The Effect of a Virtual Navigator on Colorectal Cancer Patient Empowerment
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Purpose
For individuals diagnosed with colorectal cancer, exposure to up-to-date cancer information and support as well as guidance to access the most appropriate health care services is crucial for cancer self-management and support. Timely access to high quality cancer information is suggested to contribute to patient empowerment - defined as the perception of being better able to manage illness demands. With the advent of the information age, individuals are increasingly turning to online health information resources. The use of rigorous web-based tools is found to be an engaging and convenient way to access health information, while being tailored to people's needs and preferences. The present study seeks to examine the effects of a recently developed high quality and person-centred web-based tool, the Oncology Interactive Navigator (OIN) on patients' empowerment as well as document its cost-effectiveness. Participants newly diagnosed with colorectal cancer will be randomly assigned to experimental or control groups with the former having unrestricted access to the OIN for 8 months. Participants in the control group will receive care as usual. Information on background, medical characteristics, and empowerment will be collected as well as cost-effectiveness indicators. If producing the desired effects, the OIN could be proposed for national implementation across Canadian cancer centers. Work is currently underway to add over 23 types of cancer diagnosis to the OIN.
| Condition | Intervention | Phase |
|---|---|---|
|
Colorectal Cancer |
Other: Oncology Interactive Navigator Other: Routine Care |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | A Web-Based Person-Centred Navigation Tool for Newly Diagnosed Colorectal Cancer Patients: A Randomized Clinical Trial (RCT) to Assess Effects on Empowerment and Cost-Effectiveness (The TEN-C Study: Together to Enhance Navigation in Cancer) |
- Empowerment [ Time Frame: 8 months ] [ Designated as safety issue: No ]
The main outcome for this trial is empowerment which is multidimensional. Key dimensions of empowerment are measured using five constructs from the health education impact Questionnaire system (reference). Repeated measures using analysis of variance will be used to compare patterns of change in empowerment constructs across time between trial groups.
Reference:
Osborne RH et al. Patient Educ Couns. 2007;66:192-201.
- Cost-effectiveness [ Time Frame: 8 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 411 |
| Study Start Date: | May 2012 |
| Estimated Study Completion Date: | March 2015 |
| Estimated Primary Completion Date: | September 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Routine Care
Participants who are randomized to the active comparator arm will receive routine care, which is the care routinely provided to the participant's patient population at the study centre.
|
Other: Routine Care |
|
Experimental: Routine Care plus OIN
OIN (Oncology Interactive Navigator) is the intervention. Participants who are randomized to routine care plus OIN will receive routine care and have unlimited access to the website for the study duration.
|
Other: Oncology Interactive Navigator |
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- histologically confirmed, first diagnosis of colorectal cancer (all stages)
- within 20 weeks of when the individual was told s/he has colorectal cancer
- fluent in English or French; able and willing to complete questionnaires
- unrestricted home Internet access
- has used the Internet at least once in the past
- informed consent
Exclusion Criteria:
- previous history of CRC at any time, or any other cancer diagnosed within the last 5 years (exception: superficial skin cancer)
- medical or severe health problem
- terminal phase of colorectal cancer or too sick to participate
Contacts and Locations| Contact: Carmen G. Loiselle, Ph.D | 514-340-8222 ext 3940 | carmen.g.loiselle@mcgill.ca |
| Canada, Manitoba | |
| CancerCare Manitoba | Recruiting |
| Winnipeg, Manitoba, Canada | |
| Canada, Ontario | |
| Sunnybrook-Odette Cancer Centre | Recruiting |
| Toronto, Ontario, Canada | |
| Canada, Quebec | |
| Jewish General Hospital | Recruiting |
| Montreal, Quebec, Canada, H3T 1E2 | |
| Contact: Carmen G. Loiselle, N., Ph.D. 514-340-8222 ext 3940 carmen.g.loiselle@mcgill.ca | |
| Principal Investigator: Carmen G. Loiselle, N.,Ph.D. | |
| McGill University Health Centre | Not yet recruiting |
| Montreal, Quebec, Canada, H3G 1A4 | |
| Contact: Virginia Lee, PhD 514-934-1934 ext 44371 | |
| Principal Investigator: | Carmen G. Loiselle, N., Ph.D. | McGill University |
More Information
No publications provided
| Responsible Party: | Carmen G. Loiselle, N., Ph.D., Associate Professor, Christine and Herschel Victor / Hope & Cope Chair in Psychosocial Oncology, McGill University |
| ClinicalTrials.gov Identifier: | NCT01549327 History of Changes |
| Other Study ID Numbers: | TEN-C, MOP 106710 |
| Study First Received: | February 29, 2012 |
| Last Updated: | March 14, 2013 |
| Health Authority: | Canada: Canadian Institutes of Health Research |
Keywords provided by McGill University:
|
Virtual Patient Navigation Randomized Clinical Trial Empowerment Cost-Effectiveness Cancer Information Preferences |
Additional relevant MeSH terms:
|
Colorectal Neoplasms Intestinal Neoplasms Gastrointestinal Neoplasms Digestive System Neoplasms Neoplasms by Site Neoplasms |
Digestive System Diseases Gastrointestinal Diseases Colonic Diseases Intestinal Diseases Rectal Diseases |
ClinicalTrials.gov processed this record on May 23, 2013