Improving Psychosocial Quality of Life in Women With Advanced Breast Cancer
1 other identifier
interventional
150
1 country
2
Brief Summary
Through a patient participation aid (PPA) the investigators hope to improve the psychosocial well-being of women diagnosed with metastatic breast cancer by empowering them to be active participants in clinical encounters.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable breast-cancer
Started Dec 2013
Typical duration for not_applicable breast-cancer
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 19, 2013
CompletedFirst Posted
Study publicly available on registry
March 14, 2013
CompletedStudy Start
First participant enrolled
December 1, 2013
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 19, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
May 19, 2017
CompletedJuly 14, 2017
July 1, 2017
3.5 years
February 19, 2013
July 11, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Functional Assessment of Cancer Therapy - General (FACT-G)
Evaluated at 30 minutes prior to, one week after, and 3 months after the patients visit with their doctor, this measure collects scales of the social and family well-being, emotional well-being, and functional well-being.
Change in functional assessment of cancer therapy from pre-visit at 3 months post-visit
Secondary Outcomes (1)
Rapid Estimate of Adult Literacy in Medicine (REALM-SF)
Pre-Visit
Other Outcomes (1)
Decision Regret Scale
Change in decision regret from pre-visit at 3 months post-visit
Study Arms (2)
Intervention
EXPERIMENTALParticipants will begin with a pre-visit structured interview to determine emotional and physical well-being, anxiety, depression, and self-efficacy. Then they will be helped through the Patient-Participation Aid (PPA) by the research assistant (RA). Then they will meet with their doctor while the visit is video-recorded. After they will complete a post-visit interview to see if there were any health decisions made, patients level of involvement, and doctor communication. Follow up phone interviews will be conducted at 1 week and 3 months to assess patients self-reported changes in well-being, anxiety, depression, and decision regret.
Usual Care
NO INTERVENTIONParticipants will begin with a pre-visit structured interview to determine emotional and physical well-being, anxiety, depression, and self-efficacy. They will have their doctor's visit video recorded. After they will complete a post-visit interview to see if there were any health decisions made, patients level of involvement, and doctor communication.Follow up phone interviews will be conducted at 1 week and 3 months to assess patients self-reported changes in well-being, anxiety, depression, and decision regret.
Interventions
The PPA consists of a folder that addresses the three behaviors we hope to influence: agenda setting, asking questions, and making preferences known. The information inside contains sample questions for each section, with room for the patient to write her own questions. Each section models behavior by giving context for the items and specific example questions. It also addresses barriers to understanding by indicating that it is acceptable to ask questions when something is not clear or terms are unfamiliar.
Eligibility Criteria
You may qualify if:
- female patients with metastatic breast cancer seeing one of the study physicians at one of the identified study clinics
- age 21 or older
- having suspected progression of metastatic disease
You may not qualify if:
- patients with an uncorrectable hearing impairment or having limited English proficiency, as this would adversely affect their ability to communicate with the physician
- patients with uncorrectable vision impairment, as this would make it impractical for the patient to read the intervention
- patients too ill to meaningfully converse with the physician
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Northwestern Universitylead
- American Cancer Society, Inc.collaborator
Study Sites (2)
H Lee Moffitt Comprehensive Cancer Center
Tampa, Florida, 33612, United States
Feist-Weiller Cancer Center
Shreveport, Louisiana, 71103, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Marla Clayman, Ph.D
Northwestern University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- INVESTIGATOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Adjunct Faculty
Study Record Dates
First Submitted
February 19, 2013
First Posted
March 14, 2013
Study Start
December 1, 2013
Primary Completion
May 19, 2017
Study Completion
May 19, 2017
Last Updated
July 14, 2017
Record last verified: 2017-07
Data Sharing
- IPD Sharing
- Will not share