An Intervention to Improve Outcomes in Patients With Advanced Cancer (TEAMS)

Yale University

Status and phase: Completed; Phase 3

Conditions: Cancer

Treatments: Behavioral: Intervention; Behavioral: Symptom Education

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01272024

0909005722

R01NR011872 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

1.) To integrate discharge planning into an intervention provided by advanced practice nurses (APRNs)for patients with advanced cancer, 2.) To evaluate the effects of the intervention, and 3.) To explore the reach, adoption, and implementation of the intervention to facilitate the transition of patients from surgery/biopsy/chemotherapy to medical oncology in a comprehensive cancer center.

Enrollment: 146 patients

Sex: All

Ages: 21+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• primary diagnosis of advanced lung, GI, Head & Neck, and Lung cancers
• post-surgical/or post-biopsy with physician's order for cancer treatment
• age 21 years or older
• lives within 50 of Yale New Haven Hospital
• has 2 or more co-morbid conditions
• has an emotional distress thermometer score of greater than or equal to 4-

Exclusion Criteria:

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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146 participants in 2 patient groups

Information/Education Group

Active Comparator group

Description:

Assistance in using Symptom Management Toolkit

Treatment:

Behavioral: Symptom Education

Nurse Intervention

Experimental group

Description:

Participants are given intensive nurse contacts to reduce uncertainty and maximize problem solving, and later, to transition to the treatment phase of their cancer.

Treatment:

Behavioral: Intervention