SymptomCare@Home: Deconstructing an Effective Symptom Management Intervention

Summary

This project will determine the most important and cost effective components of SymptomCare@Home, a new approach to cancer chemotherapy symptom care that has been shown to reduce problematic symptoms through automated daily monitoring, self-management coaching, and oncology team follow-up care using decisional support for patients at home when their symptoms are most likely at their worse. Once the key parts of the intervention and its cost effectiveness are known, it can be moved into everyday cancer care.

Conditions

• Cancer

Interventions

BEHAVIORAL

SCC

Automated self-management coaching paired to symptom reports during daily symptom monitoring call

BEHAVIORAL

Nurse Practitioner

Alerts generate if a patient reports symptoms above pre-set thresholds during daily symptom reporting calls . These alerts are monitored and follow up is given by a Nurse Practitioner.

BEHAVIORAL

DSS

A Clinical Decision Support System (DSS), based on evidenced based guidelines, will be used to assist the nurse practitioner in follow up to symptom alerts.

BEHAVIORAL

AT

An activity tracker will be provided to evaluate its use, acceptability and impact on fatigue severity. The purpose of providing the activity tracker is to extend the self-management coaching intervention given when participants report fatigue and receive coaching about exercise as part of the intervention.

BEHAVIORAL

Symptom Severity

Automated patient-reporting of 11 common cancer treatment symptoms

Sponsors & Collaborators

• National Cancer Institute (NCI)

  collaborator NIH

• Huntsman Cancer Institute

  collaborator OTHER

• Emory University

  collaborator OTHER

• University of Utah

  lead OTHER

Principal Investigators

• Kathleen Mooney, PhD · University of Utah

Study Design

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Model

FACTORIAL

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2017-08-07

Primary Completion

2020-03-31

Completion

2022-09-30

Countries

• United States

Study Locations