymphocytic leukemia \[CLL\]): advanced stage, treatment refractory, poor prognosis cell type or chromosomal abnormalities, older age
- Lymphoma: Stage IV or treatment refractory Hodgkin's disease or non-Hodgkin's lymphoma Multiple Myeloma: elevated β2-microglobulin, albumin <3.5, PCLI >1%, CRP >6µg/mL, elevated LDH, plasmablastic morphology, or abnormal chromosome 13
Advanced heart, lung, renal (kidney), or liver disease
Two or more severe symptoms (≥7 on 0-10 scale): pain, tiredness, drowsiness, nausea, bad appetite, shortness of breath, depression, or anxiety
Patient can understand spoken or written English
Patient receives care in southeast Louisiana
- Known history of receiving specialty palliative care or hospice
- Significant psychiatric or other co-morbid disease that would prohibit informed consent or participation in the study
- Unlikely to complete any follow-up surveys
American Cancer Society, Inc.
University Medical Center-New Orleans
Louisiana