Health and Employment After Gastro Intestinal Surgery - HEAGIS1

NCT ID: NCT04466592

Last Updated: 2022-01-14

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

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-12-13

Study Completion Date

2021-04-30

Brief Summary

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By using the M.A.D.I.T. methodology and the Dialogics science, SALVO Project aims to develop operational guidelines to support oncological target patients in the resumption of their daily post-operative activities. The research will implement an instrument for the purpose of measuring the health need of participants who are admitted to the surgical ward. Therefore, targeted interventions will be implemented with participants, and efficacy will be evaluated in order to define treatment guidelines.

The principal aim of this study is to create a validated and replicable intervention model for supporting patients who undergone surgery for esophagus and gastro intestinal cancer.

Detailed Description

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Several studies highlight how patients diagnosed with a digestive tract cancer, experience difficulties in returning to work after treatment, leading to socio-economic spill-over effects.

A specific 16 questions questionnaire had been developed for this study, the "Health and Employment After Gastro Intestinal Surgery Dialogical Questionnaire" (HEADS-DQ). It investigate peculiar patient competences involved after surgery: future forethought; context evaluation; consequences of own actions forethought; use of available resources, each relevant to four areas: clinical; familiar; working; daily-activities.

Through this questionnaire patient ability in dealing with after surgery consequences will be evaluated in order to define targeted support, which will be offered by professional psychologists. These interventions efficacy will be evaluated through another administration of the HEADS-DQ.

Conditions

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Esophageal Neoplasms Stomach Neoplasm Colonic Neoplasms

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Participants will receive the supportive intervention based on the results of the HEADS-DQ during the post operative period.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Supportive intervention

A research psychologist will support participants, promoting their competences in the recover of work and social activities, such as the compliance.

Group Type EXPERIMENTAL

Promotion of competences of participant involved in the management of the post operative period

Intervention Type BEHAVIORAL

The research psychologist will be in touch with the participants for 9 months after the surgery (weekly, biweekly or monthly) in order to help them recovering social and work activities, and dealing with the consequences of the surgery. Specifically, four competences will be promoted (future forethought; context evaluation; consequences of own actions forethought; use of available resources), each relevant to four areas (clinical; familiar; working; daily-activities).

Interventions

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Promotion of competences of participant involved in the management of the post operative period

The research psychologist will be in touch with the participants for 9 months after the surgery (weekly, biweekly or monthly) in order to help them recovering social and work activities, and dealing with the consequences of the surgery. Specifically, four competences will be promoted (future forethought; context evaluation; consequences of own actions forethought; use of available resources), each relevant to four areas (clinical; familiar; working; daily-activities).

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* \>18 years old;
* Comprehension of Italian language;
* Esophageal or gastro intestinal cancer diagnosis;
* Curative surgery for neoplasm;
* No metastasis;

Exclusion Criteria

* \<18 years old
* Non comprehension of Italian language;
* No esophageal or gastro intestinal cancer diagnosis;
* Palliative ;
* Cancer recurrence or metastasis.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Humanitas Hospital, Italy

OTHER

Sponsor Role collaborator

Istituto Oncologico Veneto IRCCS

OTHER

Sponsor Role collaborator

University of Padova

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gian Piero Turchi

Role: PRINCIPAL_INVESTIGATOR

University of Padova

Locations

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Humanitas Mirasole S.p.a.

Rozzano, Milan, Italy

Site Status

Istituto Oncologico Veneto - IOV IRCSS

Castelfranco Veneto, Treviso, Italy

Site Status

Countries

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Italy

References

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De Blasi G, Bouteyre E, Rollin L. Giving up work after cancer: An exploratory qualitative study of three clinical cases. Work. 2018;60(1):105-115. doi: 10.3233/WOR-182712.

Reference Type BACKGROUND
PMID: 29733033 (View on PubMed)

Moran JR, Short PF, Hollenbeak CS. Long-term employment effects of surviving cancer. J Health Econ. 2011 May;30(3):505-14. doi: 10.1016/j.jhealeco.2011.02.001. Epub 2011 Mar 1.

Reference Type BACKGROUND
PMID: 21429606 (View on PubMed)

Yarker J, Munir F, Bains M, Kalawsky K, Haslam C. The role of communication and support in return to work following cancer-related absence. Psychooncology. 2010 Oct;19(10):1078-85. doi: 10.1002/pon.1662.

Reference Type BACKGROUND
PMID: 20014202 (View on PubMed)

Parsons JA, Eakin JM, Bell RS, Franche RL, Davis AM. "So, are you back to work yet?" Re-conceptualizing 'work' and 'return to work' in the context of primary bone cancer. Soc Sci Med. 2008 Dec;67(11):1826-36. doi: 10.1016/j.socscimed.2008.09.011. Epub 2008 Oct 11.

Reference Type BACKGROUND
PMID: 18851893 (View on PubMed)

Mehnert A. Employment and work-related issues in cancer survivors. Crit Rev Oncol Hematol. 2011 Feb;77(2):109-30. doi: 10.1016/j.critrevonc.2010.01.004. Epub 2010 Feb 8.

Reference Type BACKGROUND
PMID: 20117019 (View on PubMed)

Pinto E, Cavallin F, Alfieri R, Saadeh LM, Mantoan S, Cagol M, Castoro C, Scarpa M. Impact of esophagectomy for cancer on patients' occupational status. Eur J Surg Oncol. 2016 Jan;42(1):103-9. doi: 10.1016/j.ejso.2015.09.021. Epub 2015 Oct 9.

Reference Type BACKGROUND
PMID: 26482347 (View on PubMed)

Martinez LR, White CD, Shapiro JR, Hebl MR. Selection BIAS: Stereotypes and discrimination related to having a history of cancer. J Appl Psychol. 2016 Jan;101(1):122-8. doi: 10.1037/apl0000036. Epub 2015 Jun 29.

Reference Type BACKGROUND
PMID: 26121089 (View on PubMed)

Clarke TC, Christ SL, Soler-Vila H, Lee DJ, Arheart KL, Prado G, Caban-Martinez A, Fleming LE. Working with cancer: health and employment among cancer survivors. Ann Epidemiol. 2015 Nov;25(11):832-8. doi: 10.1016/j.annepidem.2015.07.011. Epub 2015 Aug 4.

Reference Type BACKGROUND
PMID: 26320705 (View on PubMed)

Turchi GP, Iudici A, Faccio E. From Suicide Due to an Economic-Financial Crisis to the Management of Entrepreneurial Health: Elements of a Biographical Change Management Service and Clinical Implications. Front Psychol. 2019 Mar 4;10:426. doi: 10.3389/fpsyg.2019.00426. eCollection 2019. No abstract available.

Reference Type BACKGROUND
PMID: 30886599 (View on PubMed)

Iudici A, Favaretto G, Turchi GP. Community perspective: How volunteers, professionals, families and the general population construct disability: Social, clinical and health implications. Disabil Health J. 2019 Apr;12(2):171-179. doi: 10.1016/j.dhjo.2018.11.014. Epub 2018 Nov 29.

Reference Type BACKGROUND
PMID: 30528178 (View on PubMed)

Other Identifiers

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232050

Identifier Type: -

Identifier Source: org_study_id

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