A Checklist (Advanced Care Planning) for The Assessment of Mobility Needs in Patients With Sarcoma

Fred Hutchinson Cancer Center20 enrolled

Overview

This trial tests how well the advanced care planning around mobility needs checklist tool works to assess future mobility needs in patients with sarcoma. Gathering information about sarcoma patients that have had surgery to either save or remove a limb may help doctors learn more about a patient's mobility needs. Using an advance care planning mobility needs assessment may help improve the quality of life in patients with sarcoma by helping them plan for their future mobility needs.

OUTLINE: FIELD TEST: Participants complete the advance care planning (ACP) Mobility Checklist on study. Participants complete questionnaires at baseline and after completing the checklist intervention and undergo interview on study. Participants' medical records are also reviewed.

Study Type

INTERVENTIONAL

Allocation

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Metastatic Sarcoma Sarcoma

Interventions

Eligibility

Sex: ALLMin age: 18 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * PATIENTS: Age 18 years of age or older. * PATIENTS: English speaking * PATIENTS: Able to provide informed consent * PATIENTS: Have access to a computer or other device to fill out the online checklist * PATIENTS: Have had either limb salvage or amputation surgery for sarcoma within the last 6 months OR have metastatic (stage IV) sarcoma and are in active treatment. * CAREGIVERS: Age 18 years of age or older * CAREGIVERS: English speaking * CAREGIVERS: Able to provide informed consent * CAREGIVERS: Have access to a computer or other device to fill out the online checklist * CAREGIVERS: The person (family member or friend) whom the patient indicates being an informal caregiver

Outcomes

Primary Outcomes

Feasibility, as measured by the number of subjects accrued to the study

The number of participants accrued during the recruitment period.

Time frame: At enrollment

Feasibility, as measured by the number of subjects to complete the intervention

The number of participants to complete the intervention.

Time frame: Through study completion, up to 4 weeks

Acceptability of the intervention: Acceptability E-Scale

The Acceptability E-Scale is a 6-item scale, scored on a 5-point Likert scale (e.g., 1=very difficult; 5= very easy), with previously demonstrated good internal consistency (Cronbach's alpha=.76), with higher values indicating higher levels of acceptability.

Time frame: After completion of intervention (+ 1 week)

Usability: System Usability Scale (SUS)

Usability of the ACP Mobility Checklist will be assessed among patients using the System Usability Scale (SUS). The SUS is a 10-item scale, scored on a 5-point Likert scale (1=strongly disagree; 5=strongly agree), with higher values indicating higher levels of usability.

Time frame: After completion of intervention (+ 1 week)

Acceptability: Satisfaction with the intervention

Satisfaction with the intervention will be assessed with a single, 10-point Likert scale item assessing how satisfied participants are with the intervention (1= not at all satisfied, 10 = extremely satisfied). Higher values indicate higher ratings of satisfaction.

Time frame: After completion of intervention (+ 1 week)

Secondary Outcomes

Change in planning for mobility needs

Will be measured by asking participants seven items about what mobility needs they have planned for (e.g., assistance with home environment, toileting, dressing, etc.) (yes/no). Total scores can range from 0 to 7, with higher values indicating higher rates of understanding and awareness.