Trial Outcomes & Findings for Outlook Quality of Life Intervention (NCT NCT00784095)

NCT ID: NCT00784095

Last Updated: 2016-03-22

Results Overview

Quality Of Life At The End Of Life (the QUAL-E 2009) is a 31 item measure of quality of life at the end of life assessing five domains: life completion, relationship with health care providers, preparation for death, physical symptoms and affective social support. The 4-item preparation sub-scale is a primary outcomes measure with each item scaled from 1 to 5 with a minimum of 5, maximum of 20 score with higher scores indicating better preparation.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

Baseline, 6 and 8 week follow up

Results posted on

2016-03-22

Participant Flow

Participant milestones

Participant milestones
Measure
Preparation and Completion
Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD.
True Control
Subjects in the third group ("true control") will be exposed to no intervention or attention control.
Overall Study
STARTED
12
12
12
Overall Study
COMPLETED
12
11
11
Overall Study
NOT COMPLETED
0
1
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Outlook Quality of Life Intervention

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Preparation and Completion
n=12 Participants
Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=12 Participants
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD.
True Control
n=12 Participants
Subjects in the third group ("true control") will be exposed to no intervention or attention control.
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
64 years
STANDARD_DEVIATION 10 • n=5 Participants
68 years
STANDARD_DEVIATION 10 • n=7 Participants
69 years
STANDARD_DEVIATION 14 • n=5 Participants
67 years
STANDARD_DEVIATION 11 • n=4 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Sex: Female, Male
Male
12 Participants
n=5 Participants
11 Participants
n=7 Participants
12 Participants
n=5 Participants
35 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
5 Participants
n=5 Participants
5 Participants
n=7 Participants
4 Participants
n=5 Participants
14 Participants
n=4 Participants
Race (NIH/OMB)
White
7 Participants
n=5 Participants
5 Participants
n=7 Participants
5 Participants
n=5 Participants
17 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
2 Participants
n=7 Participants
3 Participants
n=5 Participants
5 Participants
n=4 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
12 participants
n=7 Participants
12 participants
n=5 Participants
36 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline, 6 and 8 week follow up

Quality Of Life At The End Of Life (the QUAL-E 2009) is a 31 item measure of quality of life at the end of life assessing five domains: life completion, relationship with health care providers, preparation for death, physical symptoms and affective social support. The 4-item preparation sub-scale is a primary outcomes measure with each item scaled from 1 to 5 with a minimum of 5, maximum of 20 score with higher scores indicating better preparation.

Outcome measures

Outcome measures
Measure
Preparation and Completion
n=12 Participants
Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=11 Participants
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD.
True Control
n=11 Participants
Subjects in the third group ("true control") will be exposed to no intervention or attention control.
Quality of Life - Preparation
Baseline
14.4 units on a scale
Standard Deviation 3.9
16.0 units on a scale
Standard Deviation 3.7
15.4 units on a scale
Standard Deviation 4.4
Quality of Life - Preparation
6 week follow up
15.2 units on a scale
Standard Deviation 3.8
14.8 units on a scale
Standard Deviation 5.1
14.5 units on a scale
Standard Deviation 3.9
Quality of Life - Preparation
8 week follow up
16.3 units on a scale
Standard Deviation 2.7
16.1 units on a scale
Standard Deviation 4.6
14.5 units on a scale
Standard Deviation 4.4

PRIMARY outcome

Timeframe: Baseline, 6 and 8 week follow up

A sub-scale of the QUAL-E quality of life at the end of life measures. The scale range was 5-35 with higher scores indicating more positive sense of completion.

Outcome measures

Outcome measures
Measure
Preparation and Completion
n=12 Participants
Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=11 Participants
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD.
True Control
n=11 Participants
Subjects in the third group ("true control") will be exposed to no intervention or attention control.
QUAL-E Completion Sub-scale
Baseline
22.4 units on a scale
Standard Deviation 6.5
24.5 units on a scale
Standard Deviation 5.2
22.5 units on a scale
Standard Deviation 6.9
QUAL-E Completion Sub-scale
6 week follow up
22.6 units on a scale
Standard Deviation 5.6
25.3 units on a scale
Standard Deviation 5.2
23.1 units on a scale
Standard Deviation 6.1
QUAL-E Completion Sub-scale
8 week follow up
23.4 units on a scale
Standard Deviation 5.6
24.1 units on a scale
Standard Deviation 5.9
24.4 units on a scale
Standard Deviation 7.7

SECONDARY outcome

Timeframe: Baseline, 6 and 8 week follow ups

Rosow-Breslau Activities of Daily Living scale range 17-51 with higher scores indicating greater ability.

