Study of the Therapeutic Use of Language in Patients With Metastatic Colorectal Cancer

NCT ID: NCT00711672

Last Updated: 2015-06-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

5 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-07-31

Study Completion Date

2009-10-31

Brief Summary

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The purpose of this study is to determine if the degree of agreement between patients and their physicians regarding the "story" of the illness correlates with improved patient symptom control and quality of life. Another goal of the study is to examine the actual language used by patients and physicians in a specific clinical situation.

Detailed Description

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The purpose of this study is to investigate the co-created therapeutic narrative in scheduled office visits between adult patients with metastatic colorectal carcinoma and their medical oncologists in a community practice setting. The study will focus on the negotiation of the illness narrative and the semiotic (primarily linguistic) tools employed. The study will involve patients from a large community cancer center from Northeastern Pennsylvania (this center sees about 3,000 new patients each year). About 85% of patients with cancer in the United States are treated in this type of setting (National Cancer Institute, 2007), and so many results from this population are applicable to most cancer patients in the United States. The location of this study makes it very different from the majority of medical anthropological studies that are usually performed in urban academic medical centers or in sites outside of the United States or Western Europe. Although community cancer centers are the location of most of the treatment of patients with cancer in the United States, there are few to no studies published studying this patient population.

Conditions

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Colorectal Cancer

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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1

Medical Oncologists treating patients with metastatic colorectal cancer

No interventions assigned to this group

2

Patients with metastatic colorectal cancer receiving re-staging CT scans

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients and Physicians at Hematology and Oncology Associates of NE Pennsylvania
* Patients must have metastatic (stage IV) colorectal carcinoma
* Patients must be on treatment for their disease
* Patients must be scheduled for re-staging CT scans
* Patients must be older than 18 years old

Exclusion Criteria

* Patients with a diagnosis other than metastatic colorectal carcinoma
* Patients not receiving active treatment or not having re-staging CT scans
* Patients younger than 18 years old
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hematology and Oncology Associates of NE Pennsylvania

OTHER

Sponsor Role lead

Responsible Party

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Hematology and Oncology Associates of Northeastern Pennsylvania, PC

Principal Investigators

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Christian S Adonizio, MD

Role: PRINCIPAL_INVESTIGATOR

Hematology and Oncology Associates of NE Pennsylvania

Locations

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Hematology and Oncology Associates of Northeastern Pennsylvania, PC

Dunmore, Pennsylvania, United States

Site Status

Countries

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United States

References

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Agha, A. (2007). Language and Social Relations. Studies in the Social and Cultural Foundations of Language. Cambridge, Cambridge University Press. 24: 242-244.

Reference Type BACKGROUND

Ainsworth-Vaughn, N. (1998). Claiming Power in Doctor-Patient Talk. New York, Oxford University Press.

Reference Type BACKGROUND

Austin, J.L. (1975) How to do things with Words. Ed. J.O. Urmson and Marina Sbisa. Cambridge, MA, Harvard University Press.

Reference Type BACKGROUND

Briggs, C. (1986) Learning How to Ask:A sociolinguistic appraisal of the role of the interview in social science research. Cambridge, Cambridge University Press.

Reference Type BACKGROUND

Cassel EJ. The nature of suffering and the goals of medicine. N Engl J Med. 1982 Mar 18;306(11):639-45. doi: 10.1056/NEJM198203183061104.

Reference Type BACKGROUND
PMID: 7057823 (View on PubMed)

Cassell, E. J. (1991). The Nature of Suffering and the Goals of Medicine. New York, Oxford University Press: 37-43.

Reference Type BACKGROUND

Charon, R. (2006). Narrative Medicine: Honoring the Stories of Illness. New York, Oxford.

Reference Type BACKGROUND

Csordas, T. J. ed. (1994). Embodiment and experience: The existential ground of culture and self. Cambridge Studies in Medical Anthropology. Cambridge: Cambridge University Press.

