chronic Graft-versus-Host-Disease (cGvHD)
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: History of acute GvHD grade II–IV and/or FEV1 = 80% of predicted value on day +100 ±15 after alloSCT. Sufficient concentration and cognitive abilities to engage in a 60-minute conversation, follow complex instructions, and communicate about them. Adequate proficiency in German. For focus groups only: Healthcare professionals with completed vocational training and at least two years of professional experience in the care of patients with cGvHD within the German healthcare system.
Exclusion criteria
Exclusion criteria: Individuals unable to provide informed consent. Language barriers that significantly impede understanding of the presented content and communication about it. For focus groups only: Healthcare professionals with a conflict of interest.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overarching Goal: Improvement of care for patients with cGvHD. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Assessment of the Current Care Setting: Understanding the current care environment, patient needs, and care requirements from the perspective of healthcare professionals at the start of the project through a context analysis involving patient interviews and focus groups with healthcare professionals. 2. Development of a Functional Prototype: Creation of a working prototype of the cGvHD module with the identified functionalities and technical interface for home spirometry devices, evaluated through user tests using video recordings, unstructured interviews, quantitative data from the System Usability Scale (SUS), and documentation, analysis, and prioritization of feedback. 3. User friendliness, feasibility, acceptability, and adherence: Measurement from the patient perspective during a one-year pilot phase, using usage data, qualitative interviews, and questionnaires (FIM/AIM/IAM = Feasibility of Intervention Measure/Acceptance of Intervention Measure/Intervention Appropriateness Measure) at d+120, d+150, d+180, d+365 and, in case of active cGvHD or continuation of immunosuppression, up to d+545. | — |
Countries
Germany
Contacts
Universitätsklinik Freiburg, Klinik für Innere Medizin 1