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Trial registered on ANZCTR
Registration number
ACTRN12615000428561
Ethics application status
Approved
Date submitted
17/03/2015
Date registered
6/05/2015
Date last updated
6/05/2015
Type of registration
Retrospectively registered
Titles & IDs
Public title
Health Services Evaluation Pilot: Promoting an improved patient experience in gynaecological cancer care through supportive care screening and intervention.
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Scientific title
In women with a diagnosis of gynaecological cancer, what is the benefit of additional supportive care compared to standard supportive care screening, as assessed by patient experience questionnaires and SF-12 scores.
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Secondary ID [1]
286369
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Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gynaecological cancer
294509
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Mental health
294510
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Condition category
Condition code
Cancer
294813
294813
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0
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Ovarian and primary peritoneal
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Cancer
294814
294814
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0
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Cervical (cervix)
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Mental Health
295121
295121
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
1. An initial brief psychosocial assessment and intervention based on a semi-structured interview and recorded in the form of an Eco-map. This involves a face to face session with one of our researchers (a social work student) exploring current concerns in patients' lives that may be impacting on their cancer diagnosis, guided by a questionnaire.
The intervention is administered when the patient is admitted to hospital, if they are undergoing surgery, or at a chemotherapy appointment, if they are undergoing chemotherapy.
2. Six follow up phone calls, occurring at weekly intervals. This is administered by the same researcher who conducts the face-to-face interviews to see how patients are adjusting at home after their time in hospital, and how they have been dealing with any psychosocial stressors. They can last 5-10 minutes.
3. Two additional eco-maps, occurring with the third and last phone calls
4. At the time of the final telephone call, the Patient Experience questionnaire and follow up SF-36 will be administered
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Intervention code [1]
291431
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Early detection / Screening
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Comparator / control treatment
Standard hospital supportive care screening tools. This is a screening distress thermometer which is administered by the nurses; it briefly covers family, emotional and physical symptoms with yes and no questions.
This is administered at a gynae-oncology clinic visit prior to treatment commencing.
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Control group
Active
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Outcomes
Primary outcome [1]
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Patient experience score
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Assessment method [1]
294573
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Timepoint [1]
294573
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3-6 months post initial treatment (either surgery or chemotherapy)
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Primary outcome [2]
294574
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SF-12 score - to assess patients' quality of life
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Assessment method [2]
294574
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Timepoint [2]
294574
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3-6 months post initial treatment (either surgery or chemotherapy)
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Primary outcome [3]
294575
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CHIERS Eco-mapping score (intervention group)
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Assessment method [3]
294575
0
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Timepoint [3]
294575
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At the time of the delivery of the intervention i.e. at the commencement of treatment. This could be days-weeks post randomisation, depending on when surgery or chemotherapy is planned.
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Secondary outcome [1]
313640
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Treatment completion data - to assess whether patient's follow their intended treatment trajectory (i.e. do they complete surgery and chemotherapy if that is what was planned)
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Assessment method [1]
313640
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Timepoint [1]
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3-6 months post initial recruitment
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Eligibility
Key inclusion criteria
1. New diagnosis of any gynaecological cancer
2. Undergoing treatment at the Royal Women’s Hospital
3. Age greater than or equal to 18 years old
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Age less than 18 years old
2. Language other than English
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Eligible participants are identified and recruited from clinics by research nurses. A randomisation schedule has been generated, and sealed in opaque envelopes (allocation concealment). Each subsequently recruited patient is given the next sealed envelope containing the next randomisation number, which corresponds to either the intervention or control group. The patient is blind to the allocation process. The research staff are not blind to the allocation process and are aware to which group the patient has been allocated.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Random sequence generation using excel.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
22/09/2014
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Actual
22/09/2014
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
130
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
3568
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The Royal Women's Hospital - Parkville
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Funding & Sponsors
Funding source category [1]
290939
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Government body
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Name [1]
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Department of Health
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Address [1]
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50 Lonsdale Street
Melbourne, 3000
Victoria, Australia
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Country [1]
290939
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Australia
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Primary sponsor type
University
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Name
University of Melbourne
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Address
Grattan Street
Parkville
VIC
3010
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Country
Australia
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Secondary sponsor category [1]
289624
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Hospital
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Name [1]
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Royal Women's Hospital
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Address [1]
289624
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20 Flemington Road, Parkville VIC 3052
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Country [1]
289624
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
292543
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RWH Human Research Ethics Committee
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Ethics committee address [1]
292543
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20 Flemington Road, Parkville VIC 3052
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Ethics committee country [1]
292543
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Australia
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Date submitted for ethics approval [1]
292543
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Approval date [1]
292543
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29/05/2014
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Ethics approval number [1]
292543
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14/08
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Summary
Brief summary
This study aims to examine the impact of supportive care screening and follow up on patients being treated at the Royal Women’s Hospital for gynaecological cancer. Who is it for? You may be eligible to join this study if you are a female aged 18 years or above who has a new diagnosis of gynaecological cancer for which you are undergoing treatment at the Royal Women’s Hospital. Study details Participants in this study will be randomly allocated (by chance) to one of two groups. Participants in one group will receive the standard hospital supportive care screening tools. Participants in the other group will receive an 'enhanced model of supportive care screening'. This incorporates a single supportive care intervention where the participant has a face-to-face conversation with one of our researchers regarding psychosocial stressors that may be impacting on the patient's cancer diagnosis and what can be done to alleviate some of those stressors. All participants will be asked to complete some questionnaires between 3-6 months post enrolment in order to evaluate their patient experience and quality of life. The study will also audit the process of the patient treatment pathway and review modifiable and non-modifiable factors in the patient commencing in, remaining in, and completing treatment, and describe any complexities arising from this process. Furthermore, it is hoped that this project will provide evidence to inform future psychosocial practices and evidence based guidelines within gynaecological cancer care.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Lynette Joubert
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Address
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Department of Social Work
The University of Melbourne
Alan Gilbert Building
161 Barry Street
Carlton
Vic
3053
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Country
55842
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Australia
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Phone
55842
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+61383449417
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Fax
55842
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Email
55842
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[email protected]
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Contact person for public queries
Name
55843
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Shireen Bhatt
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Address
55843
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Department of Social Work
The University of Melbourne
Alan Gilbert Building
161 Barry Street
Carlton
Vic
3053
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Country
55843
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Australia
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Phone
55843
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+61429854359
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Fax
55843
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Email
55843
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[email protected]
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Contact person for scientific queries
Name
55844
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Lynette Joubert
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Address
55844
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Department of Social Work
The University of Melbourne
Alan Gilbert Building
161 Barry Street
Carlton
Vic
3053
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Country
55844
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Australia
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Phone
55844
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+61383449417
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Fax
55844
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Email
55844
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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