Breast Cancer
Conditions
Keywords
Injection Teaching, 13-057
Brief summary
The purpose of this study is to compare two different ways of teaching people how to give injections at home. The first is what we do now, which is teaching patients and/or their caregivers verbally and by giving written instructions. The second is what we do now (verbal and written instructions) along with a demonstration and practice using a needle and an injection pad that feels similar to skin and fat. This is being done to find the best method for teaching people to give an injection at home.
Interventions
OTHERVerbal and Written Instruction
Pre-teaching Evaluation: Patient * Pre-teaching Evaluation: Caregiver o To be completed immediately before the teaching. Administered by the nurse who will provide the teaching. The form utilized will depend on if the patient or caregiver will be administering the injection. * Post-teaching Evaluation: Patient Post-teaching Evaluation: Caregiver To be completed immediately after the teaching. Administered by the nurse who provided the teaching. The form utilized will depend on if the patient or caregiver will be administering the injection.
OTHERVerbal and Written Plus Simulation
Post-injection Evaluation: Patient * Post-injection Evaluation: Caregiver o To be completed after the injection is administered (outside of MSKCC) by the patient or caregiver. The form utilized will depend on if the patient or caregiver has administered the injection. They will return this evaluation at the patient's next visit (2 weeks later). * Nurse Evaluation: Control * Nurse Evaluation: Model o To be completed immediately following the completion of the teaching by the nurse. The form utilized will depend on if the teaching was part of the control or intervention phase of the study.
Sponsors
Memorial Sloan Kettering Cancer Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* English speaking * Over 18 years of age * No history of performing injections * Patient must be receiving pegfilgrastim during adjuvant or neoadjuvant chemotherapy * Patient will have the pegfilgrastim administered at home either by self administering or by a caregiver.
Exclusion criteria
* Patient or caregiver desire to inject (with saline) during or immediately following the injection teaching * Prior self-injection or injection administration experience of any type * Patients with history of anaphylaxis or other severe reactions to latex * Patients that required pegfilgrastim injection be administered in clinic
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| compare verbal and written teaching for injection teaching | 1 year | with verbal and written teaching + simulation using an injection model, in terms of: * Patient/caregiver satisfaction * Patient/caregiver self-confidence * Nurse satisfaction |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assess for changes in patient self-reported | 1 year | worry about injection before and after the injection teaching |
| Compare nurses' perceptions of patient/caregiver confidence levels | 1 year | after injection teaching to actual patient/caregiver reported confidence levels |
| Compare the amount of nurses' time spent teaching | 1 year | between the teaching modalities |
Countries
United States
Outcome results
None listed