Development of a Bidirectional Priming Intervention for Goals-of-care Communication in Oncology
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Intervention Completion Rate
研究概览
简要总结
This pilot study will evaluate whether an intervention aimed at hospitalized patients with advanced lung and gastrointestinal cancers can help facilitate goals-of-care (GOC) communication with their oncologists after discharge.
While GOC communication is a recommended component of routine oncology care, many patients with solid cancers do not have the opportunity to talk with their oncologist about their goals and end-of-life preferences. Prior research has shown that a systematic method of prompting GOC communication with at-risk patients would address a key barrier to timely GOC communication and ensure that patients receive care that is in line with their personal preferences.
This trial will enroll 80 participants, who will be randomized 1:1 to either an intervention or a control group. Participants in the intervention group will complete a short survey regarding their goals, preferences, and disease understanding. Survey responses will be shared with each participant's outpatient oncology team. Oncologists will subsequently receive a nudge in the electronic medical record reminding them of key survey responses and encouraging them to discuss them at the patient's first clinic visit after hospital discharge.
The primary feasibility outcome is intervention completion rate and the primary clinical outcome is GOC documentation within 30 days of discharge in the intervention group compared to the control group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Unplanned admission to the HUP Solid Oncology service;
- •Underlying diagnosis of advanced lung or GI cancer, defined as metastatic or locally advanced disease;
- •Anticipated discharge within the next 72h; and
- •Primary oncologist is based at HUP; or
- •Family member/caregiver of a patient meeting the above 4 criteria.
排除标准
- •1. Unable to complete survey in English.
研究组 & 干预措施
Intervention
Participants in the intervention arm will complete a survey prior to hospital discharge. Their responses will be shared with each participant's outpatient oncology team.
干预措施: Priming Survey (Behavioral)
Control
结局指标
主要结局
Intervention Completion Rate
时间窗: From enrollment to 30 days after hospital discharge
The primary feasibility outcome is intervention completion rate, defined as successful completion of the survey, response sharing, and electronic medical record nudge for all participants assigned to the intervention arm.
GOC Documentation
时间窗: From enrollment to 30 days after hospital discharge
The presence of outpatient goals-of-care documentation in the electronic medical record within 30 days of hospital discharge as determined by manual review.
次要结局
未报告次要终点