Outcome measures

Outcome measures
Measure
Preparation and Completion
n=12 Participants
Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=11 Participants
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD.
True Control
n=11 Participants
Subjects in the third group ("true control") will be exposed to no intervention or attention control.
Functional Status ADL
Baseline
22.3 units on a scale
Standard Deviation 4.4
21.0 units on a scale
Standard Deviation 2.3
29.7 units on a scale
Standard Deviation 6.4
Functional Status ADL
6 week follow up
23 units on a scale
Standard Deviation 5.7
24 units on a scale
Standard Deviation 8.1
30.6 units on a scale
Standard Deviation 8.2
Functional Status ADL
8 week follow up
23.1 units on a scale
Standard Deviation 5.3
21.8 units on a scale
Standard Deviation 4.0
29.8 units on a scale
Standard Deviation 8.0

SECONDARY outcome

Timeframe: Baseline, 6 and 8 week follow up

Center for Epidemiology Studies - Depression Scale (CES-D) is a 10-item measure of depression. Items are rated on a 4 point likert scale with total scores ranging from 0-30. Higher scores indicate greater depressive symptoms.

Outcome measures

Outcome measures
Measure
Preparation and Completion
n=12 Participants
Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=11 Participants
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD.
True Control
n=11 Participants
Subjects in the third group ("true control") will be exposed to no intervention or attention control.
Center for Epidemiology Studies - Depression Scale (CES-D)
Baseline
12.0 units on a scale
Standard Deviation 5.0
12.0 units on a scale
Standard Deviation 8.3
13.4 units on a scale
Standard Deviation 6.6
Center for Epidemiology Studies - Depression Scale (CES-D)
6 week follow up
12.4 units on a scale
Standard Deviation 5.4
12.6 units on a scale
Standard Deviation 7.7
12.3 units on a scale
Standard Deviation 6.8
Center for Epidemiology Studies - Depression Scale (CES-D)
8 week follow up
9.4 units on a scale
Standard Deviation 4.2
12.5 units on a scale
Standard Deviation 8.9
12.1 units on a scale
Standard Deviation 5.9

SECONDARY outcome

Timeframe: Baseline, 6 and 8 week follow ups

The anxiety sub-scale from the modified Brief Profile of Mood States (POMS) is a 5-item measure of psychological distress.Items are on a 5-point likert scale with scoring ranging from 5-25. Higher scores indicate greater anxiety.

Outcome measures

Outcome measures
Measure
Preparation and Completion
n=12 Participants
Subjects in the first group ("treatment")will meet with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects will be asked to discuss issues related to life review. In session two, participants will speak about issues of regret and forgiveness. In the final session, subjects will focus on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=11 Participants
The subjects in the second group ("attention control") will meet with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects will listen to a non-guided relaxation CD.
True Control
n=11 Participants
Subjects in the third group ("true control") will be exposed to no intervention or attention control.
POMS Anxiety Sub-scale
Baseline
5.0 units on a scale
Standard Deviation 5.5
4.1 units on a scale
Standard Deviation 4.1
5.3 units on a scale
Standard Deviation 4.4
POMS Anxiety Sub-scale
6 week follow up
5.1 units on a scale
Standard Deviation 4.9
5.0 units on a scale
Standard Deviation 4.0
5.9 units on a scale
Standard Deviation 4.4
POMS Anxiety Sub-scale
8 week follow up
4.6 units on a scale
Standard Deviation 3.3
4.8 units on a scale
Standard Deviation 5.4
5.3 units on a scale
Standard Deviation 4.2

Adverse Events

Preparation and Completion

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Attention Control

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

True Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Preparation and Completion
n=12 participants at risk
Subjects in the first group ("treatment") met with the facilitator three times for a period of forty-five minutes to one our. In the first session, subjects were asked to discuss issues related to life review. In session two, participants spoke about issues of regret and forgiveness. In the final session, subjects focused on heritage and legacy. Life completion and preparation: Subjects will discuss life review, issues of forgiveness and heritage and legacy.
Attention Control
n=12 participants at risk
The subjects in the second group ("attention control") met with a facilitator three times for 45 minutes and listen to a non-guided relaxation CD. Attention Control: Subjects listened to a non-guided relaxation CD.
True Control
n=12 participants at risk
Subjects in the third group ("true control") were exposed to no intervention or attention control.
General disorders
Death
0.00%
0/12
8.3%
1/12 • Number of events 1
0.00%
0/12

Other adverse events

Adverse event data not reported

Additional Information

Dr. Karen Steinhauser

VA Health Services Research and Development

Phone: 9196682148

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place