Communication Intervention for Cancer Care

(PRECursOr Trial)

No longer recruiting at 1 trial location
AS
Overseen ByAshley Sheets
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Indiana University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve communication during cancer care appointments by fostering more supportive conversations between doctors, patients, and caregivers. Researchers seek to evaluate this approach in real-life settings before introducing it to larger groups. The trial includes two groups: one using the new communication approach, called the Triadic Communication Intervention, and one without it. Women with advanced gynecologic cancer who are not in hospice care, along with their primary caregivers, may be eligible to join.

As an unphased trial, this study offers participants the chance to contribute to innovative communication strategies that could enhance cancer care experiences for many.

Do I have to stop taking my current medications for this trial?

The trial protocol does not specify whether you need to stop taking your current medications. It seems focused on communication during appointments, so it's unlikely that medication changes are required.

What prior data suggests that this communication intervention is safe?

Research shows that better communication between doctors, patients, and caregivers can enhance patient experiences. Studies have found that improved communication helps patients understand their treatment goals and receive better care.

This trial involves no physical treatments or medications. Instead, it focuses on improving communication during cancer care, eliminating risks related to medication side effects or adverse events. The goal is to make conversations more supportive and helpful. Therefore, joining this trial is very safe, as it only involves participating in discussions.12345

Why are researchers excited about this trial?

Researchers are excited about the Communication Intervention for Cancer Care because it focuses on enhancing the way patients, caregivers, and healthcare providers communicate. Unlike traditional cancer treatments that directly target the disease through medication or therapy, this intervention aims to improve the overall cancer care experience by fostering clearer, more effective communication. This technique could lead to better understanding of treatment plans, increased patient satisfaction, and potentially improved health outcomes by ensuring everyone involved is on the same page.

What evidence suggests that this communication intervention is effective for cancer care?

This trial will compare the effects of a communication intervention with a control group in cancer care. Research has shown that improving communication can greatly enhance interactions between patients, doctors, and caregivers. Participants in the intervention group triads will engage with strategies designed to improve communication. Studies have found these strategies help caregivers better understand the illness and use online health tools more effectively. Additionally, these strategies make important conversations, such as delivering difficult news, more effective. Overall, involving caregivers and encouraging open dialogue positively impacts the cancer care experience.26789

Are You a Good Fit for This Trial?

This trial is for adult women with advanced, incurable gynecologic cancers who are at a critical point in their illness and have not responded well to initial treatments. They must speak English and not be receiving palliative care or hospice. Caregivers primarily involved in the patient's care can also participate if they meet similar language criteria.

Inclusion Criteria

My current treatment isn't working, my illness is getting worse, or I was hospitalized due to symptoms in the last month.
I am a woman with advanced gynecologic cancer that has not improved with treatment.
You see a doctor who specializes in treating cancers of the female reproductive system at the IUSCCC gynecologic oncology clinic.
See 2 more

Exclusion Criteria

I do not have speech or hearing difficulties that would prevent me from participating.
I or my caregiver have cognitive difficulties.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants engage in a communication intention elicitation intervention prior to an outpatient oncology encounter

9 months
Regular outpatient oncology appointments

Follow-up

Participants are monitored for communication behavior changes and satisfaction through surveys and interviews

9 months

What Are the Treatments Tested in This Trial?

Interventions

  • Intervention group triads
Trial Overview The study tests an intervention aimed at improving communication between healthcare providers, patients with gynecologic cancer, and their caregivers during outpatient appointments. It seeks feedback on this approach before expanding it to more people.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Intervention group triadsExperimental Treatment1 Intervention
Group II: Control group triadsActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Indiana University

Lead Sponsor

Trials
1,063
Recruited
1,182,000+

American Cancer Society, Inc.

Collaborator

Trials
237
Recruited
110,000+

Published Research Related to This Trial

Effective medical communication is crucial for involving patients in their own care, yet many physicians lack the training to use it properly, which can hinder patient decision-making.
The analysis of a consultation in an oncology ward highlights common pitfalls in medical communication and offers practical suggestions for improving conversations between healthcare providers and patients.
["He does not know it yet"-Triadic communication and its pitfalls exemplified by an oncological ward round consultation].Baldt, B.[2022]
In a study involving English-speaking adults with ovarian cancer, patient-centred communication (PCC) significantly improved health-related quality of life (HRQoL), with a total effect size of 9.47, indicating that effective communication is crucial for patient well-being.
Self-efficacy was found to mediate about 63.4% of the relationship between PCC and HRQoL, suggesting that enhancing patients' confidence in managing their health could be a key focus for interventions aimed at improving their quality of life.
Health-related quality of life, patient-centred communication and self-efficacy in ovarian cancer: a mediation analysis.Pozzar, RA., Xiong, N., Mazzola, E., et al.[2022]
Open, honest, and timely communication between clinicians and cancer patients is crucial, as it has been shown to reduce anxiety, especially when discussing life expectancy and prognosis.
While techniques that encourage patient participation in decision-making lead to greater satisfaction, they do not necessarily reduce distress, highlighting the need for personalized communication strategies that consider individual patient preferences.
Clinician-patient communication: a systematic review.Rodin, G., Mackay, JA., Zimmermann, C., et al.[2022]

Citations

Triadic communication with teenagers and young adults ...Triadic communication refers to the presence of a third party, such as a parent, carer or companion in clinical encounters and the presence of ...
Triadic communication with teenagers and young adults ...Triadic communication with teenagers and young adults with cancer: a systematic literature review - 'make me feel like I'm not the third person'.
Communication Interventions Targeting Both Patients and ...Results indicate that combined communication interventions in oncology may improve patient-clinician communication outcomes in oncology settings ...
Patient Experiences of Patient–Clinician Communication ...This research aimed to understand the experiences of patient-clinician communication during the critical moments of “breaking bad news” in cancer care.
A randomized intervention involving family to improve ...A brief, scalable communication intervention led to greater care partner MyChart use and increased illness understanding among patients with more engaged care ...
Healthcare provider assessments of caregiver ...HCPs may perceive caregiver communication as helpful or challenging, and these triadic interactions may influence patient outcomes. Methods.
Patient-Centered Communication Drives Supportive Care ...The Primary Palliative Care Communication Intervention (PRECURSOR) may improve the psychosocial experiences of patients with incurable gynecologic cancer and ...
Rapid Triadic Communication Intention Elicitation ...When unaddressed, patients and caregivers experience adverse outcomes, including decreased quality of care, a lack of a shared understanding of treatment goals, ...
Multiple approaches to enhancing cancer communication ...In this article, we examine the science of health communication focused on cancer and highlight important areas of research for the coming decade.
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