None listed
Conditions
Brief summary
The purpose of this study is to test some online training modules for those involved in cancer consultations. Who is it for? You may be eligible for this study if you are aged over 18 and any of the following: a) a hospital-based medical/radiation/surgical nurse or oncologist treating cancer patients. b) a person diagnosed with cancer of any type, whose nurse/oncologist is participating in the study c) a person related to a participating patient who supports the patient inside and outside a consultation. Study details Medical staff in this study will be randomised by chance (like flipping a coin) into two groups. one group will use the eTRIO resources, and the other will use existing NSW Health resources. Patients and carers will use separate resources, based on which group their medical staff are allocated to. The use of these resources involves reading websites, watching videos and completing activities. As part of this study, participants will answer questionnaires and have their consultations recorded. It is hoped this research will contribute to increased carer involvement in cancer consultations, and improved psychological outcomes through better communication.
Interventions
We will be using two interventions, which are online education modules entitled "eTRIO" for cancer clinicians and "eTRIO-pc" for people with cancer and their family carers. These intervention resources were designed specifically for this study. Participating cancer clincians will complete eTRIO over a 3 week period. Participating patient-carer dyads will complete eTRIO-pc prior to their first, second or third consultation with a participating cancer clincian. To monitor adherance to the interventions, participants will recieve automated email reminders from the study website. The research team will also access website analytics to monitor participants' use of the intervention websites. Details about the aims and content of each intervention are as follows: eTRIO for oncology clinicians (doctors and nurses): Aims to improve clinicians’ confidence and skills in facilitating family involvement in cancer consultations, and managing challenging situations involving family carers. Includes 14 sections, each covering a specific topic area (e.g. managing conflicting patient-family treatment wishes, dealing with angry family members); practical strategies and example wording; 9 professionally-produced short films and engaging interactive activities. Particpants will be required to complete the first 7 sections, and then choose 4 of the final 7 sections to complete also. It will take participants approximately 2 hours to complete the intervention. eTRIO-pc for cancer patients and carers: Aims to educate, mobilise and empower patients and carers in interactions with clinicians, and to increase carer involvement to the level the patient/carer prefer. It includes 3 short scenario videos modelling useful skills/behaviours (e.g. carer introducing themself to clinician, asking questions, advocating for the patient); videos with clinicians, a patient and a carer discussing important aspects of family involvement and several interactive activities. It will take participants approximately 1 hour to complete the intervention.
Sponsors
Study design
Eligibility
Inclusion criteria
For clinicians: • Hospital-based medical/radiation/surgical nurses and oncologists treating cancer patients. • Nurses must have ongoing patient contact • Have consultations with patients (and their family carers) to discuss cancer treatment • Willing to participate in the study. For patients: • Aged over 18 years • Diagnosed with cancer of any type • Attending their first, second or third oncology consultation with a participating clinician • Are accompanied to consultations by a family carer • Having Internet access • Willing to participate in the study. For family carers: • Are a person related to a participating patient biologically, legally, or emotionally who supports the patient inside and outside a consultation • Aged over 18 years • Having Internet access • Willing to participate in the study.
Exclusion criteria
For clinicians: • In the case of doctors and nurses who work together within a site, either but not both may be recruited. For patients: • If their clinician considers them too unwell to participate • If their family carer does not consent to participate in the study • Insufficient English language skills to complete the intervention and/or questionnaires. For family carers: • If the patient for whom they are a carer does not consent to participate in the study • Insufficient English language skills to complete the intervention and/or questionnaires.