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RCT of Patient, Caregiver and Physician Communication Coaching in Advanced Cancer


Phase 2
21 Years
N/A
Open (Enrolling)
Both
Cancer

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Trial Information

RCT of Patient, Caregiver and Physician Communication Coaching in Advanced Cancer


The purpose of this study is to (a) determine whether a combined intervention for patients,
caregivers and physicians improves communication regarding prognosis and treatment choices
in advanced cancer, (b) to determine whether the intervention improves patient and caregiver
well-being, quality of life and sense of peace, and (c) to determine whether the
intervention affects health services utilization.


Inclusion Criteria:

Physicians

- Currently in clinical practice at participating institutions

- Oncologist that cares for patients with solid tumors

- Not planning to leave the practice during the next 6 months

Inclusion Criteria:

Patients

- Currently a patient of an enrolled physician

- Age 21 years or older

- Diagnosis of advanced cancer

- Able to understand spoken English (study personnel will read materials to low
literacy patients)

Inclusion Criteria:

Caregivers

- Caregiver of a patient currently enrolled in the study

- Age 21 years or older

- Able to understand spoken English (study personnel will read materials to low
literacy patients)

Exclusion Criteria: Physicians

- Non Physicians and physicians who are not oncologists

- Oncologists who exclusively care for patients with hematological malignancies

- Prior involvement in health-related coaching interventions

Exclusion Criteria: Patients

- Unable to complete orally-administered surveys in English

- Hospitalized or in hospice care at the time of recruitment

- Prior involvement in health-related coaching interventions

- Anticipating bone marrow transplantation or diagnosed with leukemia or lymphoma

Exclusion Criteria: Caregiver

Unable to complete orally-administered surveys in English

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject)

Outcome Measure:

Treatment Intent and Prognosis

Outcome Description:

Investigators will assess patient question-asking, assertive responses and expressions of concern.

Outcome Time Frame:

2 years

Safety Issue:

No

Principal Investigator

Ronald Epstein, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

University of Rochester

Authority:

United States: Institutional Review Board

Study ID:

35388

NCT ID:

NCT01485627

Start Date:

September 2011

Completion Date:

August 2015

Related Keywords:

  • Cancer
  • Cancer
  • End of Life
  • Solid Tumor

Name

Location

University of RochesterRochester, New York  14642