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Assessment of Older Adults With Cancer: Feasibility of Computer Survey Methodology

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
City of Hope Medical Center
ClinicalTrials.gov Identifier:
NCT00977834
First received: September 15, 2009
Last updated: September 19, 2011
Last verified: September 2011
  Purpose

The purpose of this study is to evaluate the possibility of using a computer-based survey to gather information from older patients and their caregivers about the patient's daily activities, need for assistance, other medical problems, mood, nutrition and symptoms. Researchers will evaluate how many subjects are able to complete the survey on their own and the length of time needed to do so. Also, researchers will analyze the types of responses to each item and whether subjects are satisfied with the questionnaire.


Condition
Assessment, Geriatric

Study Type: Observational
Study Design: Observational Model: Cohort
Time Perspective: Cross-Sectional
Official Title: Assessment of Older Adults With Cancer: Feasibility of Computer Survey Methodology

Further study details as provided by City of Hope Medical Center:

Primary Outcome Measures:
  • Feasibility of delivering the geriatric assessment via computer survey methodology. [ Time Frame: Upon enrollment (one timepoint) ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • % of patients who do not enter the study and reason why [ Time Frame: Upon enrollment (one timepoint) ] [ Designated as safety issue: No ]

Estimated Enrollment: 200
Study Start Date: July 2009
Study Completion Date: July 2011
Primary Completion Date: July 2011 (Final data collection date for primary outcome measure)
Groups/Cohorts
Group 1
Patients with lymphoma or lung cancer
Group 2
Caregivers

Detailed Description:

Patients older than age 65, in comparison to those younger than 65, have an 11-fold increased cancer incidence and a 16-fold increase in cancer mortality. The population at risk is growing rapidly: the number of adults age 65 and older is expected to double in the next 30 years. In order to adequately care for this growing population of older adults, oncologists need an assessment tool that provides information regarding an older individual's "functional age" in comparison to their "chronological age." The technology of geriatric assessment could potentially help identify those older adults who are more vulnerable to complications from cancer treatment. This inter-disciplinary assessment provides information regarding the patient's functional status, comorbid medical conditions, other medications, nutritional status, psychological state, social support, and cognition.

Hurria and colleagues developed a geriatric assessment for older adults with cancer, which includes well validated measures of functional status, comorbid medical conditions, nutritional status, psychological state, cognitive function, social activity, and social support. Pilot data demonstrates the feasibility of this assessment which can be completed in less than 30 minutes; however, this assessment is completed by "pencil and paper" and requires an interviewer to deliver and score the assessment.

Loscalzo, Clark, and colleagues have developed a computer methodology in order to assess the needs of patients with cancer of all ages. The assessment is completed by the patients and a scoring algorithm is developed to provide a summary of the patient's needs for the healthcare team. This assessment is highly successful at identifying the needs of patients of all ages.

In this protocol, we will merge the research interests of Hurria, Loscalzo, and Clark by developing a computer survey program to capture the physical and psychological needs of older adults with cancer. The goal of this study is to evaluate the feasibility of computer survey methodology among older adults with cancer. For the purposes of this protocol we will accrue patients with lymphoma and lung cancer.

Schema:

  1. Identify an older adult (age 65 and older) with lymphoma or lung cancer.
  2. Describe the study to the patient: patient consents or refuses.
  3. Consenting patients complete the geriatric assessment via a computer survey.
  4. The following feasibility data will be captured: length of time to complete the assessment, patient's need for assistance to complete the assessment, satisfaction with the use of computer survey methodology to complete the assessment.
  5. The primary caretaker (if available) will be invited to participate in the protocol and complete a caregiver's survey of the patient's needs and questions about caregiver burden.
  Eligibility

Ages Eligible for Study:   65 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Brawerman Center-Outpatient Clinics (City of Hope)

Criteria

Inclusion Criteria:

  • Patients must be > age of 65
  • Diagnosis of lymphoma or lung cancer
  • Be able to provide informed consent

Exclusion Criteria:

  • Not fluent in English (because not all questionnaires have been validated in other languages)
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00977834

Locations
United States, California
City of Hope Medical Center
Duarte, California, United States, 91010
Sponsors and Collaborators
City of Hope Medical Center
Investigators
Principal Investigator: Arti Hurria, MD City of Hope Medical Center
  More Information

No publications provided

Responsible Party: City of Hope Medical Center
ClinicalTrials.gov Identifier: NCT00977834     History of Changes
Other Study ID Numbers: 08147, P50 CA107399-04, K23 AG026749-01
Study First Received: September 15, 2009
Last Updated: September 19, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by City of Hope Medical Center:
Geriatric Assessment

ClinicalTrials.gov processed this record on November 25, 2014