The primary objective is to test whether a text-based e-triage can safely minimize the time associated with routine cancer care by identifying patients who can proceed directly to their immunotherapy infusion without a preceding in-person office assessment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
40
The e-triage will consist of 16 questions, modified from the validated NCI Pro-CTCAETM, which will be sent to patients via WaytoHealth©'s two-way texting system 96 hours prior to their scheduled immunotherapy infusion. Questions will pertain to common or emergent immune related adverse events as defined by the NCCN guidelines and two senior disease experts. Patients will be prompted via text to measure the presence and severity of symptoms over the week prior. A final question will be included to capture any additional symptoms patients wish to disclose.
Perelman Center for Advanced Care
Philadelphia, Pennsylvania, United States
Healthcare Time
Time spent commuting to, waiting for, and receiving healthcare over a 3 month follow up period.
Time frame: 3 months
Total Wait Time
Time spent waiting for healthcare over a 3 month follow up period.
Time frame: 3 months
Total Number of Hospitalization/Emergency Department Encounters
Total number of hospitalizations and emergency department encounters over a 3 month follow up.
Time frame: 3 months
Patient Satisfaction as Assessed by the Patient Satisfaction Questionnaire Short Form (PSQ-18)
The Patient Satisfaction Questionnaire Short Form (PSQ-18) is a self-reported measure capturing satisfaction with medical care across 7 dimensions, all subscales (no total). * General Satisfaction (3\&17) - higher scores represent greater satisfaction * Technical Quality (2, 4, 6, 14) -higher scores represent better technical quality * Interpersonal Manner (10\&11) - higher scores represent better interpersonal manner * Communication (1\&13) - higher scores represent better communication * Financial Aspects (5\&7) - higher scores represent better financial aspects * Time Spent with Doctor (12\&15) - higher scores represent better time spent w/ dr * Accessibility and Convenience (8, 9, 16, 18) - higher scores represent more accessibility Reverse scoring takes place for items 1, 2, 3, 5, 6, 8, 11, 15, and 18 such that a response of 1 has a score value of 5, and so on. After noting score values for each individual response, items are then averaged for each subscale to gain a subscale score.
Time frame: 3 months
Health Related Quality of Life as Assessed by the Functional Assessment of Cancer Therapy-General (FACT-G)
The Functional Assessment of Cancer Therapy-General (FACT-G) is a 27-item questionnaire comprised of four subscales to measure health-related quality of life: * physical well-being (PWB; 7-items, score range 0-28), higher score = better PWB * social/family well-being (SWB; 7-items, score range 0-28), higher score = worse SWB * emotional well-being (EWB; 6-items, score range 0-24), higher score = better EWB except item 2 where higher score = worse EWB * functional well-being (FWB; 7-items, score range 0-28), higher score = worse FWB All questions in the FACT-G use a 5-point rating scale (0=Not at all; 1=A little bit; 2=Somewhat; 3=Quite a bit; 4=Very much). Within a subscale, response are reversed for those where higher score = worse well-being, and then averaged for the scale score.
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Time frame: 3 months