Design and Testing of a Web-Based Tool for the Improvement of End-of-Life Planning in Patients With Advanced Cancer

Fred Hutchinson Cancer Center (FHCC)

Status: Active, not recruiting

Conditions: Metastatic Malignant Solid Neoplasm; Hematopoietic and Lymphoid System Neoplasm; Locally Advanced Malignant Solid Neoplasm

Treatments: Other: Questionnaire Administration; Other: Best Practice; Other: Internet-Based Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT05564468

NCI-2024-03279 (Registry Identifier)

20230 (Other Identifier)

RG1123556

R44NR020341 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This clinical trial examines a web-based tool, in partnership with Peacefully, Inc, designed to improve end-of-life planning among patients with advanced cancers. This program helps users prepare comprehensively for end-of-life (e.g., medical wishes, legal estate planning, financial planning and transfer of accounts, legacy building, and emotional support). It is expected that this web-based end-of-life planning program may reduce distress and improve end-of-life preparation among advanced cancer patients.

Full description

OUTLINE:

Patients are randomized to 1 of 2 groups and their engagement in end-of-life planning is assessed at baseline and four weeks post-randomization.

Group I (intervention): Patients receive Peacefully's web-based tool to help with end-of-life planning on day 7.

Group II (control): Patients receive standard of care.

After completion of study, patients are followed up at 4, 12, and 24 weeks post-randomization.

Enrollment: 100 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of poor prognosis advanced cancer defined as locally advanced or metastatic cancer and/or disease progression following at least first line systemic therapy
• Access to a computer or mobile device
• The ability to provide informed consent

Exclusion criteria

• Not fluent in English
• Severely cognitively impaired (as measured by Short Portable Mental Status Questionnaire scores of < 6)
• Too ill or weak to complete the interviews (as judged by the interviewer)

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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100 participants in 2 patient groups

Group I (Peacefully's)

Experimental group

Description:

Patients receive Peacefully's web-based tool to help with end-of-life planning on day 7.

Treatment:

Other: Internet-Based Intervention

Other: Questionnaire Administration

Group II (standard of care)

Active Comparator group

Description:

Patients receive standard care.

Treatment:

Other: Best Practice

Other: Questionnaire Administration