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Development and Evaluation of a Life Review Program for Advanced Cancer Patients in Fuzhou, China

Phase 4
18 Years
Open (Enrolling)
Advanced Cancer

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Trial Information

Development and Evaluation of a Life Review Program for Advanced Cancer Patients in Fuzhou, China

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.

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

Type of Study:


Study Design:

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Outcome Measure:

quality of life

Outcome Time Frame:

three weeks and six weeks

Safety Issue:


Principal Investigator

Enid Kwong, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

School of Nursing, The Hong Kong Polytechnic University


China: Ethics Committee

Study ID:




Start Date:

February 2009

Completion Date:

August 2010

Related Keywords:

  • Advanced Cancer
  • life review
  • quality of life
  • advanced cancer patients
  • Neoplasms