Fatigue, Leukemia, Psychosocial Effects of Cancer and Its Treatment
Conditions
Keywords
fatigue, psychosocial effects of cancer and its treatment, adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with t(15;17)(q22;q12), adult acute myeloid leukemia with t(16;16)(p13;q22), adult acute myeloid leukemia with t(8;21)(q22;q22), recurrent adult acute lymphoblastic leukemia, recurrent adult acute myeloid leukemia, untreated adult acute lymphoblastic leukemia, untreated adult acute myeloid leukemia
Brief summary
RATIONALE: Supportive care, such as healing touch, may improve quality of life in patients receiving chemotherapy for acute leukemia. PURPOSE: This clinical trial is studying how well healing touch works in treating patients receiving chemotherapy for acute myeloid leukemia or acute lymphocytic leukemia.
Detailed description
OBJECTIVES: * Determine the feasibility of conducting a randomized controlled trial, in terms of recruiting and retaining participants, to a study of healing touch (HT) as supportive care in patients receiving chemotherapy for acute myeloid leukemia or acute lymphoblastic leukemia. * Examine potential barriers to participation and ascertain reasons for study drop-outs in these patients. * Demonstrate whether these patients will comply with treatment sessions and remain in the study. * Obtain preliminary data on the effectiveness of HT on psychological distress and treatment-related symptoms focusing on fatigue and sleep disturbances in these patients. * Determine if the HT protocol needs to be refined, modified, or eliminated, based on pilot participant feedback, for a randomized clinical trial. OUTLINE: This is a pilot study. Within 1 week of admission to the hospital, patients are interviewed by a research assistant about previous use of complementary or alternative medicine therapies, knowledge of healing touch (HT), previous experience with HT, willingness to participate in a study of HT for acute leukemia patients, and willingness to be randomized in a HT study. The first 12 patients interested in undergoing HT undergo a 30-minute session of HT therapy 3 times a week during weeks 2, 3, and 4 of induction or reinduction chemotherapy. Patients are also asked to rate current distress, pain, fatigue, and nausea before and after the second HT session during weeks 2, 3, and 4. Patients also complete self-report questionnaires at baseline, during week 5 of induction or reinduction chemotherapy or prior to discharge from the hospital, and during the first week of consolidation chemotherapy (approximately week 9-13). PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study.
Interventions
PROCEDUREtherapeutic touch
administration of healing touch in 30 minute sessions
Sponsors
National Cancer Institute (NCI)
Wake Forest University Health Sciences
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 120 Years
Healthy volunteers
No
Inclusion criteria
DISEASE CHARACTERISTICS: * Diagnosis of one of the following acute leukemias: * Acute lymphocytic leukemia * Acute myeloid leukemia * Hospitalized for induction (newly diagnosed patients) or reinduction (relapsed patients) chemotherapy * Must be oncology inpatients at Wake Forest University Baptist Medical Center PATIENT CHARACTERISTICS: * Must know adequate English to understand the consent form, complete questionnaires, and converse with study staff PRIOR CONCURRENT THERAPY: * See Disease Characteristics
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Feasibility of recruiting and retaining patients for a randomized controlled trial to study healing touch (HT) as supportive care | 4 weeks |
| Effectiveness of healing touch on reducing psychological stress and fatigue | 4 weeks |
Countries
United States
Outcome results
None listed