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Trial Title: Heuristic Tool To Improve Symptom Self-Management in Adolescents and Young Adults With Cancer

NCT ID: NCT05958316

Condition: Symptoms and Signs
Cancer
Childhood Cancer

Conditions: Keywords:
Supportive Care
Symptom Management

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: None (Open Label)

Intervention:

Intervention type: Behavioral
Intervention name: Computerized Symptom Capture Tool (C-SCAT) Intervention
Description: The C-SCAT includes the 32 symptoms from the Memorial Symptom Assessment Scale (MSAS). Users select symptoms they have experienced over the past week, rate each symptom's severity and distress, and name a perceived cause. They then identify temporal and causal relationships between symptoms using lines and arrows, designate groups, i.e., "clusters" of symptoms, and give a name to each cluster. They are asked the reason for a symptom's designation as a priority symptom and what they do to alleviate that symptom. Next, they are asked to designate a priority cluster and finally, to confirm whether the image accurately reflects their symptom experience. Then, at the clinic visit, the AYA shares the visual image with the HCP, and more importantly, their priority symptoms, which can facilitate the symptom discussion. The C-SCAT intervention group will complete the C-SCAT prior to each of three encounters with their health care providers (HCPs).
Arm group label: Computerized Symptom Assessment Tool C-SCAT

Intervention type: Behavioral
Intervention name: Usual Care Control
Description: Usual care is defined as the usual approach to assessing symptoms during the HCP encounter. To provide attentional control to the usual care control group and prevent disproportionate attrition from that group, study staff will contact participants three times during the intervention period (approximately 3 months) when they are in for a scheduled clinic visit and communicate the following: 1) express appreciation for ongoing study participation; 2) ask how everything is going with their treatment; 3) ask if anything has changed with their treatment plan since the last study visit; and 4) confirm continued participation in the study.
Arm group label: Usual Care Control Group

Summary: Determine the effects of the Computerized Symptom Assessment Tool (C-SCAT) versus usual care on the primary outcomes of self-efficacy for symptom management and symptom self-management behaviors

Detailed description: This is a multi-site two-group randomized control trial (RCT) design to evaluate the effects of the Computerized Symptom Assessment Tool (C-SCAT) for improving symptom self-management versus usual care in 126 adolescents and young adults (AYAs) who are within the first three months of a diagnosis of cancer and who are receiving cancer treatment. For this study, cancer treatment will be defined as a prescribed infusion ( e.g., chemotherapy, immunotherapy).

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Has received at least 1 cycle of cancer treatment and is within 3 months of initial cancer diagnosis - Receiving regularly scheduled cancer treatment and will be receiving at least three more cycles - Reports at least 1 symptom related to cancer and/or its treatment - Able to speak, read, and write English as required for completion of the C-SCAT and study measures Exclusion Criteria: - Cognitive and/or physical inability to complete study measures.

Gender: All

Minimum age: 15 Years

Maximum age: 29 Years

Healthy volunteers: No

Locations:

Facility:
Name: Children's Mercy Hospital

Address:
City: Kansas City
Zip: 64108
Country: United States

Status: Recruiting

Contact:
Last name: Kristin Stegenga

Phone: 816-302-6841
Email: kstegenga@cmh.edu

Investigator:
Last name: Kristin Stegenga
Email: Principal Investigator

Facility:
Name: University of Utah Primary Children's Hospital

Address:
City: Salt Lake City
Zip: 84113
Country: United States

Status: Recruiting

Contact:
Last name: Lauri Linder

Phone: 801-581-4339
Email: lauri.linder@nurs.utah.edu

Investigator:
Last name: Lauri Linder
Email: Principal Investigator

Facility:
Name: Virginia Commonwealth University

Address:
City: Richmond
Zip: 23298
Country: United States

Status: Recruiting

Contact:
Last name: Grace Hodges

Phone: 804-828-8917
Email: rkelswic@vcu.edu

Investigator:
Last name: Ronald Elswick, PhD
Email: Principal Investigator

Facility:
Name: Seattle Children's Hospital @ University of Washington

Address:
City: Seattle
Zip: 98105
Country: United States

Status: Recruiting

Contact:
Last name: Catherine F Macpherson

Phone: 206-987-2032
Email: CatherineFiona.Macpherson@seattlechildrens.org

Investigator:
Last name: Catherine F Macpherson
Email: Principal Investigator

Start date: January 4, 2024

Completion date: August 31, 2026

Lead sponsor:
Agency: Virginia Commonwealth University
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: Virginia Commonwealth University

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05958316

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