Evaluation of a Program for Routine Implementation of Symptom Distress Screening and Referral in Cancer Care
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: A nurse-led symptom distress screening program.
- Кому может быть актуально
- Состояния в реестре: Neoplasms. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Гонконг
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Не всё понятно в терминах? Прочитайте наш гид для пациентов →
Официальное название
Evaluation of a Program for Routine Implementation of Symptom Distress Screening and Referral in Cancer Care: a Stepped Wedge Cluster Randomized Trial
Обзор
This study proposes to evaluate the process and outcome of an implementation program designed to implement nurse-led symptom distress screening and referral into routine cancer care clinics. Specifically, using a stepped-wedge cluster randomized controlled trial, This study aim to test if a systematic symptom distress screening program increases the proportion of eligible patients screened and referred compared to usual control. For process evaluation, this study will use qualitative methods to assess the experience and response to the implementation program.
Подробное описание
This study proposes to evaluate the process and outcome of an implementation program designed to implement nurse-led symptom distress screening and referral into routine cancer care clinics. Specifically, using a stepped-wedge cluster randomized controlled trial, this study aim to test if a systematic symptom distress screening program (i.e. using the five implementation strategies including training, audit, feedback, facilitation and adaptable workflow) increases the proportion of eligible patients screened and referred compared to usual control under which no implementation strategies will be used to facilitate the adoption of the systematic symptom distress screening and referral. The investigator hypothesize that (1) the intervention will increase the proportion of eligible patients screened; (2) the intervention will increase the proportion of patients with moderate to severe symptom distress referred for psychosocial support.
For process evaluation, this study will use qualitative methods to assess the experience and response to the implementation program.
Вмешательства
- Другое A nurse-led symptom distress screening program
Five implementation strategies will be conducted individually for each of the study unit at the timepoint when the study unit is being randomly allocated to the implementation condition. For each study unit, all nurses will first receive a half-day training. Each study unit under the implementation condition will receive weekly audit and feedback reports to summarize the proportion of eligible patients, proportion of eligible patients being screened, proportion of patients appropriately referred
Первичные конечные точки
- Change in the number of eligible patient screened [Срок оценки: Pre- and post-implementation phase, up to 24 months]
- Change in the number of eligible patient referred [Срок оценки: Pre- and post-implementation phase, up to 24 months]
Вторичные конечные точки (7)
- Change in referral uptake [Срок оценки: Pre- and post-implementation phase, up to 24 months]
- Process evaluation in providers by conducting qualitative interviews [Срок оценки: post-implementation phase, up to 24 months]
- Process evaluation in patients by conducting qualitative interviews [Срок оценки: post-implementation phase, up to 24 months]
- Number of staff receiving training [Срок оценки: pre-implementation phase, up to 24 months]
- Change in staff knowledge about the implementation of the screening programme assessed using categorical Likert scales [Срок оценки: pre- and post-training workshop, and post-implementation phase, up to 24 months]
- Change in staff's belief in the symptom distress screening programme assessed using categorical Likert scales [Срок оценки: pre- and post-training workshop, and post-implementation phase, up to 24 months]
- Change in staff self-efficacy in administrating the symptom distress screening programme assessed using categorical Likert scales [Срок оценки: pre- and post-training workshop, and post-implementation phase, up to 24 months]
Критерии участия
Критерии включения
- All cancer patients within two years post-treatment attending the specialized outpatient clinics for surveillance will be eligible for symptom distress screening, with no exclusions by any demographic and clinical characteristics.
Критерии исключения
- All cancer patients beyond two years post-treatment
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Перекрёстный дизайн
- Маскирование
- Открытое
- Основная цель
- Организация здравоохранения
Центры проведения
Гонконг · 10 центров
- JCICC — Гонконг
- Kwong Wah Hospital-Breast Center — Гонконг
- North District Hospital — Гонконг
- Pamela Youde Nethersole Eastern Hospital-Department of oncology — Гонконг
- Prince of Wales Hospital-Department of Surgery — Гонконг
- Queen Mary Hospital-Department of Obstetrics & Gynaecology — Гонконг
- Queen Mary Hospital-Department of Oncology — Гонконг
- Queen Mary Hospital-Department of Surgery — Гонконг
- … и ещё 2 центра
Идентификаторы
NCT: NCT05949996 · UW22-645