NCT03649984

Brief Summary

The Symptom Navi© Program is a program to support symptom self-management of 16 core symptoms frequently experienced by patients in outpatient oncology units.The current study aims to pilot test the implementation of the Symptom Navi© Program under real-life conditions by evaluating procedures, testing preliminary effectiveness and assessing potential unintended effects using a cluster-randomised waitlist design complemented by qualitative methods.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
134

participants targeted

Target at P50-P75 for not_applicable cancer

Timeline
Completed

Started Oct 2017

Geographic Reach
1 country

9 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 17, 2017

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

May 30, 2018

Completed
3 months until next milestone

First Posted

Study publicly available on registry

August 28, 2018

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 12, 2019

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 12, 2019

Completed
Last Updated

August 24, 2020

Status Verified

August 1, 2020

Enrollment Period

1.5 years

First QC Date

May 30, 2018

Last Update Submit

August 21, 2020

Conditions

Keywords

Symptom-managementOutpatientsNurse-led interventionImplementation

Outcome Measures

Primary Outcomes (1)

  • Change in patient-reported symptom interference with daily function

    Symptom interference with daily function in the affective and activity subdimension scores of the MD Anderson Symptom Inventory (MDASI)

    Change from baseline to 16 weeks

Secondary Outcomes (5)

  • Reach of intervention in terms of proportion of eligible vs. participating patients

    Up to 16 weeks

  • Change in patient-reported self-efficacy

    Change from baseline to 16 weeks

  • Change in patient-reported symptom severity

    Change from baseline to 16 weeks

  • Change in patient-reported quality of nursing care

    Change from baseline to 16 weeks

  • Incidence of Intervention-Emergent Adverse Events

    Up to 16 weeks

Study Arms (2)

Symptom Navi© Program

EXPERIMENTAL

Nurses provide two semi-structured consultation to facilitate basic symptom self-management of patients based in the Symptom Navi© Flyers

Behavioral: Symptom Navi© Program

Standard care

NO INTERVENTION

Standard care including information about treatment, potential side effects and expected symptoms under treatment with or without additional written material following the established procedure at the centre.

Interventions

Trained nurses provide two semi-structured patient education consultations with Symptom Navi© Flyers. Patients will use the Symptom Navi© Flyers individually at home.

Symptom Navi© Program

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age ≥ 18 years
  • newly diagnosed with cancer within 15 weeks prior to informed consent signature
  • planned to receive first cycle of their first-line pharmacological anti-cancer treatment in an outpatient centre (intravenous, oral or subcutaneous)
  • signed informed consent

You may not qualify if:

  • not sufficiently literate in German language to understand written information or follow an interview
  • recurrence of cancer disease
  • cared by a palliative care team
  • being treated solely with surgical or radiation therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Kantonsspital Aarau

Aarau, Switzerland

Location

Gynäkologisches Tumorzentrum Universitätsspital Basel

Basel, Switzerland

Location

Oncocare, Klinik Engeried Bern

Bern, Switzerland

Location

Kantonsspital Graubünden

Chur, Switzerland

Location

Hôpital fribourgeois - Meyriez-Murten / Tagers

Murten/Morat, Switzerland

Location

Tumor- und Brustzentrum ZeTuP Rapperswil

Rapperswil, Switzerland

Location

Rundum Onkologie am Bahnhofpark Sargans

Sargans, Switzerland

Location

Solothurner Spitäler AG - Kantonsspital Olten / Bürgerspital Solothurn

Solothurn, Switzerland

Location

Spital STS AG - Thun

Thun, Switzerland

Location

Related Publications (3)

  • Bana M, Ribi K, Peters S, Kropf-Staub S, Naf E, Zurcher-Florin S, Stoffel B, Blaeuer C, Borner M, Malin D, Biber R, Betticher D, Kuhn-Bachler T, Cantoni N, Seeger T, Butikofer L, Eicher M; Symptom Navi Program Group. Pilot Testing of a Nurse-Led Basic Symptom Self-management Support for Patients Receiving First-Line Systemic Outpatient Anticancer Treatment: A Cluster-Randomized Study (Symptom Navi Pilot Study). Cancer Nurs. 2021 Nov-Dec 01;44(6):E687-E702. doi: 10.1097/NCC.0000000000000995.

  • Bana M, Ribi K, Kropf-Staub S, Naf E, Schramm MS, Zurcher-Florin S, Peters S, Eicher M. Development and implementation strategies of a nurse-led symptom self-management program in outpatient cancer centres: The Symptom Navi(c) Programme. Eur J Oncol Nurs. 2020 Feb;44:101714. doi: 10.1016/j.ejon.2019.101714. Epub 2019 Dec 20.

  • Bana M, Ribi K, Kropf-Staub S, Zurcher-Florin S, Naf E, Manser T, Butikofer L, Rintelen F, Peters S, Eicher M. Implementation of the Symptom Navi (c) Programme for cancer patients in the Swiss outpatient setting: a study protocol for a cluster randomised pilot study (Symptom Navi(c) Pilot Study). BMJ Open. 2019 Jul 9;9(7):e027942. doi: 10.1136/bmjopen-2018-027942.

MeSH Terms

Conditions

Neoplasms

Study Officials

  • Manuela Eicher, Prof. Dr.

    UniLausanne

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: cluster-randomized waitlist design
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Prof. Dr.

Study Record Dates

First Submitted

May 30, 2018

First Posted

August 28, 2018

Study Start

October 17, 2017

Primary Completion

April 12, 2019

Study Completion

April 12, 2019

Last Updated

August 24, 2020

Record last verified: 2020-08

Locations