Nurse-Driven Telephone Intervention in Improving Side Effects in Cancer Patients Undergoing Chemotherapy

M.D. Anderson Cancer Center

Status: Completed

Conditions: Head and Neck Carcinoma; Sarcoma; Breast Carcinoma

Treatments: Behavioral: Telephone-Based Intervention; Other: Survey; Other: Survey Administration

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03964896

P30CA016672 (U.S. NIH Grant/Contract)

2016-0300

NCI-2019-02651 (Registry Identifier)

Details and patient eligibility

About

This clinical trial studies how well a nurse-driven telephone intervention improves side effects in patients with cancer who are undergoing chemotherapy. Receiving calls from a nurse at home while receiving chemotherapy may improve the management of side effects and overall care in cancer patients.

Full description

PRIMARY OBJECTIVES:

I. To explore the feasibility of a proactive nurse-driven telephone triage intervention for patients with cancer receiving first-line chemotherapy in the ambulatory setting.

SECONDARY OBJECTIVES:

I. To explore the symptom experience of patients receiving a nurse-driven telephone triage intervention while receiving chemotherapy in the ambulatory setting.

II. To explore the satisfaction of patients receiving a nurse-driven telephone triage intervention while receiving chemotherapy in the ambulatory setting.

III. To explore the frequency of emergency room visits and hospital admissions for symptom management by patients receiving a nurse-driven telephone triage intervention while receiving chemotherapy in the ambulatory setting.

OUTLINE:

During standard of care chemotherapy, patients receive up to 18 telephone calls from a nurse using a standardized triage call script over 20 minutes.

Enrollment: 90 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• English speaking
• Newly diagnosed patients with a breast, sarcoma, or head and neck cancer diagnosis preparing to undergo first-line, standard of care chemotherapy (patients with head and neck cancer may be undergoing concurrent first-line chemotherapy and radiation treatment)
• All chemotherapy treatment to be completed at the study institution

Exclusion criteria

• Patients who have received previous chemotherapy treatment for cancer
• Patients who will be receiving chemotherapy on research protocols
• Pregnant patients, as they may be on unique treatment protocols outside standard of care or have symptom needs that are beyond the scope of this intervention
• Patients who are unable to verbalize (e.g. due to tracheostomy)

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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90 participants in 1 patient group

Supportive Care (telephone intervention)

Experimental group

Description:

During standard of care chemotherapy, patients receive up to 18 telephone calls from a nurse using a standardized triage call script over 20 minutes.

Treatment:

Other: Survey

Behavioral: Telephone-Based Intervention

Other: Survey Administration