Treatment Decision-Making Among Patients Diagnosed With Papillary Microcarcinoma and Their Significant Others - Full Text View

Purpose

The purpose of this study is to understand more about why some patients choose to have surgery to treat their papillary microcarcinoma (PMC) and others choose to have their papillary microcarcinoma (PMC) regularly watched by their doctor to see if and when they may need surgery (referred to as "active surveillance"). The investigators also hope learn more about what patients and their family members worry about or feel they will gain from surgery or active surveillance.

Condition	Intervention
Thyroid Cancer Papillary Microcarcinoma	Behavioral: Focus groups

Study Type:	Observational
Study Design:	Observational Model: Family-Based Time Perspective: Prospective
Official Title:	Treatment Decision-Making Among Patients Diagnosed With Papillary Microcarcinoma and Their Significant Others

Resource links provided by NLM:

MedlinePlus related topics: Cancer Thyroid Cancer Thyroid Diseases

Drug Information available for: Thyroid

U.S. FDA Resources

Further study details as provided by Memorial Sloan-Kettering Cancer Center:

Primary Outcome Measures:

To explore patients' and families' perceived risks and benefits of active surveillance and surgery within the context of papillary microcarcinoma. [ Time Frame: 5 years ] [ Designated as safety issue: No ]
We'll conduct focus groups & individual interviews with 2 population segments established by the method of Krueger & Casey & Morgan. The population segments will be thyroid cancer patients who have had surg or have scheduled surg, & any pt-designated significant others who assisted pts with tx decision-making & thyroid cancer pts who chose to not have immediate surg, whether they are either postponing their tx decision until a later date, or have committed to active surveillance rather than surg, & any pt-designated significant others who assisted these patients with tx decision-making.

Secondary Outcome Measures:

To examine the factors in patients' and families' decision making about the treatment of papillary microcarcinoma. [ Time Frame: 5 years ] [ Designated as safety issue: No ]
We'll conduct focus groups & individual interviews with 2 population segments established by the method of Krueger & Casey & Morgan. The population segments will be thyroid cancer pts who have had surg or have scheduled surg, & any pt-designated significant others who assisted patients with tx decision-making & thyroid cancer pts who chose to not have immediate surg, whether they are either postponing their tx decision until a later date, or have committed to active surveillance rather than surg, & any patient-designated significant others who assisted these pts with tx decision-making.

Estimated Enrollment:	60
Study Start Date:	June 2011
Estimated Study Completion Date:	June 2016
Estimated Primary Completion Date:	June 2016 (Final data collection date for primary outcome measure)

