A Telehealth Advance Care Planning Intervention for Older Patients With Myeloid Malignancies: A Pilot Randomized Controlled Trial
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Myeloid Malignancy
- Sponsor
- University of Rochester
- Enrollment
- 207
- Locations
- 1
- Primary Endpoint
- Healthcare Communication: Health Care Climate Questionnaire
- Status
- Recruiting
- Last Updated
- 3 months ago
Overview
Brief Summary
The objective of this project is to conduct a pilot randomized trial to assess the preliminary efficacy of a telehealth-delivered Serious Illness Care Program on healthcare communication, patient anxiety and distress, as well as completion of advance directives (specifically MOLST and healthcare proxy forms) for older patients with acute myeloid leukemia, myelodysplastic syndrome, and similar myeloid malignancies.
Detailed Description
The Serious Illness Care Program (SICP) is an evidence-based intervention to enhance serious illness conversations between physicians and patients with advanced cancer. It consists of the Serious Illness Conversation Guide as well as training and system-level support for clinicians to conduct serious illness conversations. The investigators have previously adapted the SICP to be delivered via telehealth for older adults with myeloid malignancies. In this study, they will conduct a pilot randomized trial to assess the preliminary efficacy of a telehealth-delivered Serious Illness Care Program compared to an education control.
Investigators
Kah Poh Loh
Associate Professor - Department of Medicine, Hematology/Oncology (SMD)
University of Rochester
Eligibility Criteria
Inclusion Criteria
- •Inclusion and
Exclusion Criteria
- •for Patients
- •Inclusion criteria:
- •Age ≥60 years
- •A diagnosis of AML, MDS, and similar myeloid malignancies (including but not limited to MDS/MPN overlap syndrome, myelofibrosis)
- •Being managed in the outpatient settings
- •Able to provide informed consent
- •English-speaking
- •Exclusion criteria:
- •Inclusion and Exclusion Criteria for Caregivers
- •Inclusion criteria:
Outcomes
Primary Outcomes
Healthcare Communication: Health Care Climate Questionnaire
Time Frame: Month 2
5-item questionnaire assessing patients' and caregivers' satisfaction with patient-clinician communication, range 0-20; higher score is better
Secondary Outcomes
- Distress: Distress Thermometer(Month 2)
- Anxiety Symptoms: Generalized Anxiety Disorder-7 (GAD-7)(Month 2)
- Completion of advance directives(Throughout the study, up to 2 years)