Quality Improvement Project - "My Logbook! - I Know my Way Around!"; ("Mein Logbuch - Ich Kenne Mich Aus!")
NCT ID: NCT04474678
Last Updated: 2024-01-09
Study Results
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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COMPLETED
NA
240 participants
INTERVENTIONAL
2020-09-07
2023-12-31
Brief Summary
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Detailed Description
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As a basis for interventions to preventively address these issues and moreover, to achieve defined psychosocial goals in the field of paediatric oncology, guidelines and standards systematically describe stressors and resources in particularly challenging situations. Nevertheless, despite these guidelines, actual care is quite heterogenous due to differences in setting, provision and profession. Studies show that integrated models of psychosocial care yield better outcomes. Integrated care systems can enhance patient satisfaction, increase perceived quality of care, and enable access to services and reduce service costs. Highly complex, system-wide interventions such as models of integrated care represent considerable challenges for operationalisation of relevant factors and evaluation of whole processes compared to single interventions (e.g. relaxation techniques). Quality improvement (QI) is an iterative process designed to make controlled changes within the health care delivery system to provide patients with high-quality care that meets both their expectations and needs. In terms of quality assurance, this QI Project aims to operationalize recommendations of the S3 guideline for psychosocial care which results in a combined process- and patient-oriented intervention and evaluation tool - bridging the gap between standards/evidence and clinical practice.
The "Onco-Mini-Version" of "My Logbook - I know my way around" already comprises a Starter-Kit and 8 booklets, which cover at least one main issue of every treatment phase: initial contact, medical assessment (MRI), supportive therapy (chemotherapy, radio therapy), rehabilitation and after-care. All interventions are carried out by a clinical psychologist or psychosocial staff specialized in pediatric psychooncology and are understood as part of an integrated care system. Every booklet provides practical materials with enhanced stimulating elements to encourage the child to explore actively. The booklets are structured in two face-to-face sessions covering psychoeducational, activity \& practice and reflective aspects.
The core of this QI project is a multilevel and interdisciplinary approach characterized by iterative processes. PDSA (Plan, Do, Study, Act) cycles were applied in all steps of conceptualization and implementation of this project. It aims to systematically improve psychosocial care of pediatric cancer patients through being implemented in a large number of hospitals in the German-speaking world. The proposed multicenter pilot phase promotes emotional well-being and level of information of the child during treatment through transfer of knowledge and coping skills. Moreover, it addresses feasibility of the tool but also the impact of medical procedures on feasibility. In the long term, the program is intended to help attenuate psychological late effects of oncological conditions and their treatments.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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All Patients
Since this is a single-group study, all patients are within the same arm
"My Logbook! - I know my way around!"
Special issues/booklets of "My Logbook - I know my way around!" - Every booklet is based on evidence-based interventions. It illustrates psychosocial and interdisciplinary processes in a standardized way, resulting in a practical guide ("My Logbook") to accompany the child throughout all stages of oncological treatment.
Interventions
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"My Logbook! - I know my way around!"
Special issues/booklets of "My Logbook - I know my way around!" - Every booklet is based on evidence-based interventions. It illustrates psychosocial and interdisciplinary processes in a standardized way, resulting in a practical guide ("My Logbook") to accompany the child throughout all stages of oncological treatment.
Eligibility Criteria
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Inclusion Criteria
* children/families at standard risk (Pediatric Psychosocial Preventative Health Model (PPPHM))
* at least average cognitive abilities (as measured via intelligence test)
* currently or formerly treated for oncological condition
Exclusion Criteria
* Major vision impairments
* Major auditive impairments
6 Years
14 Years
ALL
No
Sponsors
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St. Anna Kinderspital, Austria
OTHER
Charite University, Berlin, Germany
OTHER
Cnopfsche Kinderklinik, Nürnberg
UNKNOWN
Kepler University Hospital
OTHER
University Hospital, Saarland
OTHER
Hannover Medical School
OTHER
Krankenhaus Bozen
OTHER
Goethe University
OTHER
Universitätsklinikum Hamburg-Eppendorf
OTHER
Universitätsklinikum Leipzig
OTHER
University Hospital Muenster
OTHER
University Hospital Tuebingen
OTHER
Salzburger Landeskliniken
OTHER
Leuwaldhof St.Veit (Kinder- und Jugendreha)
UNKNOWN
University Hospital, Essen
OTHER
Medical University of Graz
OTHER
University Hospital Erlangen
OTHER
Wuerzburg University Hospital
OTHER
Klinik Bad Oexen, Germany
UNKNOWN
Universitätsklinikum Köln
OTHER
University Hospital Schleswig-Holstein
OTHER
University Hospital Carl Gustav Carus
OTHER
Universitätsmedizin Mannheim
OTHER
University Hospital Regensburg
OTHER
Luca-Dethlefsen-Hilfe e.V.
