Decision Support Interventions (DESI) for Prostate Cancer Screening and Treatment - Study 2

This study is enrolling participants by invitation only.
Sponsor:
Collaborators:
Palo Alto Medical Foundation
Information provided by (Responsible Party):
Carmen Lewis, MD, MPH, University of North Carolina, Chapel Hill
ClinicalTrials.gov Identifier:
NCT01244568
First received: November 15, 2010
Last updated: March 29, 2012
Last verified: March 2012

November 15, 2010
March 29, 2012
December 2010
May 2013   (final data collection date for primary outcome measure)
Comparison of Active treatment vs. Watchful waiting/active surveillance at 3 and 6 months [ Time Frame: 3 and 6 month follow-up ] [ Designated as safety issue: No ]
Men who review a DESI before making a treatment decision will be more likely to choose active surveillance/watchful waiting and will have better decision-specific knowledge.
  • Active treatment vs. Watchful waiting/active surveillance [ Time Frame: 3 month follow-up ] [ Designated as safety issue: No ]
    Patient's treatment choice
  • Active treatment vs. Watchful waiting/active surveillance [ Time Frame: 6 month follow-up ] [ Designated as safety issue: No ]
    Patient's treatment choice
Complete list of historical versions of study NCT01244568 on ClinicalTrials.gov Archive Site
  • DESI viewing [ Time Frame: 3 month follow-up (phone survey) ] [ Designated as safety issue: No ]
    Decision aid viewing is a self-reported measures. Patients will be asked if they viewed the DVD that was given to them (intervention group)prior to them making a treatment choice decision.
  • Healthcare utilization [ Time Frame: 6 month follow-up ] [ Designated as safety issue: No ]
    Research staff will review EMR data to access decision-making outcomes and resource utilization.
  • DESI viewing [ Time Frame: 3 month follow-up ] [ Designated as safety issue: No ]
    Participants will be asked if they viewed DVD that was given to them.
  • Decision specific knowledge [ Time Frame: Baseline ] [ Designated as safety issue: No ]
    Patient will be asked knowledge questions about prostate cancer.
  • Health-related quality of life [ Time Frame: baseline ] [ Designated as safety issue: No ]
    Measures quality of life issues in patients with prostate cancer
  • Health care utilization [ Time Frame: 6 month follow-up ] [ Designated as safety issue: No ]
    research staff will review medical records to determine which treatment was received for prostate cancer, how many visits with health care providers was completed since study enrollment, and which medical services and procedures were received.
  • Decision specific knowledge [ Time Frame: 3 month follow-up ] [ Designated as safety issue: No ]
    Patient will be asked knowledge questions about prostate cancer.
  • Health-related quality of life [ Time Frame: 3 month follow-up ] [ Designated as safety issue: No ]
    Measures quality of life issues in patients with prostate cancer
  • Health-related quality of life [ Time Frame: 6 month follow-up ] [ Designated as safety issue: No ]
    Measures quality of life issues in patients with prostate cancer
Not Provided
Not Provided
 
Decision Support Interventions (DESI) for Prostate Cancer Screening and Treatment - Study 2
Acceleration Adoption of Comparative Effectiveness Research Results With Patient Decision Support Intervention and Treatment- Study 2

Researchers in this study will determine whether providing decision support interventions (DESIs) to men with low risk prostate cancer improves their decision-specific knowledge and alters their treatment decisions.

Potentially eligible men (age 45 and older who have localized prostate cancer with a Gleason score of 6 or less) will be identified and recruited to participate in the study before their next office visit. Patients who are interested and provide informed consent will be asked to complete a brief survey about background, medical history, knowledge of prostate cancer and health-related quality of life. Once the survey is completed the patient will be randomly assigned to one of 2 groups. Those assigned to the "Usual Care" group will not receive any additional information materials as part of their participation in the study. Those assigned to the "Patient Decision Support" group will receive a DVD program that contains information about treatment choices for prostate cancer.

Participants will be asked to answer a brief telephone survey at 3 and 6 months from the day of their last office visit. Survey questions will ask about knowledge about prostate cancer, health-related quality of life, whether or not the DVD was viewed and what treatment decision was made.

Research staff will also review medical records 6 months after enrollment to determine which treatment was received for prostate cancer, how many visits with health care providers were completed since enrollment and which medical services and procedures were received.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Prostate Cancer
Behavioral: Prostate cancer treatment DESI
DESI is a 50 minute program on treatment choices for prostate cancer that will be given out to the experimental group. The program explains several treatment options including surgery (radical prostatectomy), radiation therapy (external beam and/or brachytherapy), hormone therapy, and active surveillance and watchful waiting. The program's intended audience is men with early state prostate cancer who are trying to make a treatment decision.
Other Name: Decision Support Intervention
  • No Intervention: Usual care
  • Experimental: Prostate cancer treatment DESI
    Intervention: Behavioral: Prostate cancer treatment DESI
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Enrolling by invitation
240
November 2013
May 2013   (final data collection date for primary outcome measure)

Inclusion Criteria:

Age 45 or older Localized prostate cancer with a Gleason score of 6 or less

Exclusion Criteria:

Women

Male
45 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01244568
10-1318, 1R18AE000023 - 01
No
Carmen Lewis, MD, MPH, University of North Carolina, Chapel Hill
University of North Carolina, Chapel Hill
  • Palo Alto Medical Foundation
  • National Institute of Allergy and Infectious Diseases (NIAID)
Principal Investigator: Carmen L Lewis, MD, MPH University of North Carolina, Chapel Hill
Principal Investigator: Dominick L Frosch, PhD Palo Alto Medical Foundation
University of North Carolina, Chapel Hill
March 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP