Head and Neck CancerNCT03106090
Studying Survivorship Care Plans in Head and Neck Cancer
A study testing educational materials in people with Head and Neck Cancer, run by Duke University at 1 site in United States.
Trial summary
The study will focus on survivorship care for head and neck cancer patients cared for within Duke Cancer Center clinics. Standardized survivorship care plans (sSCP) are being implemented based on the American Society for Clinical Oncology's criteria. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Head and Neck Cancer
- What is being tested?
- educational materials
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 6 participants
- Where
- 1 siteUnited States
- Study dates
- 19 Apr 2017to 2 Jan 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Completed treatment for a head or neck cancer at Duke Cancer Center within 4 months of consent OR
- Will complete treatment for a head and neck cancer at Duke Cancer Center within 3 weeks of consent AND
- Able to read and understand English
- Capable of giving informed consent
- Are at least age 18.
Who cannot join
- incompetent for interview (documented diagnosis of active psychosis or dementia) or unable to provide informed consent as assessed by the interviewer; or too sick to participate, as judged by a member of the research team
Trial locations and contacts
1 site in 1 country.
United States1 site
Duke Health, Duke Cancer Center
Durham, North Carolina, 27710
About this study
Official title: Comparison of Enhanced Survivorship Care Plans in a Head and Neck Cancer Clinic to Standard of Care
The study will focus on survivorship care for head and neck cancer patients cared for within Duke Cancer Center clinics. Standardized survivorship care plans (sSCP) are being implemented based on the American Society for Clinical Oncology's criteria. These documents provide a summary of treatment received, and list side effects and follow-up information after cancer treatment. Taking advantage of this transition, the investigator will study three groups of patients: (a) early survivors treated before the sSCP was implemented, (b) early survivors treated after the sSCP was implemented, and (c) current patients who will receive an individualized enhanced SCP (eSCP), which will include additional information tailored to patient preferences. The investigators hypothesize that patients receiving enhanced survivorship care plans will increase their knowledge regarding their health care plan and wellness trajectory; increase their ability to identify the symptoms they most likely can expect as a result of their cancer treatment; and be more likely to engage in conversations with their PCP about healthy behaviors and screening guidelines.
- Conditions
- Head and Neck Cancer
- Being tested
- educational materials
- Keywords
- survivorship care plan, head and neck cancer, survivorship
- Medical subject headings
- Head and Neck Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
educational materialsOther
The eSCP includes a treatment summary section, a section detailing follow-up and test recommendations, a section on anticipated and potential side effects, as well as additional information specific to their experience/concerns. They will receive a patient education notebook outlining symptoms and their management that is tailored to those that the subject may be likely to experience during their survivorship care trajectory.
| Study group | Role | What they receive |
|---|---|---|
| No SCP Control | No intervention | Patients returning for early follow-up who did not receive SCP. |
| SOC SCP Control | No intervention | Patients returning for early follow-up who received a standard of care SCP. |
| eSCP Intervention | Experimental | Patients currently receiving treatment who will be enrolled to receive an "enhanced" SCP (eSCP) with additional information beyond ASCO guidelines tailored to patient concerns and preferences. Receives: Other: educational materials |
What is being measured
The primary outcome is the main question the study is designed to answer.