Reference Type BACKGROUND

Gee, J.P. (2005) An Introduction to Discourse Analysis: Theory and Method, 2nd ed. New York, Routledge.

Reference Type BACKGROUND

Eggly S. Physician-patient co-construction of illness narratives in the medical interview. Health Commun. 2002;14(3):339-60. doi: 10.1207/S15327027HC1403_3.

Reference Type BACKGROUND
PMID: 12186492 (View on PubMed)

Ferrell BR, Dow KH, Grant M. Measurement of the quality of life in cancer survivors. Qual Life Res. 1995 Dec;4(6):523-31. doi: 10.1007/BF00634747.

Reference Type BACKGROUND
PMID: 8556012 (View on PubMed)

Foucault, M. (1994). The Birth of the Clinic: An Archaeology of Medical Perception. New York, NY, Vintage Books.

Reference Type BACKGROUND

Frank, A. W. (1995). The Wounded Storyteller: Body, Illness, and Ethics. Chicago, Chicago University Press.

Reference Type BACKGROUND

Goffman, E. (1963) Stigma: Notes on the Management of Spoiled Identity. Englewood Cliffs, Prentice Hall.

Reference Type BACKGROUND

Good, B. J. (1994). Medicine, Rationality, and Experience: an anthropological perspective. Cambridge, Cambridge University Press.

Reference Type BACKGROUND

Laderman, C. and M, Roseman eds (1996) The Performance of Healing. London, Routledge.

Reference Type BACKGROUND

Linde, C. (1993) Life Stories: The Creation of Coherence. New York, Oxford University Press.

Reference Type BACKGROUND

Lock, M. and N. Scheper-Hughes (1996). A Critical-Interpretive Approach in Medical Anthropology: Rituals and Routines of Discipline and Dissent. Medical Anthropology: Contemporary Theory and Method. C. F. Sargent and T. M. Johnson. Westport, CT, Praeger Publishers: 47.

Reference Type BACKGROUND

Lyotard, J.-F. (1984). The Postmodern Condition: A Report on Knowledge. Minneapolis, University of Minnesota Press.

Reference Type BACKGROUND

Lortie F. Healing dramas and clinical plots: the narrative structure of experience. BMJ. 1999 May 1;318(7192):1219. doi: 10.1136/bmj.318.7192.1219. No abstract available.

Reference Type BACKGROUND
PMID: 10221969 (View on PubMed)

Mehan, H. (1996). The Construction of an LD student: A case study in the politics of Representation. Natural Histories of Discourse. M. Silverstein and G. Urban. Chicago, The University of Chicago Press: 253-276.

Reference Type BACKGROUND

Mishler, E. G. (1984). The Discourse of Medicine: Dialectics of Medical Interviews. Norwood, NJ, Ablex Publishing Corporation.

Reference Type BACKGROUND

National Cancer Institute (2007). "NCI Community Cancer Centers Program Pilot 2007-2010." from http://ncccp.cancer.gov/Media/FactSheet.htm.

Reference Type BACKGROUND

Riessman, Catherine Kohler. (1993) Narrative Analysis. Newbury Park, Sage University Paperback

Reference Type BACKGROUND

Ross, N. (2004). Culture and Cognition: Implications for Theory and Method. Thousand Oaks, CA, Sage

Reference Type BACKGROUND

Sontag, S. (2002). Illness as Metaphor and AIDS and Its Metaphors. New York, Penguin Books.

Reference Type BACKGROUND

The University of Texas--M.D.Anderson Cancer Center. (1999) "MDASI, M.D. Anderson Symptom Inventory Core Items", University of Texas.

Reference Type BACKGROUND

Webb, M. (1999). The Good Death: The New American Search to Reshape the End of Life. New York, Bantam.

Reference Type BACKGROUND

Other Identifiers

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808231

Identifier Type: -

Identifier Source: org_study_id

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