Groups/Cohorts	Assigned Interventions
patients who have had surgery or have scheduled surgery In this exploratory study we will conduct focus groups and individual interviews with two population segments according to the established methodology of Krueger and Casey [13] and Morgan [14]. We will conduct 4-6 focus groups, two to three within each population segment, to evaluate the process of decision-making to manage papillary microcarcinoma, factors that influenced decision-making, understanding of risk for recurrence and other negative outcomes due to thyroid cancer, information needed to make informed decisions, and what could influence thyroid cancer patients who have had surgery or have scheduled to have surgery to remove their papillary microcarcinomas to consider active surveillance. Individual interviews will be offered and conducted as needed for those patients who are unable to attend a focus group due to scheduling conflicts or other reasons.	Behavioral: Focus groups The focus groups will cover the following issues Perceptions of thyroid cancer and disease status Sources of information used in papillary microcarcinoma treatment decision-making Treatment decision-making processes and influential factors Perceived barriers to active surveillance to treat papillary microcarcinoma (for the immediate surgery sub-sample) Perceived facilitators to active surveillance to treat papillary microcarcinoma (for the non-immediate surgery sub-sample) Views about how to improve acceptability of active surveillance as a disease management option Other Names: Each focus group will last between approximately 90-120 minutes and each individual interview will last approximately 60 minutes. Notes will be taken during each focus group and individual interviews. All focus groups and individual interviews, will be audio-recorded with digital voice recorders, and the recordings will be transcribed by a professional transcription service, for later qualitative analysis. Individual interviews will be offered to those patients who are unable to attend a focus group due to scheduling conflicts or other reasons. Participants interested in taking part in the optional member check will be mailed a summary document created by the research team. A surgery group summary document will be mailed to surgery patients and an active surveillance summary document will be mailed to active surveillance patients. Each summary document will include data, analytic categories, interpretations, and conclusions reached by the analytic team.
who chose to not have immediate surgery In this exploratory study we will conduct focus groups with two population segments according to the established methodology of Krueger and Casey [13] and Morgan [14]. We will conduct 4-6 focus groups, two to three within each population segment, to evaluate the process of decision-making to manage papillary microcarcinoma, factors that influenced decision-making, understanding of risk for recurrence and other negative outcomes due to thyroid cancer, information needed to make informed decisions, and what could influence thyroid cancer patients who have had surgery or have scheduled to have surgery to remove their papillary microcarcinomas to consider active surveillance. Individual interviews will be offered and conducted as needed for those patients who are unable to attend a focus group due to scheduling conflicts or other reasons.	Behavioral: Focus groups The focus groups will cover the following issues: Perceptions of thyroid cancer and disease status Sources of information used in papillary microcarcinoma treatment decision-making Treatment decision-making processes and influential factors Perceived barriers to active surveillance to treat papillary microcarcinoma (for the immediate surgery sub-sample) Perceived facilitators to active surveillance to treat papillary microcarcinoma (for the non-immediate surgery sub-sample) Views about how to improve acceptability of active surveillance as a disease management option Other Names: Each focus group will last between approximately 90-120 minutes and each individual interview will last approximately 60 minutes. All focus groups and individual interviews, will be audio-recorded with digital voice recorders. Notes will be taken during each focus group and each individual interview the recordings will be transcribed by, a professional transcription service, for later qualitative analysis. Individual interviews will be offered to those patients who are unable to attend a focus group due to scheduling conflicts or other reasons. Participants interested in taking part in the optional member check will be mailed a summary document created by the research team. A surgery group summary document will be mailed to surgery patients and an active surveillance summary document will be mailed to active surveillance patients. Each summary document will include data, analytic categories, interpretations, and conclusions reached by the analytic team.

Groups/Cohorts

Assigned Interventions

patients who have had surgery or have scheduled surgery

In this exploratory study we will conduct focus groups and individual interviews with two population segments according to the established methodology of Krueger and Casey [13] and Morgan [14]. We will conduct 4-6 focus groups, two to three within each population segment, to evaluate the process of decision-making to manage papillary microcarcinoma, factors that influenced decision-making, understanding of risk for recurrence and other negative outcomes due to thyroid cancer, information needed to make informed decisions, and what could influence thyroid cancer patients who have had surgery or have scheduled to have surgery to remove their papillary microcarcinomas to consider active surveillance. Individual interviews will be offered and conducted as needed for those patients who are unable to attend a focus group due to scheduling conflicts or other reasons.

Behavioral: Focus groups

The focus groups will cover the following issues

Perceptions of thyroid cancer and disease status
Sources of information used in papillary microcarcinoma treatment decision-making
Treatment decision-making processes and influential factors
Perceived barriers to active surveillance to treat papillary microcarcinoma (for the immediate surgery sub-sample)
Perceived facilitators to active surveillance to treat papillary microcarcinoma (for the non-immediate surgery sub-sample)
Views about how to improve acceptability of active surveillance as a disease management option

Other Names:

Each focus group will last between approximately 90-120 minutes and each
individual interview will last approximately 60 minutes. Notes will be taken
during each focus group and individual interviews. All focus groups and
individual interviews, will be audio-recorded with digital voice recorders,
and the recordings will be transcribed by a professional transcription service,
for later qualitative analysis. Individual interviews will be offered to those
patients who are unable to attend a focus group due to scheduling conflicts or other reasons.
Participants interested in taking part in the optional member check will be mailed a summary
document created by the research team. A surgery group summary document will be mailed to
surgery patients and an active surveillance summary document will be mailed to active surveillance
patients. Each summary document will include data, analytic categories, interpretations, and
conclusions reached by the analytic team.

who chose to not have immediate surgery

In this exploratory study we will conduct focus groups with two population segments according to the established methodology of Krueger and Casey [13] and Morgan [14]. We will conduct 4-6 focus groups, two to three within each population segment, to evaluate the process of decision-making to manage papillary microcarcinoma, factors that influenced decision-making, understanding of risk for recurrence and other negative outcomes due to thyroid cancer, information needed to make informed decisions, and what could influence thyroid cancer patients who have had surgery or have scheduled to have surgery to remove their papillary microcarcinomas to consider active surveillance. Individual interviews will be offered and conducted as needed for those patients who are unable to attend a focus group due to scheduling conflicts or other reasons.

