GVHD, Chronic, Hematological Malignancy
Conditions
Keywords
Lee Symptom Scale, Symptom management, Patient reported outcome
Brief summary
A two sited feasibility study to test the feasibility of systematic symptom identification with disease specific and clinically developed PROM (Lee Symptom Scale) longitudinally with a 12 month follow up in outpatient care in patients post HSCT to assess symptoms of chronic GVHD (n= 30).
Detailed description
A prospective, non-randomized, feasibility study examining a systematic approach to symptom management using PROMs with 12 months of follow up in hematological outpatient clinic
Interventions
BEHAVIORALLee Symptom Scala
Symptom identification and management with Lee Symptom Scale in follow up care
Sponsors
Novo Nordisk A/S
Rigshospitalet, Denmark
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
* Adults \> 18 years old * Approximately 3 months post HSCT (they will be included before HSCT, but the intervention will begin at 3 moths). * Patients included needs to be able to manage a computer to receive and respond to collect PRO data.
Exclusion criteria
* Patients who do not understand, read and speak Danish and/or have cognitive/psychiatric disorders not compatible with inclusion in a clinical study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment rate | Recruiment time frame: 12 months | Number of participants included from eligible participants |
| Adherence to intervention | Intervention time frame: 12 months of follow up | Number of visits completed out of planned visits during intervention |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life measured by the European Organization for Research and Treatment of Cancer - quality of life questionnaire C30 (EORTC-QLQ-C30) | 12 months; at baseline (0 months), 6 and 12 months | Change in quality of life measured by the European Organization for Research and Treatment of Cancer - quality of life questionnaire C30 |
| Depression and Anxiety measured with the Hospital Anxiety and Depression Scale | 12 months; at baseline (0 months), 6 and 12 months | Change in symptoms of depression and anxiety measured by the Hospital Anxiety Depression Scale |
| MD Andersons Symptom Inventory (MDASI) | 12 months; at baseline (0 months), 6 and 12 months | Change in symptom burden measured by the scale M.D. Andersons Symptom Inventory |
| HM-PRO questionaire developed by the 'Scientific Working Group for QoL and Symptoms,' within the European Hematology Association | 12 months; at baseline (0 months), 3, 6, 9 and 12 months | Change in HM-PRO developed by The 'Scientific Working Group for QoL and Symptoms,' within the European Hematology Association |
Other
| Measure | Time frame | Description |
|---|---|---|
| Referrals to municipality | 12 months of follow up from date of transplantation | Number of referrals to rehabilitation in the municipality within the study period |
| Diagnose | At baseline | Diagnose at baseline |
| Number of telephone contacts to Dept. of Hematology | 12 months of follow up from date of transplantation | Number of telephone contacts to Dept. of Hematology within the study period |
| Infections treated with antibiotics | 12 months of follow up from date of transplantation | Number of infections treated with antibiotics within the study period |
| Medication | At baseline | Medication at baseline |
| Immunosuppresive drugs | 12 months of follow up from date of transplantation | Immunosuppresive drugs the participants receive after transplantation (within the study period) |
| Hospitalization | 12 months of follow up from date of transplantation | Periods with hospitalizations within the study period |
| Referrals to other hospital departments | 12 months of follow up from date of transplantation | Number of referrals to other hospital departments within the study period |
| Referrals to general practitioner | 12 months of follow up from date of transplantation | Number referrals to general practitioner within the study period |
Countries
Denmark
Outcome results
None listed