Laryngectomy Education

NCT ID: NCT02601638

Last Updated: 2016-12-13

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

Clinical Phase

NA

Total Enrollment

55 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-11-30

Study Completion Date

2016-11-30

Brief Summary

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Patients undergoing total laryngectomy are at high risk for 30-day unplanned readmission. Many of these readmissions are related to stomal care, and it is thought that the readmissions could be prevented with better patient and caregiver education. The investigators are studying the effect of a comprehensive perioperative education program on 30-day unplanned readmission for patients undergoing total laryngectomy.

The comprehensive perioperative education program will include the following additional interventions:

-Preoperative visit with the speech pathologist for explanation of laryngectomy physiology, stomal education, and alaryngeal voice rehabilitation. Participants will be expected to undergo this intervention and to attend it with their "laryngectomy coach" (a family member or friend to accompany the patient through the education process), but failure to meet with the speech pathologist will not exclude a patient from the study.

* Preoperative education class with a designated ENT laryngectomy nurse for patient and caregiver. The hands-on class introduces the patient and laryngectomy coach to the basics of stomal care. Participants and their "laryngectomy coach" will be expected to attend the preoperative education class
* Printed laryngectomy journey guide given to patients at time of study enrollment for patient/caregiver. This journey guide details the preoperative, in-hospital, and post-discharge course and is provided as a reference throughout their journey.
* Formalized, nursing administered practical evaluation of minimal competency of laryngectomy care for patient and caregiver/laryngectomy coach.

This study will follow patients prospectively from the time of study commencement and then assess changes in patient knowledge before and after the education intervention. It will also compare rate of stomal complications and readmission rates to institutional historical averages to assess improvement in quality care.

Detailed Description

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Conditions

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Total Laryngectomy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Arm 1

* Demographics and Health History Questionnaire (5-10 minutes to complete)
* Pre-Class Laryngectomy Survey (5-10 minutes to complete)
* Attend a preoperative counseling session with a speech pathologist. It will take 30-60 minutes
* Attend the Total Laryngectomy Preoperative Education Class. Participants will attend within 1-2 weeks of providing written consent and prior to their scheduled surgery. The preoperative education class will take one hour.
* Complete the Day of Hospital Discharge Laryngectomy Survey at the time of discharge from the hospital (5-10 minutes to complete)
* Perform the day of discharge practicum assessing the minimal competency skills for laryngectomy care prior to discharge from the hospital.
* Complete the Laryngectomy Education Study Exit survey. Participants will perform an exit survey at the first clinic appointment after 30 days after hospital discharge (15-30 minutes to complete)

Group Type EXPERIMENTAL

Demographics and Health History Questionnaire

Intervention Type OTHER

Pre-Class Laryngectomy Survey

Intervention Type OTHER

Counseling session with speech pathologist

Intervention Type BEHAVIORAL

Total Laryngectomy Preoperative Education Class

Intervention Type BEHAVIORAL

Day of Hospital Discharge Laryngectomy Survey

Intervention Type OTHER

Day of Discharge Practicum

Intervention Type OTHER

Laryngectomy Education Study Exit Survey

Intervention Type OTHER

Interventions

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Demographics and Health History Questionnaire

Intervention Type OTHER

Pre-Class Laryngectomy Survey

Intervention Type OTHER

Counseling session with speech pathologist

Intervention Type BEHAVIORAL

Total Laryngectomy Preoperative Education Class

Intervention Type BEHAVIORAL

Day of Hospital Discharge Laryngectomy Survey

Intervention Type OTHER

Day of Discharge Practicum

Intervention Type OTHER

Laryngectomy Education Study Exit Survey

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* planned total laryngectomy at Barnes Jewish Hospital
* age 18 or older
* understand spoken or written English language
* able to provide informed consent.

Exclusion Criteria

-none
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Brian Nussenbaum, M.D.

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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Washington University School of Medicine

St Louis, Missouri, United States

Site Status

Countries

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United States

Related Links

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http://www.siteman.wustl.edu

Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

Other Identifiers

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201411097

Identifier Type: -

Identifier Source: org_study_id