Behavioral: Focus groups

The focus groups will cover the following issues:

Perceptions of thyroid cancer and disease status
Sources of information used in papillary microcarcinoma treatment decision-making
Treatment decision-making processes and influential factors
Perceived barriers to active surveillance to treat papillary microcarcinoma (for the immediate surgery sub-sample)
Perceived facilitators to active surveillance to treat papillary microcarcinoma (for the non-immediate surgery sub-sample)
Views about how to improve acceptability of active surveillance as a disease management option

Other Names:

Each focus group will last between approximately 90-120 minutes and each individual interview will
last approximately 60 minutes. All focus groups and individual interviews, will be audio-recorded
with digital voice recorders. Notes will be taken during each focus group and each individual interview
the recordings will be transcribed by, a professional transcription service,
for later qualitative analysis. Individual interviews will be offered to those
patients who are unable to attend a focus group due to
scheduling conflicts or other reasons.
Participants interested in taking part in the optional member check will be mailed a summary
document created by the research team. A surgery group summary document will be mailed to
surgery patients and an active surveillance summary document will be mailed to active surveillance
patients. Each summary document will include data, analytic categories, interpretations, and
conclusions reached by the analytic team.

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes
Sampling Method:	Non-Probability Sample

Study Population

All participants will be recruited from Dr. Mike Tuttle's clinic.

Criteria

Inclusion Criteria:

Thyroid cancer patient eligibility will include:

Thyroid cancer patients who have been diagnosed with papillary microcarcinoma (or subcentimeter thyroid lesions with fine needle aspiration biopsy suspicious for papillary or follicular thyroid cancer) within the prior 6-12 months as per EMR path report and clinician assessment;
Presented with the option of treating their papillary microcarcinomas with either surgery or active surveillance as per treating physician;
English-fluent;
18 years of age or older;

Patient-designated significant other eligibility will include:

Nomination by patient as individual who assisted patient in decision-making regarding how to treat thyroid papillary microcarcinoma;
English-fluent;
18 years of age or older;

Exclusion Criteria:

Thyroid cancer patient exclusion criteria will include:

Thyroid cancer patients with known loco-regional or distant metastases prior to initial surgical intervention as per path report.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01392222

Contacts

Contact: Carma Bylund-Lincoln, PhD	646-888-0210
Contact: Michael Tuttle, MD	646-888-2716

Locations

United States, New York
Memorial Sloan Kettering Cancer Center	Recruiting
New York, New York, United States, 10065
Contact: Carma Bylund-Lincoln, PhD 646-888-0210
Contact: Michaell Tuttle, MD 646-888-2716
Principal Investigator: Carma Bylund-Lincoln, PhD

Sponsors and Collaborators

Memorial Sloan-Kettering Cancer Center

Investigators

Principal Investigator:

Carma Bylund-Lincoln, PhD

Memorial Sloan-Kettering Cancer Center

More Information

Additional Information:

Memorial Sloan-Kettering Cancer Center This link exits the ClinicalTrials.gov site

No publications provided

Responsible Party:	Memorial Sloan-Kettering Cancer Center
ClinicalTrials.gov Identifier:	NCT01392222 History of Changes
Other Study ID Numbers:	11-108
Study First Received:	June 29, 2011
Last Updated:	April 24, 2013
Health Authority:	United States: Institutional Review Board

Keywords provided by Memorial Sloan-Kettering Cancer Center:

focus group
11-108

Additional relevant MeSH terms:

Thyroid Neoplasms
Endocrine Gland Neoplasms
Neoplasms by Site
Neoplasms

Head and Neck Neoplasms
Endocrine System Diseases
Thyroid Diseases

ClinicalTrials.gov processed this record on May 16, 2013