A Patient-centered Communication Tool (UR-GOAL) for Older Patients With Acute Myeloid Leukemia, Their Caregivers, and Their Oncologists
Study Details
Study Description
Brief Summary
This is a pilot study to evaluate the usability and feasibility of a patient-centered communication tool (University of Rochester-Geriatric Oncology Assessment for acute myeloid Leukemia or UR-GOAL) among 15 older patients with AML, their caregivers, and oncologists.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Older adults with AML and their caregivers may benefit from help and support in understanding their treatment options. This pilot study seeks to evaluate the usability and feasibility of the UR-GOAL communication tool. The UR-GOAL tool will incorporate conjoint analysis to elicit patient preferences as well as assessments of fitness and prognostic awareness.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Experimental: Experimental Arm: single The UR-GOAL tool will incorporate conjoint analysis to elicit patient preferences as well as assessments of fitness and prognostic awareness. |
Behavioral: Behavioral: UR-GOAL communication tool
The UR-GOAL tool will incorporate conjoint analysis to elicit patient preferences as well as assessments of fitness and prognostic awarene
|
Outcome Measures
Primary Outcome Measures
- Feasibility [One week]
Recruitment rates (percentage of patients who are approached and agree to enroll)
- System Usability Scale [Two weeks]
Score on 10-item scale, ranging 0-100; higher score corresponds to greater usability
Secondary Outcome Measures
- Pre-post changes in the following outcomes:Perceived Efficacy in Patient-Physician Interactions (PEPPI) [Two weeks]
A valid and reliable assessment of perceived self-efficacy of older patients interacting with physicians; score on 5-item scale, ranging 5-25; higher score corresponds to greater perceived efficacy
- Pre-post changes in the following outcomes: Disease Knowledge [Two weeks]
A 14-item questionnaire assessing patients and caregivers' understanding of AML; ranging 0-14; higher score corresponds to greater understanding
- Pre-post changes in the following outcomes: Disease Understanding [Two weeks]
A questionnaire assessing patient and caregiver's prognostic understanding of illness and preferences regarding life expectancy discussions.
- Pre-post changes in the following outcomes: General Anxiety Disorder-7 [Two weeks]
A 7-item screening tool for anxiety; ranging 7-21; higher score corresponds to greater anxiety symptoms
- Pre-post changes in the following outcomes: Geriatric Depression Scale-15 [Two Weeks]
A 15-item valid and reliable screening tool for depression in older adults. This will be used for patients; ranging 0-15; higher score corresponds to greater depressive symptoms
- Pre-post changes in the following outcomes: Patient Health Questionnaire-2 (PHQ-2 [Two weeks]
A 2-item valid and reliable screening tool depression in the general population. This will be used for caregivers. Ranging 0-6; higher score corresponds to greater depressive symptoms
- Pre-post changes in the following outcomes: Caregiver Ryff's Environmental Mastery [Two weeks]
A 7-item questionnaire measuring whether the respondent makes effective use of opportunities and has a sense of mastery in managing environmental factors and activities, including managing everyday affairs and creating situations to benefit personal needs. Ranging 7-35; higher score corresponds to greater depressive
- Post-intervention only: Health Care Communication Questionnaire [Two weeks]
A questionnaire assessing patients' and caregivers' satisfaction with patient-oncologist communication. 1) Satisfaction with communication about overall health, 6-items, ranging from 6-30, greater score corresponds to greater satisfaction; 2) Satisfaction with communication about aging-related concerns, ranging from 7-35, greater score corresponds to greater satisfaction.
- Post-intervention only: Shared Decision-Making Questionnaire (SDM-Q-9) [Two weeks]
A 9-item reliable questionnaire assessing patient satisfaction with the medical decision-making process. Ranging 6-54, greater score corresponds to greater satisfaction
- Preparation for Decision Making Scale [Two weeks]
A 10-item questionnaire assessing effect of the educational material on decision making. Ranging 10-100, greater score corresponds to greater preparation.
Eligibility Criteria
Criteria
Inclusion Criteria for Patients:
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Age ≥60 years (conventional definition of older age in AML)
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Newly diagnosed AML
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Considering treatment
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Able to provide informed consent
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English-speaking
Inclusion Criteria for Caregivers:
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Selected by the patient when asked if there is a "family member, partner, friend or caregiver [age 21 or older] with whom you discuss or who can be helpful in health-related matters;" patients who cannot identify such a person ("caregiver") can be eligible for the study. A caregiver need not be someone who lives with the patient or provides direct hands-on care. A caregiver can be any person who provides support (in any way) to the patient.
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Able to provide informed consent
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English-speaking
Inclusion Criteria for Oncologists:
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A practicing oncologist
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At least one of their patients are recruited to the study
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English-speaking
Exclusion Criteria: None
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Rochester Medical Center | Rochester | New York | United States | 14623 |
Sponsors and Collaborators
- University of Rochester
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- UCCS20090