Participatory Research for Fine-tuning of a 2.0 System to Optimise Home Management of Oral Cancer Therapies.
试验速览
- 阶段
- 不适用
- 入组人数
- 40
- 试验地点
- 6
- 主要终点
- Toxicity reporting comparison
研究概览
简要总结
This is a prospective testing-validation, interventional, non-pharmacological study on a new app for oral anticancer therapy management.
A total of 80 patients will be considered: 20 evaluable patients in the training step; 60 patients in the validation step. In the training step will be considered evaluable the patients with: at least 6 weeks of treatment; visit at 6 weeks after the start of treatment performed and questionnaires self-administered.
Patients will be visited every 6 weeks. In the training step, patients will remain under observation for a minimum of 6 weeks, until change of therapy (due to progression of disease, unacceptable toxicity, death, discontinuation) or for a maximum of 12 weeks. Patients enrolled in the validation step will remain under observation until change of therapy (due to progression of disease, unacceptable toxicity, death, discontinuation) or for a maximum of 24 weeks.
The objective of this study is to assess the capability of a newly developed interactive health care application to support patients and health professionals in the shared management of oral anticancer therapies, improving adherence, preventing complications at home, toxicities, improper treatment reductions or interruptions, emergency accesses and to assess the system usability and acceptability by patients and health professionals, integration in the hospital workflow, monitoring over time patient perceived levels of quality of care, quality of life, social support, anxiety, and self-care capability.
详细描述
This is a prospective, interventional, non pharmacological study for testing-validation of a new app for optimising home management of oral therapies for cancer treatment.
All patients will be treated according to the local clinical practice. Enrolment period: 8 (training step) + 12 (validation step) months. Total duration of the study: 36 months. This is a multicenter study. Objective of the study is to assess the capability of a newly developed interactive health care application to support patients and health professionals in the shared management of oral anticancer therapies, and to assess the system usability and acceptability by patients and health professionals.
Eligible patients must meet the following criteria:
- adult 18-75 years old;
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1;
- candidate for treatment with capecitabine or sunitinib as monotherapy (adjuvant and advanced settings allowed);
- sufficient ability to manage mobile devices after basic training course held at baseline;
- clear understanding of the Italian language;
- written informed consent.
Health professionals and patients define the items of the system through participatory design techniques (e.g. focus group sessions, joint review).
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 75 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •ECOG-Performance Status (PS) less or equal to 1;
- •life expectancy > 12 weeks;
- •candidate for treatment with capecitabine or sunitinib as monotherapy (adjuvant and advanced settings allowed);
- •clear understanding of the Italian language;
- •subjects who are, in the opinion of the Investigator, able to understand this study, to cooperate with the study procedures and able to manage mobile devices after basic training course held at baseline;
- •written informed consent
排除标准
- •Patients receiving also intravenous anticancer treatment
结局指标
主要结局
Toxicity reporting comparison
时间窗: 3 years
A comparison of type and grade of toxicity will be made between the adverse events indicated by the system and those reported by the patient/detected by the doctor at the clinical visit. The quality of the system will be considered adequate if all the grade 3 and at least 80% of the grade 2 toxicity data reported by the patient at the time of the visit is recorded in the app. A comparison will be made between the adverse event start time reported by the system and the time of data-entry by the patient into the system.
Drug accountability comparison
时间窗: 3 years
the number of pills counted by the system (self-reported by the patient at home) will be compared with that counted by the physician as residual pills returned by the patient at the hospital visit. A difference in the number of pills within +/- 10% will be considered acceptable.
次要结局
- System usability: system usability scale (SUS) questionaire(3 years)
- System acceptability by the Q-pre questionaire(3 years)
- System acceptability by the Q-post questionaire(3 years)
- System acceptability: HADS questionaire(3 years)
- System acceptability by semi-structured interviews(3 years)
- System acceptability: FACT-B questionaire(3 years)