PRESENCE Project: An Early Palliative Care Intervention in Brain Tumors

Summary

The purpose of this pilot study is to investigate the feasibility of an early palliative care intervention (PRESENCE: Providing Resources Education, Support, and Enabling New brain tumor patients to Cope Effectively) and the effect of the intervention on patient and caregiver distress.

Conditions

• Malignant Brain Tumors

Interventions

OTHER

Research Questionnaires

Hospital Anxiety and Depression Scale Pearlin \& Schooler Caregiver Mastery Caregiver Assessment Tool Patient/Caregiver Satisfaction Survey

OTHER

Palliative Care Team

Week 1: Early palliative care intervention (immediately post-op) provided by the new palliative care brain tumor team (Social worker, advanced practice nurse (APN), medical oncology registered nurse). 1. Introduce the palliative care team concept. 2. Provide contact information for the palliative care team given 3. Administer Initial Patient and Caregiver Psychosocial Assessments (Appendix A) 4. Offer community resources to patient and caregiver (Appendix B) 5. Provide additional resources/referrals for any needs that are identified by patient or care partner during initial psychosocial assessment 6. Provide supportive care

OTHER

Educational Information Session for Patients and Caregivers

Provide an educational class "Moving Forward: Facing a Brain Tumor Diagnosis" for patient and caregiver Week 5 through 7: The PRESENCE Project Social Worker and oncology RN will provide an educational class. Intervention (Length of time for class = 2 hours): 1. Provide an educational class "Moving Forward: Facing a Brain Tumor Diagnosis" for patient and caregiver. 2. Provide additional resources/referrals for any needs that are identified by patient or care partner during the educational class. 3. Provide supportive care.

OTHER

Contact every 2 weeks

The PRESENCE Project APN and/or Presence Project Social Worker will contact the patient and caregiver via telephone or office visit every two weeks and as needed until the second medical oncology visit. (Anticipated length of time for phone intervention or visit is 20 minutes; however, length of time for intervention is tailored to the patient and caregiver's needs): 1. Administer Patient and Caregiver Follow-up Assessment 2. Provide pain and/or symptom management intervention for any issues identified during the follow-up assessment 3. Provide resources/referrals for any needs identified during the social work follow-up assessment 4. Provide supportive care

OTHER

Follow-up Surgical Visit Session

The PRESENCE Project APN will meet with patient and caregiver at the surgical follow-up visit, approximately two weeks after surgery. Intervention (Anticipated length of time for visit is about 30 minutes; however length of time for intervention is tailored to the patient and caregiver's needs): 1. Administer Patient and Caregiver Follow-up Assessment 2. Administer Symptom Assessment Tool 3. Provide pain and/or symptom management intervention 4. Provide supportive care

OTHER

Medical and/or Radiation Oncology Appointment Session

The PRESENCE Project APN and/or Presence Project Social Worker will meet with patient and caregiver at the first medical and/or radiation oncology appointment (weeks 3 and 4). Intervention (Anticipated length of time for visit is about 30 minutes; however length of time for intervention is tailored to the patient and caregiver's needs): 1. Administer Patient and Caregiver Follow-up Assessment 2. Re-assess pain and/or symptom management issues and /or intervention 3. Provide resources/referrals for any needs identified during the social work follow-up assessment 4. Provide supportive care.

Sponsors & Collaborators

• Case Comprehensive Cancer Center

  lead OTHER

Principal Investigators

• Polly Mazanec, PhD · Case Medical Center, University Hospitals Seidman Cancer Center, Case Comprehensive Cancer Center

Study Design

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2011-12-31

Primary Completion

2013-08-31

Completion

2013-08-31

Countries

• United States

Study Locations