Head and Neck Cancer Survivor Knowledge
Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale
Measured: 5 minutes to complete 3 months after treatment end
Change in Head and Neck Cancer Survivor Knowledge
Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale in intervention group
Measured: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Secondary outcomes (14)
Distress in head and neck cancer survivors
Assesses risk of distress defined within post-traumatic stress after treatment through the use of the PTSD Checklist
Measured: 5 minutes to complete 3 months after treatment end
Distress in head and neck cancer survivors
Assesses distress through the use of the NCCN Distress Thermometer
Measured: 5 minutes to complete 3 months after treatment end
Change in distress for head and neck cancer survivors
Assesses risk of distress defined within post-traumatic stress after treatment through the use of the PTSD Checklist in the intervention group
Measured: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Change in distress for head and neck cancer survivors
Assesses distress through the use of the NCCN Distress Thermometer in the intervention group
Measured: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Uncertainty in head and neck cancer survivors
Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form
Measured: 5 minutes to complete 3 months after treatment end
Change in uncertainty in head and neck cancer survivors
Assesses uncertainty related to presence of symptoms after cancer treatment through the use of the Mishel Uncertainty in Illness Scale -Survivor/Caregiver form in the intervention group
Measured: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Quality of life in head and neck cancer survivors
Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head \& Neck (QLQ H\&N35)
Measured: 5 minutes to complete 3 months after treatment end
Change in quality of life in head and neck cancer survivors
Assesses quality of life in head and neck cancer patients EORTC Quality of Life Questionnaire Head \& Neck (QLQ H\&N35) in the intervention group
Measured: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Self-efficacy in head and neck cancer survivors
Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale
Measured: 5 minutes to complete 3 months after treatment end
Change in self-efficacy in head and neck cancer survivors
Assesses self-efficacy in cancer patients through the use of the Self-Efficacy Scale
Measured: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Information processing in head and neck cancer survivors
Assesses information processing in cancer patients through the use of the EORTC QLQ Information Module (QLQ INFO25)
Measured: 5 minutes to complete 3 months after treatment end
Change in information processing in head and neck cancer survivors
Assesses information processing through the use of the EORTC QLQ Information Module (QLQ INFO25)
Measured: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Survivorship care plan perceptions in head and neck cancer survivors
Using open ended questions during a qualitative interview, survivors will provide their perception of how survivorship care plans were useful or not in their care
Measured: 5 minutes to complete 3 months after treatment end
Survivorship needs after treatment completion -- primary care provider documentation
Using a documentation checklist developed by the study team, discussions on survivorship needs when returning to clinic will be assessed with a focus on symptom management or incorporation of healthy behaviors to reduce cancer recurrence
Measured: 10 minutes to complete documentation review of 6 months of PCP records
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Apr 2017
- Study start19 Apr 2017
- Primary completion2 Jan 2020
- Study completion2 Jan 2020
Why it stopped: Unable to meet accrual goals.
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Head and Neck CancerStudies of the same condition, open and under way.
- More trials run by Duke UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Intervention (group receiving eSCPs) will be compared to 2 control groups: group receiving prior standard of care and standard of care SCP
- Masking
- None (open label)
- Enrolment
- 6 participants (actual)
Sponsor and investigators
- Lead sponsor
- Duke University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Deborah H Allen, PhD, RN, Principal investigator, Duke Health
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03106090
- Sponsor's protocol ID
- Pro00079937
- Status last verified
- Jan 2020
- First submitted
- 29 Mar 2017
- Last updated
- 18 Jan 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Jan 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Enhanced Survivorship Care Plans in a Head and Neck Cancer Clinic to Standard of Care
- ClinicalTrials.gov ID
- NCT03106090
- Acronym / sponsor ID
- Pro00079937
- Conditions
- Head and Neck Cancer
- Keywords
- survivorship care plan, head and neck cancer, survivorship
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Unable to meet accrual goals.
- Enrolment
- 6 participants (actual)
- Lead sponsor
- Duke UniversityUniversity, hospital or other
- Study start
- 19 Apr 2017 (actual)
- Primary completion
- 2 Jan 2020 (actual)
- Study completion
- 2 Jan 2020 (actual)
- First posted
- 10 Apr 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study will focus on survivorship care for head and neck cancer patients cared for within Duke Cancer Center clinics. Standardized survivorship care plans (sSCP) are being implemented based on the American Society for Clinical Oncology's criteria. These documents provide a summary of treatment received, and list side effects and follow-up information after cancer treatment. Taking advantage of this transition, the investigator will study three groups of patients: (a) early survivors treated before the sSCP was implemented, (b) early survivors treated after the sSCP was implemented, and (c) current patients who will receive an individualized enhanced SCP (eSCP), which will include additional information tailored to patient preferences. The investigators hypothesize that patients receiving enhanced survivorship care plans will increase their knowledge regarding their health care plan and wellness trajectory; increase their ability to identify the symptoms they most likely can expect as a result of their cancer treatment; and be more likely to engage in conversations with their PCP about healthy behaviors and screening guidelines.
