This research study is evaluating the usefulness of a video and questionnaire to help cancer patients think about the goals of their care.
The investigators are conducting a study with patients from Dana Farber Cancer Institute (DFCI) and DFCI-affiliate at St. Elizabeth's Hospital who are being treated for their cancer. The purpose of the study is to test the implementation of a short video, a brief questionnaire, and a wallet card designed to help patients understand and articulate their goals and preferences when making decisions about their cancer treatment and communicate these preferences to their clinicians. The short video and brief questionnaire were developed to help patients with cancer think about their goals of care and their treatment and information preferences and to prompt discussions with their health care team about these preferences. The wallet card is designed to help patients remember some key questions that may be useful as they make decisions about future treatments A pilot test will be completed to assess the feasibility and usability of the revised "More Good Days" video, brief questionnaire and wallet card in helping seriously-ill cancer patients think about what a good day means to them and test whether these tools can help patients to identify and communicate their medical treatment preferences and goals with their care team.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
53
Help patients with advanced cancer think about what a good day means to them and to help them think about questions they may have for their physicians when discussing treatments
Dana Farber Cancer Institute at St Elizabeth
Boston, Massachusetts, United States
Nancy Keating
Boston, Massachusetts, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Enrollment
% of patients invited to participate who choose to enroll
Time frame: 2 years
Overall rating of intervention
% who rate intervention as good/very good/excellent.
Time frame: 1 month
Would recommend intervention to others
% who would recommend intervention to others with cancers like theirs
Time frame: 1 month
Preferred format for viewing video and completing questionnaire
preferences for watching alone vs. with family; in clinic vs. home, interest in accessing via electronic record portal
Time frame: 1 month
Patient anxiety
Hospital Anxiety and Depression Scale (HADS) (score 0 to 21 for 7 anxiety items, higher=more anxiety)
Time frame: 1 month
Patient distress
National Comprehensive Cancer Network distress thermometer (score 0 to 10, higher worse distress)
Time frame: 1 month
Patient depression
Patient Health Questionnaire-9 (PHQ-9) (9 items, score 0 to 27, higher = more depressed)
Time frame: 1 month
Hope
Hearth Hope Index (12 items, score 12 to 48, higher = more hope)
Time frame: 1 month
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FACIT-PAL Quality of Life
FACIT-PAL instrument general quality of life (27 general items, score 0 to 108, higher=better quality of life)
Time frame: 1 month
Quality of life-palliative care specific items
Palliative care subscale of FACITPAL (14 items, score 0 to 56, higher = better quality of life)
Time frame: 1 month
Therapeutic Alliance
Human Connection Scale (16 items, score 16 to 64, higher = more therapeutic alliance)
Time frame: 1 month