Structured Multidisciplinary Intervention or Standard Medical Care in Improving Quality of Life in Patients Receiving Active Cancer Treatment

NCT ID: NCT01360814

Last Updated: 2019-12-18

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

138 participants

Study Classification

OBSERVATIONAL

Study Start Date

2005-01-31

Study Completion Date

2018-07-02

Brief Summary

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This randomized clinical trial studies structured multidisciplinary intervention or standard medical care in improving quality of life (QOL) in patients receiving active cancer treatment. A structured multidisciplinary intervention may improve the QOL in patients receiving treatment for cancer. It is not yet known whether structured multidisciplinary intervention is more effective than standard medical care in improving QOL

Detailed Description

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PRIMARY OBJECTIVES:

I. To examine the efficacy of a structured multidisciplinary intervention compared to standard medical care on improving the subject's QOL as measured by the Functional Assessment of Cancer Therapy-General global summary score (FACT-G) at 4 weeks (or at end of the intervention), at 27 weeks and at 52 weeks.

SECONDARY OBJECTIVES:

I. To examine the effect of a structured multidisciplinary intervention compared to standard medical care on improving the subject's psychosocial functioning as measured by the 11 Linear Analogue Self Assessment (LASA) QOL scales, Profile of Mood States (POMS), the Functional Assessment of Chronic Illness Therapy-Spiritual well-being scale (FACIT-SP), Pittsburgh Sleep Quality Index, the Epworth Sleepiness Scale, the Control Preferences Scale, and Exercise Behaviors at 4 weeks (or at end of intervention), at 27 weeks and at 52 weeks.

II. To examine the effect of a structured multidisciplinary intervention compared to standard medical care on improving the caregiver's QOL as measured by the Caregiver QOL-Cancer scale, and on their psychosocial functioning as measured by the 11 LASA QOL scales and POMS at 4, 27 and 52 weeks.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP A: Patients receive six 90-minute sessions of multidisciplinary structured intervention comprising physical therapy, education, a cognitive-behavioral intervention, discussion and support, spiritual reflection, and a relaxation exercise over 2-4 weeks. Caregivers are invited to sessions 1, 3, 4, and 6. Patients may also receive brief telephone contact during the 6 month follow-up period.

GROUP B: Patients receive standard medical care only. Patients may also receive brief telephone contact during the 6 month follow-up period.

After completion of study treatment, patients are followed up at 4 weeks (or at the end of intervention), at 27 weeks, and at 52 weeks.

Conditions

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Malignant Neoplasm

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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GROUP A (multidisciplinary intervention)

Patients receive six 90-minute sessions of a multidisciplinary structured intervention comprising physical therapy, education, a cognitive-behavioral intervention, discussion and support, spiritual reflection, and a relaxation exercise over 2-4 weeks. Caregivers are invited to sessions 1, 3, 4, and 6. Patients may also receive brief telephone contact during the 6 month follow-up period.

quality-of-life assessment

Intervention Type PROCEDURE

Ancillary studies

telephone-based intervention

Intervention Type BEHAVIORAL

Receive multidisciplinary structured intervention

questionnaire administration

Intervention Type OTHER

Ancillary studies

counseling intervention

Intervention Type OTHER

Receive multidisciplinary structured intervention

exercise intervention

Intervention Type BEHAVIORAL

Receive multidisciplinary structured intervention

educational intervention

Intervention Type OTHER

Receive multidisciplinary structured intervention

GROUP B (standard medical care)

Patients receive standard medical care only. Patients may also receive brief telephone contact during the 6 month follow-up period.

quality-of-life assessment

Intervention Type PROCEDURE

Ancillary studies

questionnaire administration

Intervention Type OTHER

Ancillary studies

telephone-based intervention

Intervention Type BEHAVIORAL

Receive standard care

standard follow-up care

Intervention Type PROCEDURE

Receive standard care

Interventions

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quality-of-life assessment

Ancillary studies

Intervention Type PROCEDURE

telephone-based intervention

Receive multidisciplinary structured intervention

Intervention Type BEHAVIORAL

questionnaire administration

Ancillary studies

Intervention Type OTHER

counseling intervention

Receive multidisciplinary structured intervention

Intervention Type OTHER

exercise intervention

Receive multidisciplinary structured intervention

Intervention Type BEHAVIORAL

educational intervention

Receive multidisciplinary structured intervention

Intervention Type OTHER

telephone-based intervention

Receive standard care

Intervention Type BEHAVIORAL

standard follow-up care

Receive standard care

Intervention Type PROCEDURE

Other Intervention Names

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quality of life assessment counseling and communications studies intervention, educational

Eligibility Criteria

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Inclusion Criteria

* Ability to attend all treatment sessions and follow-up
* Ability to provide written informed consent
* Ability to participate in all aspects of the study
* Initial diagnosis of cancer must have been =\< 12 months prior to study entry
* Intermediate to poor prognosis, defined as an expected 5-year survival of 0-50% in the judgment of the physicians entering the patient on the study
* Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0, 1, or 2
* \>= 1 week of planned cancer treatment at Mayo Clinic
* Has a caregiver also willing to participate

Exclusion Criteria

* Mini-mental state examination (MMSE) scores of \< 20
* Expected survival of \< 6 months
* Active substance abuse (alcohol or drug)
* Participation in other psycho-social research trials
* Active thought disorder (bipolar illness, schizophrenia, etc.)
* Suicidal intent or plan
* In need of psychiatric hospitalization
* Recurrent disease after disease-free interval of \> 6 months
* Previous cancer =\< 5 years (except non-melanoma skin cancer and/or second cancer diagnosed at approximately the same time as this cancer)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Matthew Clark, Ph.D.

Role: STUDY_CHAIR

Mayo Clinic

Locations

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Mayo Clinic

Rochester, Minnesota, United States

Site Status

Countries

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United States

References

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Chock MM, Lapid MI, Atherton PJ, Kung S, Sloan JA, Richardson JW, Clark MM, Rummans TA. Impact of a structured multidisciplinary intervention on quality of life of older adults with advanced cancer. Int Psychogeriatr. 2013 Dec;25(12):2077-86. doi: 10.1017/S1041610213001452. Epub 2013 Sep 4.

Reference Type DERIVED
PMID: 24001635 (View on PubMed)

Other Identifiers

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NCI-2011-00670

Identifier Type: REGISTRY

Identifier Source: secondary_id

MC0491

Identifier Type: OTHER

Identifier Source: secondary_id

2314-04

Identifier Type: OTHER

Identifier Source: secondary_id

MC0491

Identifier Type: -

Identifier Source: org_study_id