Intervention Study on Life Review Among Advanced Cancer Patients in Fuzhou, China
Recruitment status was Recruiting
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Purpose
This study aims to develop a life review program and test its effectiveness on a sample of patients with advanced cancer patients receiving palliative care at home in Fuzhou.
| Condition | Intervention | Phase |
|---|---|---|
|
Advanced Cancer |
Behavioral: a life review program |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Development and Evaluation of a Life Review Program for Advanced Cancer Patients in Fuzhou, China |
- quality of life [ Time Frame: three weeks and six weeks ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 64 |
| Study Start Date: | February 2009 |
| Estimated Study Completion Date: | August 2010 |
| Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: life review
a life review program includes 3-session life review and formulation of a life review book as a gift for advanced cancer patients.
|
Behavioral: a life review program
The life review program includes reviewing a life and formalating a life booklet. Reviewing a life consists of three weekly sessions separately addressing illness experience, adulthood life and childhood and adolescence life. Each session lasts about 30 to 60mintues.A booklet with photos documented significant life events will be produced as a gift for the subjects. The edition, photos and contents fo the booklet are determined by the subjects.
Other Name: evaluative reminence
|
|
No Intervention: controlled group
the subjects in the controlled group do not receive the life review program
|
Detailed Description:
A life review program is mainly developed based on Erickson's theory, Confucius's teaching on human development, and the empirical findings of the researcher's preliminary study and pre-pilot study. The program covers reviewing a life for advanced cancer patients and formulating a booklet for them. A randomized controlled trial will be adopted for evaluation of this program. Eligible patients will be randomly assigned to the experimental group and the control group. The subjects in the experimental group will receive a life review program for three weeks. The outcome measure is quality of life (QOL), including domains of physical discomfort, food-related concerns, health care concerns, support, negative emotions, sense of alienation, existential distress and value of life. Subjects' QOL will be assessed before commencement of the program (T0) and one day (T1) and three weeks (T2) after the completion of the program for all subjects in two groups. Perceptions of the program will be elicited within three days after the program for subjects in the experimental group.Descriptive statistics will be used to analyze patients' personal information, disease related information, functional performance and QOL of advanced cancer patients. Repeated measures ANOVA will be used to measure QOL differences in between-group, within-group and interaction effects. Content analysis will be used to analyze the qualitative data collected.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients who are newly admitted to the study hospice
- Patients who are suffering from cancer with metastasis made by a physician
- Patients who know their diagnosis, prognosis and therapy
- Patients' functional performance (the score of KPS) at or more than 50%
- Patients who are adults (≥18 years old)
- Patients who have no cognitive and verbal communication impairments
Exclusion Criteria:
- Patients with planned treatments, such as chemotherapy, radiotherapy or surgery
- , patients with psychiatric disorders
- Patients who live outside Fuzhou since the following-up home visit services are not extended to those areas
Contacts and Locations| Contact: Enid Kwong, PhD | (852)27666385 | hsenid@inet.polyu.edu.hk |
| China, Fujian | |
| The Fujian Hospice | Recruiting |
| Fuzhou, Fujian, China, 350001 | |
| Contact: Huimin Xiao, Master 86-591-87601101 Huimin_xiao@126.com | |
| Principal Investigator: | Enid Kwong, PhD | School of Nursing, The Hong Kong Polytechnic University |
More Information
No publications provided
| Responsible Party: | Enid Kwong, School of Nursing, The Hong Kong Polytechinich University |
| ClinicalTrials.gov Identifier: | NCT00951262 History of Changes |
| Other Study ID Numbers: | HSEARS20090205002 |
| Study First Received: | August 3, 2009 |
| Last Updated: | August 3, 2009 |
| Health Authority: | China: Ethics Committee |
Keywords provided by The Hong Kong Polytechnic University:
|
life review quality of life advanced cancer patients |
Additional relevant MeSH terms:
|
Neoplasms |
ClinicalTrials.gov processed this record on May 22, 2013