The Effect of Telephone Counseling on the Compliance and Satisfaction for Advanced HCC Patients Receiving Sorafenib
- Conditions
- Hepatocellular Carcinoma
- Interventions
- Other: telephone counseling
- Registration Number
- NCT02564666
- Lead Sponsor
- Asan Medical Center
- Brief Summary
Sorafenib is an oral multikinase inhibitor with antiproliferative and antiangiogenic effects used as systemic treatment in patients with unresectable hepatocellular carcinoma.
Although sorafenib has demonstrated many clinical benefits in patients, its adverse cannot be ignores.
This drug occasionally causes severe adverse events (AEs), which include hand-foot skin reaction (HFSR), hypertension, diarrhea, anorexia, fatigue, weight loss, and so on. Although most adverse events are reversible, they can significantly impact a patient's quality of life and occasionally result in dose reduction or discontinuation of therapy Patients are also more likely to remain on treatment if they are guided over the difficult initial 4\~6wks of therapy during which time the development of adverse events following sorafenib treatment initiation are most likely to occur.
Patient education, proactive management and establishing and maintaining open communication between patients and the nurse are crucial to the effective management of these adverse events.
This study design is a randomized controlled trial and 64 patients will be randomized to one of 2 groups in a 1:1 ratio. 32 patients will be enrolled into the controlled group and the rest of 32 patients will be enrolled into the intervention group. The intervention group will be received the routine telephone calls of six times at intervals of once a week during 10\~15 minutes (from a well-trained nurse)
The purpose of this study is to confirm whether an effective intervention that telephone counseling and education by a nurse can increase drug compliance for patients with HCC who is taking Sorafenib and is to use for developing individual educational program as a fundamental data that can be applied for patients taking Sorafenib after investigating patient satisfaction by "The Satisfaction with information about Medicines Scale(SIMS)" tool.
- Detailed Description
This study design is a randomized controlled trial and 64 patients will be randomized to one of 2 groups in a 1:1 ratio. 32 patients will be enrolled into the controlled group and the rest of 32 patients will be enrolled into the intervention group. The intervention group will be received the routine telephone calls of six times at intervals of once a week during 10\~15 minutes (from a well-trained nurse)
The purpose of this study is to confirm whether an effective intervention that telephone counseling and education by a nurse can increase drug compliance for patients with HCC who is taking Sorafenib and is to use for developing individual educational program as a fundamental data that can be applied for patients taking Sorafenib after investigating patient satisfaction by "The Satisfaction with information about Medicines Scale(SIMS)" tool.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 64
- Patient who agrees voluntarily
- Patient with a diagnosis of HCC is receiving Sorafenib monotherapy.
- Child-Pugh class, A or B, ECOG PS 0~2
- 20 years of age or older.
- Patient who can listen and speak Korean
- lack of cognitive ability or any r psychiatric illness
- Patient who is receiving combination treatment of TACE or other HCC treatment with Sorafenib.
- A hearing-impaired patient.
- Patient who has accompanied other primary malignants tumor in other organs except for HCC.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Telephone counseling telephone counseling regular telephone counseling per week
- Primary Outcome Measures
Name Time Method Drug compliance for patients with HCC who is taking Sorafenib compliance 6 weeks "Drug compliance for patients with HCC who is taking Sorafenib" as Assessed by MMAS-8 Score and compare "MMAS-8 score" between control group and intervention group.
Measurement is Scores range from 0 \[high adherence\] to 3\~8 \[low adherence\] )
- Secondary Outcome Measures
Name Time Method Survival rate 12 months Duration of dosing period 12 months
Trial Locations
- Locations (1)
Asan Medical Center
🇰🇷Seoul, Korea, Republic of