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Sponsors and Collaborators: |
Duke University National Cancer Institute (NCI) |
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Information provided by: | Duke University |
ClinicalTrials.gov Identifier: | NCT00932490 |
The primary aim of study is to:
Test the effectiveness of a tailored protocol in promoting adherence to oral chemotherapeutic agents in adults receiving a new oral chemotherapeutic agent for breast or colorectal cancer.
Exploratory Aims:
Condition | Intervention |
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Cancer |
Behavioral: Nurse Coaching |
Study Type: | Interventional |
Study Design: | Supportive Care, Randomized, Single Blind (Outcomes Assessor), Parallel Assignment |
Official Title: | Tailored Intervention Protocol for Oral Chemotherapy Adherence |
Estimated Enrollment: | 150 |
Study Start Date: | August 2009 |
Estimated Study Completion Date: | April 2011 |
Estimated Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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Nurse Coaching: Experimental
Tailored adherence intervention that will be based on the particular needs of patients and an advanced practice nurse will suggest individualized strategies to overcome barriers to adherence
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Behavioral: Nurse Coaching
Tailored adherence intervention that will be based on the particular needs of patients and advanced practice nurses will suggest individualized strategies to overcome barriers to adherence
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Control: No Intervention |
While cancer patients express a preference for oral medications, compliance to these medications varies. Patients who successfully adhere to chemotherapy regimens have a greater chance of non-recurrence and long-term quality of life. Thus, helping patients tolerate oral chemotherapy regimens is critical to their survival. The aims of this study are to 1) test the effectiveness of a tailored protocol to promote adherence to oral chemotherapeutic agents in adults receiving treatment for breast or colorectal cancer, 2) examine adherence to oral chemotherapeutic agents over time, and 3) examine the effects of age, gender, caregiver availability, personal involvement in health care, and depression on adherence rates to oral chemotherapeutic agents.
The tailored adherence protocol is based on the self-regulatory model of adherence. The intervention identifies patient knowledge, behavioral skills, and affective support and tailors adherence strategies or overcomes barriers in each of these three categories. A randomized clinical trial will examine the adherence rates in a 150 adults started on a new oral chemotherapeutic agent. A control group will receive standard chemotherapy education. Participants in the experimental group will receive the standard education, an assessment and the tailored intervention developed by an advanced practice nurse. The intervention will be administered via telephone calls over six months. Patient adherence rates will be measured in both groups at 2, 4 and 6 months using self report, symptom profiles, and pharmacy fill rates. To determine the effectiveness of the adherence protocol, we will use Generalized Estimating Equations (with SAS Genmod), which provide a unified approach to longitudinal modeling techniques for normally and non-normally distributed outcome variables.
Ages Eligible for Study: | 18 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Responsible Party: | Duke University Medical Center ( Susan M. Schneider ) |
Study ID Numbers: | 3031779, 1R15-CA-139398-01 |
Study First Received: | July 2, 2009 |
Last Updated: | July 6, 2009 |
ClinicalTrials.gov Identifier: | NCT00932490 History of Changes |
Health Authority: | United States: Institutional Review Board |