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Protocol of a multi-centre randomised controlled trial of a web-based information intervention with nurse-delivered telephone support for haematological cancer patients and their support persons.

Bryant J, Sanson-Fisher R, Stevenson W, Smits R, Henskens F, Wei A, Tzelepis F, D'Este C, Paul C, Carey M - BMC Cancer (2015)

Bottom Line: Patient and Support Person outcomes will be assessed independently.The approach, if found to be effective, has potential to improve psychosocial outcomes for haematological and other cancer patients, reduce the complexity and burden of meeting patients' psychosocial needs for health care providers with high potential for translation into clinical practice.ACTRN12612000720819.

View Article: PubMed Central - PubMed

Affiliation: Public Health/HBRG. HMRI Building, University of Newcastle, Callaghan, NSW, 2308, Australia. Jamie.Bryant@newcastle.edu.au.

ABSTRACT

Background: High rates of anxiety, depression and unmet needs are evident amongst haematological cancer patients undergoing treatment and their Support Persons. Psychosocial distress may be minimised by ensuring that patients are sufficiently involved in decision making, provided with tailored information and adequate preparation for potentially threatening procedures. To date, there are no published studies evaluating interventions designed to reduce psychosocial distress and unmet needs specifically in patients with haematological cancers and their Support Persons. This study will examine whether access to a web-based information tool and nurse-delivered telephone support reduces depression, anxiety and unmet information needs for haematological cancer patients and their Support Persons.

Methods/design: A non-blinded, parallel-group, multi-centre randomised controlled trial will be conducted to compare the effectiveness of a web-based information tool and nurse-delivered telephone support with usual care. Participants will be recruited from the haematology inpatient wards of five hospitals in New South Wales, Australia. Patients diagnosed with acute myeloid leukaemia, acute lymphoblastic leukaemia, Burkitt's lymphoma, Lymphoblastic lymphoma (B or T cell), or Diffuse Large B-Cell lymphoma and their Support Persons will be eligible to participate. Patients and their Support Persons will be randomised as dyads. Participants allocated to the intervention will receive access to a tailored web-based tool that provides accurate, up-to-date and personalised information about: cancer and its causes; treatment options including treatment procedures information; complementary and alternative medicine; and available support. Patients and Support Persons will complete self-report measures of anxiety, depression and unmet needs at 2, 4, 8 and 12 weeks post-recruitment. Patient and Support Person outcomes will be assessed independently.

Discussion: This study will assess whether providing information and support using web-based and telephone support address the major psychosocial challenges faced by haematological patients and their Support Persons. The approach, if found to be effective, has potential to improve psychosocial outcomes for haematological and other cancer patients, reduce the complexity and burden of meeting patients' psychosocial needs for health care providers with high potential for translation into clinical practice.

Trial registration: ACTRN12612000720819.

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Related in: MedlinePlus

Screenshot of Administrative Interface.
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Fig3: Screenshot of Administrative Interface.

Mentions: Participants in the intervention group will gain access to the web-based information intervention at the time of recruitment. For consenting patients, the treating doctor will log in to the administrative interface of the intervention website and complete a brief online form indicating the patient’s name, date of birth, gender, diagnosis, and the treatment options that are relevant to the patients’ circumstances (see Figure 3). Using this information the web-based intervention will automatically generate a user ID for the patient. This user ID will be provided to both the patient and their Support Person along with detailed instructions on how to access the web-based information tool both in hospital and at home. The information entered into the online form by the clinician will also be used to tailor the content of the web program.Figure 3


Protocol of a multi-centre randomised controlled trial of a web-based information intervention with nurse-delivered telephone support for haematological cancer patients and their support persons.

Bryant J, Sanson-Fisher R, Stevenson W, Smits R, Henskens F, Wei A, Tzelepis F, D'Este C, Paul C, Carey M - BMC Cancer (2015)

Screenshot of Administrative Interface.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4414364&req=5

Fig3: Screenshot of Administrative Interface.
Mentions: Participants in the intervention group will gain access to the web-based information intervention at the time of recruitment. For consenting patients, the treating doctor will log in to the administrative interface of the intervention website and complete a brief online form indicating the patient’s name, date of birth, gender, diagnosis, and the treatment options that are relevant to the patients’ circumstances (see Figure 3). Using this information the web-based intervention will automatically generate a user ID for the patient. This user ID will be provided to both the patient and their Support Person along with detailed instructions on how to access the web-based information tool both in hospital and at home. The information entered into the online form by the clinician will also be used to tailor the content of the web program.Figure 3

Bottom Line: Patient and Support Person outcomes will be assessed independently.The approach, if found to be effective, has potential to improve psychosocial outcomes for haematological and other cancer patients, reduce the complexity and burden of meeting patients' psychosocial needs for health care providers with high potential for translation into clinical practice.ACTRN12612000720819.

View Article: PubMed Central - PubMed

Affiliation: Public Health/HBRG. HMRI Building, University of Newcastle, Callaghan, NSW, 2308, Australia. Jamie.Bryant@newcastle.edu.au.

ABSTRACT

Background: High rates of anxiety, depression and unmet needs are evident amongst haematological cancer patients undergoing treatment and their Support Persons. Psychosocial distress may be minimised by ensuring that patients are sufficiently involved in decision making, provided with tailored information and adequate preparation for potentially threatening procedures. To date, there are no published studies evaluating interventions designed to reduce psychosocial distress and unmet needs specifically in patients with haematological cancers and their Support Persons. This study will examine whether access to a web-based information tool and nurse-delivered telephone support reduces depression, anxiety and unmet information needs for haematological cancer patients and their Support Persons.

Methods/design: A non-blinded, parallel-group, multi-centre randomised controlled trial will be conducted to compare the effectiveness of a web-based information tool and nurse-delivered telephone support with usual care. Participants will be recruited from the haematology inpatient wards of five hospitals in New South Wales, Australia. Patients diagnosed with acute myeloid leukaemia, acute lymphoblastic leukaemia, Burkitt's lymphoma, Lymphoblastic lymphoma (B or T cell), or Diffuse Large B-Cell lymphoma and their Support Persons will be eligible to participate. Patients and their Support Persons will be randomised as dyads. Participants allocated to the intervention will receive access to a tailored web-based tool that provides accurate, up-to-date and personalised information about: cancer and its causes; treatment options including treatment procedures information; complementary and alternative medicine; and available support. Patients and Support Persons will complete self-report measures of anxiety, depression and unmet needs at 2, 4, 8 and 12 weeks post-recruitment. Patient and Support Person outcomes will be assessed independently.

Discussion: This study will assess whether providing information and support using web-based and telephone support address the major psychosocial challenges faced by haematological patients and their Support Persons. The approach, if found to be effective, has potential to improve psychosocial outcomes for haematological and other cancer patients, reduce the complexity and burden of meeting patients' psychosocial needs for health care providers with high potential for translation into clinical practice.

Trial registration: ACTRN12612000720819.

Show MeSH
Related in: MedlinePlus