Study design
- Primary purpose
- Supportive care
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- Intervention (group receiving eSCPs) will be compared to 2 control groups: group receiving prior standard of care and standard of care SCP
| Arm | Type | Receives |
|---|---|---|
| No SCP Control | No intervention | –Patients returning for early follow-up who did not receive SCP. |
| SOC SCP Control | No intervention | –Patients returning for early follow-up who received a standard of care SCP. |
| eSCP Intervention | Experimental | Other: educational materialsPatients currently receiving treatment who will be enrolled to receive an "enhanced" SCP (eSCP) with additional information beyond ASCO guidelines tailored to patient concerns and preferences. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Completed treatment for a head or neck cancer at Duke Cancer Center within 4 months of consent OR
- Will complete treatment for a head and neck cancer at Duke Cancer Center within 3 weeks of consent AND
- Able to read and understand English
- Capable of giving informed consent
- Are at least age 18.
Key exclusion criteria (1 listed)
- incompetent for interview (documented diagnosis of active psychosis or dementia) or unable to provide informed consent as assessed by the interviewer; or too sick to participate, as judged by a member of the research team
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| educational materialsThe eSCP includes a treatment summary section, a section detailing follow-up and test recommendations, a section on anticipated and potential side effects, as well as additional information specific to their experience/concerns. They will receive a patient education notebook outlining symptoms and their management that is tailored to those that the subject may be likely to experience during their survivorship care trajectory. | Other | eSCP Intervention |
Primary outcome
Head and Neck Cancer Survivor Knowledge
Time frame: 5 minutes to complete 3 months after treatment end
Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale
Change in Head and Neck Cancer Survivor Knowledge
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Assesses survivor knowledge of potential cancer or treatment-related symptoms and knowledge of healthy behaviors through the use of the Head and Neck Cancer Survivor Knowledge Scale in intervention group
14 secondary outcomes
Distress in head and neck cancer survivors
Time frame: 5 minutes to complete 3 months after treatment end
Distress in head and neck cancer survivors
Time frame: 5 minutes to complete 3 months after treatment end
Change in distress for head and neck cancer survivors
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Change in distress for head and neck cancer survivors
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Uncertainty in head and neck cancer survivors
Time frame: 5 minutes to complete 3 months after treatment end
Change in uncertainty in head and neck cancer survivors
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Quality of life in head and neck cancer survivors
Time frame: 5 minutes to complete 3 months after treatment end
Change in quality of life in head and neck cancer survivors
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Self-efficacy in head and neck cancer survivors
Time frame: 5 minutes to complete 3 months after treatment end
Change in self-efficacy in head and neck cancer survivors
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Information processing in head and neck cancer survivors
Time frame: 5 minutes to complete 3 months after treatment end
Change in information processing in head and neck cancer survivors
Time frame: 5 minutes to complete; measured pre-intervention and 3 months after intervention
Survivorship care plan perceptions in head and neck cancer survivors
Time frame: 5 minutes to complete 3 months after treatment end
Survivorship needs after treatment completion -- primary care provider documentation
Time frame: 10 minutes to complete documentation review of 6 months of PCP records
Results and safety
The study was stopped early (reason given: Unable to meet accrual goals.). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jan 2020.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Deborah H Allen, PhD, RN principal investigator
Duke Health
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing educational materials in people with Head and Neck Cancer, run by Duke University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: stopped early, as of the sponsor's last update on 18 Jan 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study was stopped early (reason given: Unable to meet accrual goals.). Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Head and Neck Cancer Survivor Knowledge (time frame: 5 minutes to complete 3 months after treatment end). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Jan 2020.