Cancer CareLink for Patient Self Reports

描述（由申请人提供）：我们建议评估Cancer CareLink Symptom Manager，这是一个基于互联网的系统，旨在支持患有癌症相关症状的患者的护理，这些症状通常难以管理。我们将重点关注三种与癌症相关的症状：疼痛、疲劳和情绪困扰。这三种症状的选择是基于它们在癌症患者中的患病率、这些症状与生活质量下降之间的关系，以及它们的临床管理的结构化治疗指南的可用性。在我们的一期研究中，我们确定了临床医生和患者对Cancer CareLink的需求。我们确定，患者和临床医生可能会使用基于互联网的支持系统，如果它被证明可以改善护理。由于我们的I期努力，我们相信癌症护理链接将为患者和参与他们护理的提供者提供可衡量的利益。这项II期研究的主要目的是：比较在癌症护理链接条件下与接受常规治疗的患者对教育材料的利用、理解和满意度。比较癌症护理链接组与接受常规护理组在癌症相关疲劳、疼痛和痛苦自我管理方面的自我效能感；比较癌症护理链接条件下的医疗护理与接受常规护理的患者的特点。在Robert H. Lurie综合癌症中心参加肿瘤门诊的患者将被招募。同意的患者将被随机分配到接受癌症护理链接（N=50）或接受常规护理（N=50）三个月。两组患者将接受(1)研究入组时的深度评估，(2)教材，(3)每周症状评估，(4)研究完成时的深度评估。Cancer Care Link的患者和他们的临床提供者也将收到(5)每周症状评分的视觉总结，以及(6)治疗建议。将对Cancer CareLink的使用趋势和可用性进行评估。将评估功能使用分布、在功能上花费的平均时间长度、单个任务的平均完成时间和执行任务的错误率。我们期望癌症护理链接将成为一个模式，以提高护理过程和患者的结果。

DESCRIPTION (provided by applicant): We propose to evaluate Cancer CareLink Symptom Manager, an Internet-based system designed to support the care of patients with cancer-related symptoms that are typically difficult to manage. We will focus on three cancer-related symptoms: pain, fatigue, and emotional distress. These three symptoms were selected based on their prevalence among cancer patients, the association between these symptoms and reduced quality of life, and the availability of structured treatment guidelines for their clinical management. In our Phase I research we identified clinician and patient requirements for Cancer CareLink. We determined that patients and clinicians would be likely to use the Internet-based support system if it were shown to improve care. As a result of our Phase I efforts we believe Cancer CareLink will provide measurable benefits to patients and the providers involved in their care. The primary objectives of this Phase II study will be: To compare utilization, comprehension, and satisfaction with educational materials provided in the Cancer Care Link condition to those receiving usual care. To compare perceived self-efficacy in self-management of cancer-related fatigue, pain, and distress in the Cancer Care Link condition to those receiving usual care; To compare characteristics of medical care in the Cancer Care Link condition to those receiving usual care. Patients attending outpatient oncology clinics of the Robert H. Lurie Comprehensive Cancer Center will be recruited. Consenting patients will be randomly assigned to receive Cancer Care Link (N=50) or to receive usual care (N=50) for three months. Patients in both groups will receive (1) an in-depth assessment at study enrollment, (2)educational materials, (3)weekly symptom assessments, and (4)an in-depth assessment at study completion. Cancer Care Link patients and their clinical providers will also receive (5)visual summaries of weekly symptom ratings, and (6) treatment recommendations. Usage trends and usability evaluation of Cancer CareLink will be conducted. Functional usage distribution, average length of time spent on a function, average completion time of individual tasks and error rates in performing tasks will be evaluated. We anticipate that Cancer CareLink will serve as a model for enhancing care processes and patient outcomes.