Cancer
Conditions
Keywords
clinical trial, symptom education, advanced cancer
Brief summary
1.) To integrate discharge planning into an intervention provided by advanced practice nurses (APRNs)for patients with advanced cancer, 2.) To evaluate the effects of the intervention, and 3.) To explore the reach, adoption, and implementation of the intervention to facilitate the transition of patients from surgery/biopsy/chemotherapy to medical oncology in a comprehensive cancer center.
Interventions
Participants are given a Symptom Education Toolkit at baseline and at each visit thereafter (1 month and 3 month) are encouraged to use the Toolkit for symptoms they are experiencing. They are also encouraged to use resources available to them.
Participants are visited/contacted by an intervention nurse ten times over a 12-week period for the purpose of helping them to manage uncertainty and distress,to boost their problem-solving skills, and to transition to treatment.
Sponsors
Study design
Eligibility
Inclusion criteria
* primary diagnosis of advanced lung, GI, Head & Neck, and Lung cancers * post-surgical/or post-biopsy with physician's order for cancer treatment * age 21 years or older * lives within 50 of Yale New Haven Hospital * has 2 or more co-morbid conditions * has an emotional distress thermometer score of greater than or equal to 4-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Uncertainty | 1 month post baseline | The MUIS-C contains 23 Likert scale items with scores that range from 1= strongly disagree to 5= strongly agree. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| HADS- Anxiety | 1 month post baseline | 7 items are rated on a 4-point scale. |
| HADS-Anxiety | 3 months post baseline. | 7 items are rated on a 4-point scale. |
Countries
United States