A Telehealth Advance Care Planning Intervention for Older Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Acute Myeloid Leukemia
- Sponsor
- University of Rochester
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Feasibility - Retention Rate
- Status
- Completed
- Last Updated
- 3 months ago
Overview
Brief Summary
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).
Detailed Description
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.
Investigators
Kah Poh Loh
Associate Professor - Department of Medicine, Hematology/Oncology (SMD)
University of Rochester
Eligibility Criteria
Inclusion Criteria
- •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
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Feasibility - Retention Rate
Time Frame: 12 Weeks
Percentage of patients, caregivers, and clinicians who consented to the study, ultimately completing all study components
Recruitment Rate
Time Frame: 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)
Time Frame: 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.
Secondary Outcomes
- 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)