UNKNOWN
Insel Gruppe AG, University Hospital Bern
OTHER
Staedtisches Klinikum Karlsruhe
OTHER
Medical University of Vienna
OTHER
Responsible Party
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Dr. Liesa J. Weiler-Wichtl
Project Coordinator
Locations
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Rehabilitationszentrum St. Veit im Pongau
Sankt Veit im Pongau, Salzburg, Austria
Kepler Universitätsklinikum
Linz, Upper Austria, Austria
Medical University Graz
Graz, , Austria
Medical University of Vienna
Vienna, , Austria
St. Anna Kinderspital
Vienna, , Austria
Universitätsklinikum Frankfurt am Main
Frankfurt am Main, Hesse, Germany
Medizinische Hochschule Hannover
Hanover, Lower Saxony, Germany
Universitätsklinikum Essen
Essen, North Rhine-Westphalia, Germany
Universitätsklinikum Münster
Münster, North Rhine-Westphalia, Germany
Universitätsklinikum des Saarlandes
Homburg, Saarland, Germany
Universitätsklinikum Leipzig
Leipzig, Saxony, Germany
Klinik Bad Oexen
Bad Oeynhausen, , Germany
Charité - Universitätsmedizin Berlin
Berlin, , Germany
Luca-Dethlefsen-Hilfe e.V.
Bielefeld, , Germany
Universitätsklinikum Carl Gustav Carus Dresden
Dresden, , Germany
Universitätsklinikum Hamburg-Eppendorf
Hamburg, , Germany
Universitätsklinikum Mannheim
Mannheim, , Germany
Universitätsklinikum Regensburg
Regensburg, , Germany
Universitätsklinikum Tübingen
Tübingen, , Germany
Universitätsklinikum Würzburg
Würzburg, , Germany
Ospedale di Bolzano
Bolzano, Trentino-Alto Adige, Italy
Inselspital, Universitätsspital Bern
Bern, , Switzerland
Countries
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References
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Kazak AE, Abrams AN, Banks J, Christofferson J, DiDonato S, Grootenhuis MA, Kabour M, Madan-Swain A, Patel SK, Zadeh S, Kupst MJ. Psychosocial Assessment as a Standard of Care in Pediatric Cancer. Pediatr Blood Cancer. 2015 Dec;62 Suppl 5:S426-59. doi: 10.1002/pbc.25730.
Scialla MA, Canter KS, Chen FF, Kolb EA, Sandler E, Wiener L, Kazak AE. Delivery of care consistent with the psychosocial standards in pediatric cancer: Current practices in the United States. Pediatr Blood Cancer. 2018 Mar;65(3):10.1002/pbc.26869. doi: 10.1002/pbc.26869. Epub 2017 Oct 28.
Baxter S, Johnson M, Chambers D, Sutton A, Goyder E, Booth A. The effects of integrated care: a systematic review of UK and international evidence. BMC Health Serv Res. 2018 May 10;18(1):350. doi: 10.1186/s12913-018-3161-3.
Schurman JV, Gayes LA, Slosky L, Hunter ME, Pino FA. Publishing quality improvement work in Clinical Practice in Pediatric Psychology: The "why" and "how to". Clinical Practice in Pediatric Psychology. 2015 Mar; 3(1):80.
Schröder HM, Lilienthal S, Schreiber-Gollwitzer BM, Griessmeier B, Leiss U. Psychosoziale Versorgung in der Pädiatrischen Onkologie und Hämatologie. PSAPOH (Hg.). 2013.
Stuber ML, Meeske KA, Krull KR, Leisenring W, Stratton K, Kazak AE, Huber M, Zebrack B, Uijtdehaage SH, Mertens AC, Robison LL, Zeltzer LK. Prevalence and predictors of posttraumatic stress disorder in adult survivors of childhood cancer. Pediatrics. 2010 May;125(5):e1124-34. doi: 10.1542/peds.2009-2308.
Koch U, Mehnert A, Harter M. [Chronic somatic disorders and psychological comorbidity]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2011 Jan;54(1):1-3. doi: 10.1007/s00103-010-1196-7. No abstract available. German.
Weiler-Wichtl LJ, Fohn-Erhold V, Rosenmayr V, Hansl R, Hopfgartner M, Pal-Handl K, Wasinger-Brandweiner V, Herzog K, Neumann K, Schellenberg T, Schonenberger-Loppacher D, Faist-Schweika C, Schonthaler B, Budich M, Stember N, Wiegele K, Reddig M, Paduch A, Lein-Kohler I, Gorgen S, Wienands H, Gauf H, Hoffmann R, Kollmann A, Just U, Salzmann N, Neunsinger P, Gerhardt M, Essl S, Borbely J, Kopper M, Rinner S, Schubert L, Leiss U. Benefits of applying standardized frameworks to implement psychosocial tools such as the 'My Logbook'. Support Care Cancer. 2024 Nov 14;32(12):789. doi: 10.1007/s00520-024-08981-7.
Weiler-Wichtl LJ, Fohn-Erhold V, Rosenmayr V, Hansl R, Hopfgartner M, Fries J, Schneider C, Herzog K, Schellenberg T, Schonthaler B, Stember N, Lein-Kohler I, Hoffmann R, Kollmann A, Salzmann N, Essl S, Pal-Handl K, Wasinger-Brandweiner V, Rinner S, Schubert L, Lange S, Leiss U. Preparing Children for Invasive Medical Cancer Treatment with "My Logbook": Preliminary Results of a Pilot Study. J Cancer Educ. 2025 Feb;40(1):132-141. doi: 10.1007/s13187-024-02481-2. Epub 2024 Aug 7.
Other Identifiers
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1564/2017
Identifier Type: -
Identifier Source: org_study_id
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