Other Cancer
Conditions
Keywords
Cancer
Brief summary
This research study is evaluating the usefulness of a video and questionnaire to help cancer patients think about the goals of their care.
Detailed description
The investigators are conducting a study with patients from Dana Farber Cancer Institute (DFCI) and DFCI-affiliate at St. Elizabeth's Hospital who are being treated for their cancer. The purpose of the study is to test the implementation of a short video, a brief questionnaire, and a wallet card designed to help patients understand and articulate their goals and preferences when making decisions about their cancer treatment and communicate these preferences to their clinicians. The short video and brief questionnaire were developed to help patients with cancer think about their goals of care and their treatment and information preferences and to prompt discussions with their health care team about these preferences. The wallet card is designed to help patients remember some key questions that may be useful as they make decisions about future treatments A pilot test will be completed to assess the feasibility and usability of the revised More Good Days video, brief questionnaire and wallet card in helping seriously-ill cancer patients think about what a good day means to them and test whether these tools can help patients to identify and communicate their medical treatment preferences and goals with their care team.
Interventions
OTHERMore Good Days video&brief questionnaire
Help patients with advanced cancer think about what a good day means to them and to help them think about questions they may have for their physicians when discussing treatments
Sponsors
American Cancer Society, Inc.
Harvard Medical School (HMS and HSDM)
Dana-Farber Cancer Institute
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient who are receiving treatment at: * DFCI in the thoracic oncology group * DFCI-affiliated St. Elizabeth's Hospital and have progressed on 2nd line or later-line systemic therapies (chemotherapy, immunotherapy, biological, or targeted therapies) * Clinicians' schedules to identify patients with metastatic cancers who are considering or pursuing additional palliative therapy
Exclusion criteria
* Patients who are not interested in the study * Patients of physicians who opt out of participating * Patients whose physicians did not opt out, but whose physician does not think they are well suited for the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Enrollment | 2 years | % of patients invited to participate who choose to enroll |
| Overall rating of intervention | 1 month | % who rate intervention as good/very good/excellent. |
| Would recommend intervention to others | 1 month | % who would recommend intervention to others with cancers like theirs |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Patient depression | 1 month | Patient Health Questionnaire-9 (PHQ-9) (9 items, score 0 to 27, higher = more depressed) |
| Hope | 1 month | Hearth Hope Index (12 items, score 12 to 48, higher = more hope) |
| Preferred format for viewing video and completing questionnaire | 1 month | preferences for watching alone vs. with family; in clinic vs. home, interest in accessing via electronic record portal |
| Quality of life-palliative care specific items | 1 month | Palliative care subscale of FACITPAL (14 items, score 0 to 56, higher = better quality of life) |
| Therapeutic Alliance | 1 month | Human Connection Scale (16 items, score 16 to 64, higher = more therapeutic alliance) |
| FACIT-PAL Quality of Life | 1 month | FACIT-PAL instrument general quality of life (27 general items, score 0 to 108, higher=better quality of life) |
| Patient anxiety | 1 month | Hospital Anxiety and Depression Scale (HADS) (score 0 to 21 for 7 anxiety items, higher=more anxiety) |
| Patient distress | 1 month | National Comprehensive Cancer Network distress thermometer (score 0 to 10, higher worse distress) |
Countries
United States
Outcome results
None listed