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This study will be conducted at La Liga Contra el Cancer in San Pedro Sula, Honduras. The overall objective of this project is to improve symptom management for patients undergoing chemotherapy in Honduras. The first step in this line of research is a "proof of concept" feasibility study in which the investigators will demonstrate their ability to train nurses to administer a non-pharmacological, telephone-delivered, symptom management program for chemotherapy patients.
The investigators will use the team's previous experience delivering a standardized, non-pharmacological palliative care intervention by telephone to inform a "proof of concept" feasibility study in Honduras. They will train nurses at La Liga Contra el Cancer in San Pedro Sula to conduct the telephone sessions and monitor their fidelity to treatment as they enroll a minimum They will then evaluate the feasibility, acceptability, and potential effectiveness of the program.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| single arm | Other | symptom management program for chemotherapy patients |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| symptom management program for chemotherapy patients | Behavioral | Nurses will call study participants two times a week, to proactively assess and manage symptoms they might be experiencing during chemotherapy. |
| Measure | Description | Time Frame |
|---|---|---|
| Recruitment feasibility | Number patients enrolled in the study divided by number of patients referred to the study | Through study completion , an average of one year |
| Measure | Description | Time Frame |
|---|---|---|
| Intervention feasibility | Average number of minutes for each telephone sessions | Through study completion, an average of one year |
| Fidelity to treatment | Average fidelity score for rated telephone sessions |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kathleen D Lyons, ScD | Dartmouth-Hitchcock Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dartmouth-Hitchcock Medical Center | Lebanon | New Hampshire | 03756 | United States | ||
| La Liga Contra el Cancer |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 30755109 | Derived | Bejarano S, Freed ME, Zeron D, Medina R, Zuniga-Moya JC, Kennedy L, Bruce ML, Zubkoff L, Bakitas MA, Lyons KD. Feasibility of a Symptom Management Intervention for Honduran Adults Undergoing Chemotherapy. West J Nurs Res. 2019 Oct;41(10):1517-1539. doi: 10.1177/0193945918825374. Epub 2019 Feb 12. |
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| ID | Term |
|---|---|
| D014839 | Vomiting |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| D005221 | Fatigue |
| D009369 | Neoplasms |
| D010146 | Pain |
| D003248 | Constipation |
| ID | Term |
|---|---|
| D012817 | Signs and Symptoms, Digestive |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001523 | Mental Disorders |
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a non-pharmacological, telephone-delivered, symptom management program for chemotherapy patients.
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| Through study completion, an average of one year |
| Acceptability of intervention | Semi-structured interview of patients and nurse interventionists | At study completion, approximately one year |
| Healthcare utilization | Average number of cancelled appointments, emergency room visits, and toxicity requiring change in treatment plan | 12 weeks after enrollment |
| San Pedro Sula |
| Honduras |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D009461 | Neurologic Manifestations |