Идёт набор NCT07052630

Patient Navigation and the Planning Advance Care Together Website to Improve Goals of Care Conversations in Hematopoietic Cell Transplant Survivors, IMPACT-HCT Trial

Без фазы С лечением Hematopoietic and Lymphatic System Neoplasm

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: Internet-Based Intervention, Patient Navigation, Best Practice, Survey Administration.
Кому может быть актуально: Состояния в реестре: Hematopoietic and Lymphatic System Neoplasm. 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: США
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Improving Goals of Care Conversations With Hematopoietic Cell Transplant Survivors (IMPACT - HCT)

Обзор

This clinical trial evaluates the impact of patient navigation and the Planning Advance Care Together (PACT) website, either alone or in combination with one another, on advanced care planning (ACP) in patients with blood cancers who received a hematopoietic cell transplant (HCT). Engagement in ACP, including having goals of care conversations, improves quality of care at the end of life and supporting this should be included in all cancer survivorship care. Patient navigation is a healthcare service that is designed to guide a patient through the healthcare system and reduce barriers to timely screening follow-up, diagnosis, treatment, and supportive care. PACT is a web-based tool that provides information about ACP, assistance with documents for advanced directives, a supportive network and a forum for discussions about ACP. Patients who engage in ACP are more likely to have higher quality of life at the end of life, receive the care they want, die where they prefer, utilize hospice effectively, and are less likely to receive futile, aggressive care at the end of life. For HCT survivors at ongoing risk of death and other disease-related complications, having a plan in place for care they want is critical. Patient navigation and/or the PACT website may improve ACP, including completion of advance care directives and goals of care conversations, in patients with blood cancers who received an HCT.

Подробное описание

OUTLINE: Patients are randomized to 1 of 4 conditions.

CONDITION 1 (PACT + PATIENT NAVIGATION): Patients interact with the PACT website over 4 weeks and receive a navigation session over 45-60 minutes with a trained health coach to review ACP.

CONDITION 2 (PATIENT NAVIGATION ONLY): Patients receive a navigation session over 45-60 minutes with a trained health coach to review ACP.

CONDITION 3 (PACT ONLY): Patients interact with the PACT website over 4 weeks.

CONDITION 4 (NO PACT/NO PATIENT NAVIGATION): Patients receive standard/usual care for 4 weeks on study.

After completion of study intervention, patients are followed up at 4 and 12 weeks.

Вмешательства

Другое Internet-Based Intervention
Interact with PACT website
Поведенческое Patient Navigation
Receive a patient navigation session
Другое Best Practice
Receive standard/usual care
Другое Survey Administration
Ancillary studies

Первичные конечные точки

Feasibility (Rate of enrollment) [Срок оценки: At baseline]
Feasibility (Rate of completion of intervention components) [Срок оценки: At 12 weeks post intervention]
Feasibility (Rate of completion of study assessments) [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]
Acceptability of intervention [Срок оценки: At 4 weeks post intervention]
Completion of advance directives [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]

Вторичные конечные точки (7)

Discussion of advance care planning (ACP)/goals of care conversation [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]
Level of engagement in ACP [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]
Readiness to engage in ACP [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]
Self-efficacy for treatment decision-making [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]
Psychological distress [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]
Engagement with PACT website [Срок оценки: At baseline, and at 4 and 12 weeks post intervention]
Engagement with patient navigation intervention (Completion rates of patient navigation intervention session) [Срок оценки: At 4 weeks post intervention]

Критерии участия

Критерии включения

Received a transplant for a hematologic malignancy
Current age 18 years of age or older
Currently 1 to 5 years after HCT
Ability to speak and read English
Has not completed all advance directives and/or had a goals of care (GOC) conversation with their physician
Access to the internet (via computer, tablet, or mobile device)