A Telehealth Advance Care Planning Intervention for Older Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 试验地点
- 2
- 主要终点
- Feasibility - Retention Rate
研究概览
简要总结
This is a pilot study to evaluate the usability and feasibility of a telehealth-delivered advance care planning intervention among 20 older patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS).
详细描述
Older adults with AML and MDS are more likely to receive aggressive care and less likely to utilize hospice at the end-of-life. Advance care planning (ACP) intervention delivered through telehealth may improve patient-reported outcomes and end-of-life care in this population. This pilot study seeks to evaluate the usability and feasibility of a telehealth-delivered advance care planning intervention. We will adapt the Serious Illness Care Program.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 60 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for Patients:
- •Age ≥60 years (conventional definition of older age in AML/MDS)
- •AML or MDS diagnosis
- •Being managed in the outpatient settings
- •Able to provide informed consent
- •English-speaking
排除标准
- •Inclusion Criteria for Caregivers
- •Age ≥21 years
- •Selected by patient when asked if there is a "family member, partner, friend, or caregiver with whom you discuss or who can be helpful in health-related matters"
- •Able to provide informed consent
- •English-speaking
- •Exclusion Criteria: N/A
结局指标
主要结局
Feasibility - Retention Rate
时间窗: 12 Weeks
Percentage of patients, caregivers, and clinicians who consented to the study, ultimately completing all study components
Recruitment Rate
时间窗: 12 Weeks
Number of patients, caregivers, and clinicians who are approached and agree to enroll.
Mean Usability of the Telehealth Advance Care Planning Intervention Using the Telehealth Usability Questionnaire (TUQ)
时间窗: 12 Weeks
Telehealth Usability Questionnaire (TUQ) - A questionnaire (22 questions scored from 1 to 7, a higher score indicates greater usability) assessing the usability of telehealth implementation across the population (for patients or caregivers), the mean of all questions is then calculated, range 1-7, with an average of greater than 5 considered usable.
次要结局
- Pre- and Post-Intervention Change of the Mean Score for the General Anxiety Disorder-7 (GAD-7)(12 Weeks)
- Pre- and Post-Intervention Change of the Mean Score for the Distress Thermometer(12 Weeks)
- Pre- and Post-Intervention Change of the Mean Score for the Patient Health Questionnaire-9 (PHQ-9)(12 Weeks)
- Post-Intervention Mean Score for the Health Care Communication Questionnaire (HCCQ)(12 weeks)
- Pre- and Post-Intervention Change of the Mean Score for the Functional Assessment of Cancer Therapy-Leukemia (FACT-Leu)(12 Weeks)
研究者
Kah Poh Loh
Associate Professor - Department of Medicine, Hematology/Oncology (SMD)
University of Rochester