Care Transition Intervention for Hospitalized Patients With Advanced Cancer
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 58
- 试验地点
- 2
- 主要终点
- Feasibility using enrollment and retention on study
研究概览
简要总结
This research study is investigating an intervention called CONTINUity of care Under Management by Video visits (CONTINUUM-V). CONTINUUM-V involves a video visit with an oncology nurse practitioner within three business days of hospital discharge for patients with advanced cancer with the goal of reducing burdensome care transitions after hospitalization, including hospital readmissions.
详细描述
This is a single-site, single-arm pilot trial to assess the feasibility and acceptability of a CONTINUUM-V for patients with advanced cancer
The research study procedures include:
- A video visit with a nurse practitioner within three business days of hospital discharge
- Questionnaires asking about demographic information (e.g. sex, ethnicity, income) and participant experience with cancer (e.g. symptoms and confidence in managing their health condition)
- A satisfaction survey to assess the participants' impressions of the intervention and any suggestions the participants may have
- Data collection from their medical record
- One time interview of participant and clinician for feedback on CONTINUUM-V
Participants will be in this research study for up to 45 days after hospital discharge.
54 patients and 4 clinicians took part in this research study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 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
- •Age >= 18 years
- •Unplanned admission to the oncology service at Massachusetts General Hospital (MGH)
- •Known diagnosis of advanced breast, thoracic, genitourinary, or gastrointestinal cancers. Advanced cancer defined as not being treated with curative intent as determined by clinic notes and chemotherapy order entry.
- •Receiving ongoing oncology care at MGH
- •Verbal fluency in English
- •Must have internet/wifi/cellular data access
排除标准
- •Admitted electively
- •Discharged to a location other than home or expired during admission
- •Discharged with hospice services
结局指标
主要结局
Feasibility using enrollment and retention on study
时间窗: Discharge to 3 business days
The intervention will be deemed feasible if at least 70% of eligible patients participate in the study, and if at least 70% complete the video visit within three business days of discharge.
次要结局
- Patients' Confidence in Managing their Health Condition using the Patient Activation Measure (PAM-13)(Baseline to 15 days after discharge)
- Psychological Symptoms using the Patient Health Questionnaire-4 (PHQ-4)(Baseline to 15 days after discharge)
- Patient Satisfaction using the Patient Satisfaction Questionnaire(10 to 15 days after discharge)
- Symptom Burden using the Edmonton Symptom Assessment Scale (ESAS-r)(Baseline to 15 days after discharge)
研究者
Jennifer Temel, MD
Principal Investigator
Massachusetts General Hospital