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Studying Survivorship Care Plans in Head and Neck Cancer

Not Applicable
Terminated
Conditions
Head and Neck Cancer
Interventions
Other: educational materials
Registration Number
NCT03106090
Lead Sponsor
Duke University
Brief Summary

The study will focus on survivorship care for head and neck cancer patients cared for within Duke Cancer Center clinics. Standardized survivorship care plans (sSCP) are being implemented based on the American Society for Clinical Oncology's criteria. These documents provide a summary of treatment received, and list side effects and follow-up information after cancer treatment. Taking advantage of this transition, the investigator will study three groups of patients: (a) early survivors treated before the sSCP was implemented, (b) early survivors treated after the sSCP was implemented, and (c) current patients who will receive an individualized enhanced SCP (eSCP), which will include additional information tailored to patient preferences. The investigators hypothesize that patients receiving enhanced survivorship care plans will increase their knowledge regarding their health care plan and wellness trajectory; increase their ability to identify the symptoms they most likely can expect as a result of their cancer treatment; and be more likely to engage in conversations with their PCP about healthy behaviors and screening guidelines.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
6
Inclusion Criteria
  • Completed treatment for a head or neck cancer at Duke Cancer Center within 4 months of consent OR
  • Will complete treatment for a head and neck cancer at Duke Cancer Center within 3 weeks of consent AND
  • Able to read and understand English
  • Capable of giving informed consent
  • Are at least age 18.
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Exclusion Criteria
  • incompetent for interview (documented diagnosis of active psychosis or dementia) or unable to provide informed consent as assessed by the interviewer; or too sick to participate, as judged by a member of the research team
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
eSCP Interventioneducational materialsPatients currently receiving treatment who will be enrolled to receive an "enhanced" SCP (eSCP) with additional information beyond ASCO guidelines tailored to patient concerns and preferences.
Primary Outcome Measures
NameTimeMethod
Head and Neck Cancer Survivor Knowledge5 minutes to complete 3 months after treatment end

Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale

Change in Head and Neck Cancer Survivor Knowledge5 minutes to complete; measured pre-intervention and 3 months after intervention

Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale in intervention group

Secondary Outcome Measures
NameTimeMethod
Self-efficacy in head and neck cancer survivors5 minutes to complete 3 months after treatment end

Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale

Change in self-efficacy in head and neck cancer survivors5 minutes to complete; measured pre-intervention and 3 months after intervention

Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale

Change in distress for head and neck cancer survivors5 minutes to complete; measured pre-intervention and 3 months after intervention

Assesses distress through the use of the NCCN Distress Thermometer in the intervention group

Distress in head and neck cancer survivors5 minutes to complete 3 months after treatment end

Assesses distress through the use of the NCCN Distress Thermometer

Change in quality of life in head and neck cancer survivors5 minutes to complete; measured pre-intervention and 3 months after intervention

Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head \& Neck (QLQ H\&N35) in the intervention group

Information processing in head and neck cancer survivors5 minutes to complete 3 months after treatment end

Assesses information processing in cancer patients through the use of the EORTC QLQ Information Module (QLQ INFO25)

Change in information processing in head and neck cancer survivors5 minutes to complete; measured pre-intervention and 3 months after intervention

Assesses information processing through the use of the EORTC QLQ Information Module (QLQ INFO25)

Uncertainty in head and neck cancer survivors5 minutes to complete 3 months after treatment end

Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form

Survivorship care plan perceptions in head and neck cancer survivors5 minutes to complete 3 months after treatment end

Using open ended questions during a qualitative interview, survivors will provide their perception of how survivorship care plans were useful or not in their care

Quality of life in head and neck cancer survivors5 minutes to complete 3 months after treatment end

Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head \& Neck (QLQ H\&N35)

Change in uncertainty in head and neck cancer survivors5 minutes to complete; measured pre-intervention and 3 months after intervention

Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form in the intervention group

Survivorship needs after treatment completion -- primary care provider documentation10 minutes to complete documentation review of 6 months of PCP records

Using a documentation checklist developed by the study team, discussions on survivorship needs when returning to clinic will be assessed with a focus on symptom management or incorporation of healthy behaviors to reduce cancer recurrence

Trial Locations

Locations (1)

Duke Health, Duke Cancer Center

🇺🇸

Durham, North Carolina, United States

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