Evaluation of a Program for Routine Implementation of Symptom Distress Screening and Referral in Cancer Care
NCT ID: NCT05949996
Last Updated: 2025-04-03
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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RECRUITING
NA
2772 participants
INTERVENTIONAL
2024-01-08
2025-09-30
Brief Summary
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Detailed Description
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For process evaluation, this study will use qualitative methods to assess the experience and response to the implementation program.
Conditions
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Study Design
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RANDOMIZED
CROSSOVER
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Implementation condition
Under implementation condition, a nurse-led symptom distress screening program will be implemented using 5 implementation strategies including training, audit and feedback, facilitation and adaptable workflow.
A nurse-led symptom distress screening program
Five implementation strategies will be conducted individually for each of the study unit at the timepoint when the study unit is being randomly allocated to the implementation condition. For each study unit, all nurses will first receive a half-day training. Each study unit under the implementation condition will receive weekly audit and feedback reports to summarize the proportion of eligible patients, proportion of eligible patients being screened, proportion of patients appropriately referred to JCICC. The senior research assistant with a nursing background will receive training and mentoring from the PI and will be the guided facilitator. The guided facilitator will conduct weekly site visits to address operational issues arise during the implementation. Lastly, while the choice of symptom assessment tool and referral criteria are standardized and cannot be modified, the routine workflow for each study unit can be adjusted according to its context and resources.
Control condition
The control condition is the usual clinical outpatient operation without the specific implementation program (i.e. applying the five implementation strategies including training, audit and feedback, facilitation and adaptable workflow) for standardized routine symptom distress screening. Prior to the start of the first 4-month control condition, we will meet each study unit and brief the staff about the purpose of this implementation study, as well as the introduction of the symptom distress screening tool. The symptom distress screening tool and referral forms will be given to the study sites. The staff are encouraged to screened and referred all eligible patients to JCICC, a local cancer care centre. In contrast to the intervention condition, there will be no half-day skill training workshop and no weekly audit and feedback report delivered and discussed with the site facilitator. We will keep the recording of the briefing session for fidelity assessment.
No interventions assigned to this group
Interventions
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A nurse-led symptom distress screening program
Five implementation strategies will be conducted individually for each of the study unit at the timepoint when the study unit is being randomly allocated to the implementation condition. For each study unit, all nurses will first receive a half-day training. Each study unit under the implementation condition will receive weekly audit and feedback reports to summarize the proportion of eligible patients, proportion of eligible patients being screened, proportion of patients appropriately referred to JCICC. The senior research assistant with a nursing background will receive training and mentoring from the PI and will be the guided facilitator. The guided facilitator will conduct weekly site visits to address operational issues arise during the implementation. Lastly, while the choice of symptom assessment tool and referral criteria are standardized and cannot be modified, the routine workflow for each study unit can be adjusted according to its context and resources.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Health and Medical Research Fund
OTHER_GOV
The University of Hong Kong
OTHER
Responsible Party
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Wendy Wing Tak Lam
Associate Professor
Principal Investigators
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Wendy Wing Tak Lam, PhD
Role: PRINCIPAL_INVESTIGATOR
School of Public Health, The University of Hong Kong
Locations
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JCICC
Hong Kong, , Hong Kong
Kwong Wah Hospital-Breast Center
Hong Kong, , Hong Kong
North District Hospital
Hong Kong, , Hong Kong
Pamela Youde Nethersole Eastern Hospital-Department of oncology
Hong Kong, , Hong Kong
Prince of Wales Hospital-Department of Surgery
Hong Kong, , Hong Kong
Queen Mary Hospital-Department of Obstetrics & Gynaecology
Hong Kong, , Hong Kong
Queen Mary Hospital-Department of Oncology
Hong Kong, , Hong Kong
Queen Mary Hospital-Department of Surgery
Hong Kong, , Hong Kong
The University of Hong Kong Jockey Club Institute of Cancer Care
Hong Kong, , Hong Kong
Tung Wah Hospital-Department of Surgery
Hong Kong, , Hong Kong
Countries
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Central Contacts
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Facility Contacts
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Related Links
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HKU JCICC, a local cancer care centre
Other Identifiers
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UW22-645
Identifier Type: -
Identifier Source: org_study_id
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