Randomized Study of Individualized Care Plans for Hematopoietic Cell Transplant Survivors
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Adult Hematopoietic Cell Transplant (HCT) Survivors 1-2 Yrs Post Most Recent HCT
- Sponsor
- Center for International Blood and Marrow Transplant Research
- Enrollment
- 495
- Locations
- 17
- Primary Endpoint
- Change in Confidence in Survivorship Information instrument score
- Status
- Completed
- Last Updated
- 8 years ago
Overview
Brief Summary
This randomized study will compare a personalized Survivorship Care Plan (SCP) template with usual care (no SCP). The investigators hypothesize that the personalized SCP that incorporates patient specific treatment exposures and provides a framework for long term followup based on those exposures and subsequent risks for late complications will enhance patient survivorship confidence in knowledge, increase adherence to recommended healthcare, improve health behaviors and reduce HCT-related emotional distress.
Detailed Description
This randomized study will compare a personalized Survivorship Care Plan (SCP) template with usual care (no SCP). The investigators hypothesize that the personalized SCP that incorporates patient specific treatment exposures and provides a framework for long term followup based on those exposures and subsequent risks for late complications will enhance patient survivorship confidence in knowledge, increase adherence to recommended healthcare, improve health behaviors and reduce hematopoietic cell transplant (HCT) - related emotional distress. The randomized study design will be able to evaluate the efficacy of individualized SCP in enhancing transplant survivor knowledge, health behaviors and health care utilization for recommended preventive care. Most transplant centers do not use a standardized SCP for their HCT recipients, and hence, the control arm would represent prevalent standard of care (e.g., discharge summary, provider-to-provider communication). Transplant centers that will participate in this study will represent a spectrum of center types (e.g., geographic location, center volume, resources and infrastructure) and patient populations (e.g., healthcare disparities, urban/rural population, distance from transplant center). Usual care for each center will be documented at the time of determining center eligibility. The study principal investigators, in consultation with the protocol team, will make the determination about center eligibility after reviewing the centers "usual care" procedures. In order to avoid contamination of the study intervention, centers will be asked not to change their follow-up practices for the period they are enrolling patients on the study. The primary objective of the investigators study is to evaluate the impact of an individualized SCP on survivor knowledge about past diagnostic and treatment details, confidence in knowledge about prevention and treatment of late-effects, access to resources and familial risk of cancer. For this objective, the investigators will compare the change in score on the Confidence in Survivorship Information instrument from baseline to 6 months after the study intervention. Secondary objectives will investigate the influence of individualized SCP on standardized measures of HCT related distress, knowledge of recommended care, health behaviors, self-efficacy, and health care utilization.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult (≥ 18 years at time of allogeneic HCT recipient at participating transplant centers)
- •Survival 1-2 years after most recent HCT with no evidence of relapse, disease progression, or secondary cancer on last follow-up
- •All diagnoses will be eligible
- •All transplant types will be eligible (autologous or allogeneic related or unrelated)
- •All graft sources will be eligible (bone marrow, peripheral blood or umbilical cord blood)
- •All conditioning regimens will be eligible (in case of allogeneic HCT, patient could have received myeloablative or non-myeloablative/reduced-intensity conditioning)
- •Patient may have received more than one HCT
- •Patient must be proficient in English (written and spoken) to complete study assessments
- •Patient must have a valid mailing address within the United States to receive study materials
- •Signed informed consent form from patient
Exclusion Criteria
- •Patients who have received their transplant at a different transplant center will not be eligible for the study
Outcomes
Primary Outcomes
Change in Confidence in Survivorship Information instrument score
Time Frame: baseline to 6 months after the study intervention
Secondary Outcomes
- Change in HCT treatment distress instrument score(baseline to 6 months after the study intervention)
- Change in Health behaviors instrument score(baseline to 6 months after the study intervention)
- Changes in Healthcare utilization instrument score(baseline to 6 months after the study intervention)
- Change in Knowledge about transplant exposures instrument score(baseline to 6 months after the study intervention)
- Change in Quality of life instrument score(baseline to 6 months after the study intervention)
- Change in Self-efficacy instrument score(baseline to 6 months after the study intervention)