Nurse-initiated Conversations for Early Integration of Palliative Care in Pediatric Oncology
NCT05306509 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 120
Last updated 2026-03-19
Summary
This study aims to develop and implement a pediatric palliative care (PPC) program. It is an open-label, randomized trial (2:1 randomization) in pediatric oncology department of Children's Hospital of Fudan University. The intervention group will receive Nurse-initiated Conversations for Early Integration of Palliative Care in Pediatric Oncology (NiCE). The control group will receive routine PPC (will be scheduled to meet with the PPC team only when participants themselves, their families, or the attending oncologist requested an appointment). The intervention will take 6 months.
Conditions
Interventions
- BEHAVIORAL
-
NiCE
Participants will receive an initial conversation led by a trained senior nurse within eight weeks after initial oncologic diagnosis or relapse/recurrent disease diagnosis, with an introduction to the intervention and learning about the goals, values, hopes, and fears of each patient and family. The PPC team will then follow each patient by ongoing regular conversations (related to the child and family's conditions) led by the same nurse, every 4 weeks for six months, when symptom assessment and management, goal-directed supportive care, team collaboration, and care coordination will be delivered according to the family's needs. Increased PPC involvement, end-of-life care and bereavement care will be involved when necessary. If a participant feels any discomfort or distress during the intervention, a break will be taken until they feel better. If not, the central contact person will come and discussion about the participant's feeling and wiliness to continue the intervention.
- OTHER
-
Routine PPC
Participants will be scheduled to meet with the PPC team only when participants themselves, their families, or the attending oncologist requested an appointment.
Sponsors & Collaborators
-
Children's Hospital of Fudan University
lead OTHER
Principal Investigators
-
Xiaowen Zhai, MD · Children's Hospital of Fudan University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-08-01
- Primary Completion
- 2026-05-31
- Completion
- 2026-07-31
Countries
- China
Study Locations
More Related Trials
-
Enhancing Connections Program in Improving Communication Between Patients With Incurable Cancer and Their Children
NCT02650583 ·Status: COMPLETED ·Phase: NA
-
Early Intervention vs. Standard Palliative Care in Improving End-of-Life Care in Advanced Cancer Patients
NCT00253383 ·Status: COMPLETED ·Phase: NA
-
Empathetic Communication Facilitation Program for Early Initiation of End-of-life Discussions
NCT05045040 ·Status: COMPLETED ·Phase: NA
-
Early Incorporation of Patient and Family to Attention and Care Program in Oncology Versus Standard of Care
NCT01631565 ·Status: COMPLETED ·Phase: PHASE3
-
Primary Palliative Care for Patients With Advanced Hematologic Malignancies
NCT02992171 ·Status: COMPLETED ·Phase: NA
-
A Pilot Study of Structured Palliative Care for Patients Enrolled on Phase I Clinical Trials
NCT02543541 ·Status: COMPLETED ·Phase: NA
-
Building Evidence for Effective Palliative/End of Life Care for Teens With Cancer
NCT02693665 ·Status: COMPLETED ·Phase: NA
-
Integrated Versus Standard Palliative Care in Patients With Advanced Non-small Cell Lung Cancer (NSCLC)
NCT01038271 ·Status: COMPLETED ·Phase: NA
-
Transdisciplinary Intervention Integrating Geriatric And Palliative Care With Oncology Care For Older Adults With Cancer
NCT02868112 ·Status: COMPLETED ·Phase: NA
-
The Clinical Effect of Palliative Treatment on Patients With Terminal Cancer
NCT05683236 ·Status: COMPLETED ·Phase: NA
-
Prospective Cohort Study Depending on the Use of Palliative Care for Advanced Stage of Cancer Patients
NCT03222258 ·Status: COMPLETED
-
Trend Analysis of the Service of Pediatric Palliative Care
NCT03925831 ·Status: UNKNOWN
-
Clinical Nurse Specialist Led Early Palliative Survivorship Care for Patients With Advanced Cancer
NCT05947695 ·Status: RECRUITING ·Phase: NA
-
Symptom Screening With Targeted Early Palliative Care (STEP) for Patients With Advanced Cancer
NCT04044040 ·Status: COMPLETED ·Phase: NA
-
Patient Perception of Physician's Compassion, Communication Skills, and Professionalism During an Outpatient Palliative Care Visit
NCT02957565 ·Status: COMPLETED ·Phase: NA
-
Randomized Controlled Trial of Early Palliative Care for Patients With Advanced Cancer
NCT01248624 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Technology-enhanced Transitional Care for Rural Palliative Care Patients: A Pilot Study
NCT01934413 ·Status: COMPLETED ·Phase: NA
-
Design and Testing of a Web-Based Tool for the Improvement of End-of-Life Planning in Patients With Advanced Cancer
NCT05564468 ·Status: COMPLETED ·Phase: NA
-
Telemedicine in Palliative Care: Interventions, Experiences and Perceptions of Patients Diagnosed With Cancer
NCT06538350 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
An Interactive Advance Care Planning Intervention to Facilitate a Good Death for Cancer Patients
NCT01912846 ·Status: COMPLETED ·Phase: NA
-
Early Palliative Care With Standard Care or Standard Care Alone in Improving Quality of Life of Patients With Incurable Lung or Non-colorectal Gastrointestinal Cancer and Their Family Caregivers
NCT02349412 ·Status: COMPLETED ·Phase: PHASE3
-
Intervention Study on Life Review Among Advanced Cancer Patients in Fuzhou, China
NCT00951262 ·Status: COMPLETED ·Phase: PHASE4
-
Family Caregiver Palliative Care Intervention in Supporting Caregivers of Patients With Stage II-IV Gastrointestinal, Gynecologic, Urologic and Lung Cancers
NCT01846520 ·Status: COMPLETED ·Phase: NA
-
Comparing Optimized Models of Primary And Specialist Services for Palliative Care: Pilot Feasibility Trial
NCT06629142 ·Status: COMPLETED ·Phase: NA
-
Integrative Palliative Care/Psycho-Oncology Telehealth Intervention in Patients With Advanced Cancer
NCT04697524 ·Status: COMPLETED ·Phase: NA