Multimedia Self-Management Intervention for Lung Cancer Surgery Family Caregivers and Patients

NCT ID: NCT03686007

Last Updated: 2025-04-27

Study Results

Results available

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Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

380 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-06

Study Completion Date

2026-01-13

Brief Summary

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This randomized phase III trial studies how well a multimedia self-management intervention works in preparing family caregivers and patients with stage I-III lung cancer for lung cancer surgery. The multimedia self-management intervention, Preparing for your Lung Cancer Surgery, is a nurse-led, caregiver-based, multimedia intervention that may improve patient recovery after surgery, lower caregiving burden, and improve distress and quality of life.

Detailed Description

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PRIMARY OBJECTIVES:

I. Test the effects of the multimedia self-management (MSM) intervention on family caregivers (FCG) outcomes and cancer support services use at discharge and 3-month post-discharge, comparing intervention and attention control groups.

II. Test the effects of the MSM intervention on patient outcomes and healthcare resource use at discharge and 3-months post-discharge, comparing intervention and attention control groups.

III. Test the effects of the MSM intervention on outcome mediators at discharge and 3-months post-discharge, comparing intervention and attention control groups.

SECONDARY OBJECTIVES:

I. Explore moderators (age, sex, marital status, caregiver relationship to patient, caregiver employment status, co-morbidities) of FCG and patient outcomes and reciprocal relationships.

II. Determine, through exit interviews, participant's experience with the MSM intervention.

OUTLINE: Patients are randomized to 1 of 2 groups.

GROUP I: Patients and FCGs receive the MSM intervention consisting of videos, a handbook, and research nurse coaching over 40-60 minutes, approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive research nurse support by telephone (separate sessions for FCGs and patients) over 20-30 minutes at 2 and 7 days, and 2 months post-discharge.

GROUP II: Patients and FCGs receive attention control intervention consisting of videos (American Cancer Society video on "Clinical Trials"), American Cancer Society print materials, and assistance from a clinical research associate (CRA) approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive assistance from CRAs via telephone calls at 2 and 7 days, and 2 months post-discharge.

Conditions

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Caregiver Stage I Lung Cancer AJCC v7 Stage IA Lung Cancer AJCC v7 Stage IB Lung Cancer AJCC v7 Stage II Lung Cancer AJCC v7 Stage IIA Lung Cancer AJCC v7 Stage IIB Lung Cancer AJCC v7 Stage III Lung Cancer AJCC v7 Stage IIIA Lung Cancer AJCC v7 Stage IIIB Lung Cancer AJCC v7

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Group I (MSM intervention)

Patients and FCGs receive the MSM intervention consisting of videos, a handbook, and research nurse coaching over 40-60 minutes, approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive research nurse support via telephone(separate sessions for FCGs and patients) over 20-30 minutes at 2 and 7 days, and 2 months post-discharge.

Group Type EXPERIMENTAL

Informational Intervention

Intervention Type OTHER

Receive MSM intervention handbook

Informational Intervention

Intervention Type OTHER

Receive MSM intervention research nurse coaching

Media Intervention

Intervention Type OTHER

View the MSM intervention videos

Group II (Attention Control)

Patients and FCGs receive attention control intervention consisting of videos (American Cancer Society video on "Clinical Trials"), American Cancer Society print materials, and assistance from a CRA approximately 3-7 days before surgery and within 24 hours of planned discharge. Patients and FCGs also receive assistance from CRAs via telephone at 2 and 7 days, and 2 months post-discharge.

Group Type ACTIVE_COMPARATOR

Informational Intervention

Intervention Type OTHER

Receive ASCO print materials

Informational Intervention

Intervention Type OTHER

Receive CRA assistance

Media Intervention

Intervention Type OTHER

View American Cancer Society (ACS) videos

Interventions

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Informational Intervention

Receive MSM intervention handbook

Intervention Type OTHER

Informational Intervention

Receive MSM intervention research nurse coaching

Intervention Type OTHER

Informational Intervention

Receive ASCO print materials

Intervention Type OTHER

Informational Intervention

Receive CRA assistance

Intervention Type OTHER

Media Intervention

View the MSM intervention videos

Intervention Type OTHER

Media Intervention

View American Cancer Society (ACS) videos

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* A family member or friend identified by the patient as being the primary care provider before and after surgery
* A patient/care recipient enrolled in the study
* Age 21 years or older
* Able to read or understand English


* Diagnosis of Stage I-III non-small cell lung cancer
* Scheduled to undergo surgery for treatment
* A family caregiver enrolled in the study
* Age 21 years or older
* Able to read or understand English.
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

City of Hope Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Virginia Sun, RN, PhD

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Jae Kim, MD

Role: PRINCIPAL_INVESTIGATOR

City of Hope Medical Center

Locations

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City of Hope Medical Center

Duarte, California, United States

Site Status

Countries

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United States

References

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Sun V, Raz DJ, Erhunmwunsee L, Ruel N, Carranza J, Prieto R, Ferrell B, Krouse RS, McCorkle R, Kim JY. Improving family caregiver and patient outcomes in lung cancer surgery: Study protocol for a randomized trial of the multimedia self-management (MSM) intervention. Contemp Clin Trials. 2019 Aug;83:88-96. doi: 10.1016/j.cct.2019.07.002. Epub 2019 Jul 3.

Reference Type DERIVED
PMID: 31279090 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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NCI-2017-01391

Identifier Type: REGISTRY

Identifier Source: secondary_id

17238

Identifier Type: OTHER

Identifier Source: secondary_id

17238

Identifier Type: -

Identifier Source: org_study_id

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