Cancer CareLink for Patient Self Reports

描述(由申请人提供)：我们建议评估癌症CareLink症状管理器，这是一个基于互联网的系统，旨在支持具有癌症相关症状的患者的护理，这些症状通常很难管理。我们将重点关注与癌症相关的三种症状：疼痛、疲劳和情绪困扰。这三种症状是根据它们在癌症患者中的流行率、这些症状与生活质量下降之间的联系以及可用于临床管理的结构化治疗指南来选择的。在我们的第一阶段研究中，我们确定了临床医生和患者对癌症CareLink的要求。我们确定，如果基于互联网的支持系统被证明可以改善护理，患者和临床医生可能会使用它。作为我们第一阶段努力的结果，我们相信癌症CareLink将为患者和参与他们护理的提供者提供可衡量的好处。这项第二阶段研究的主要目标将是：将癌症护理链接条件下提供的教育材料的利用率、理解力和满意度与接受常规护理的人进行比较。比较癌症护理连结与接受一般护理的病人在自我管理癌症相关疲劳、疼痛及苦恼方面的自我效能；比较癌症护理连结的病人与接受一般护理的病人的医疗护理特点。将招募到罗伯特·H·卢里综合癌症中心的肿瘤门诊就诊的患者。同意的患者将被随机分配到接受癌症关怀链接(N=50)或接受常规护理(N=50)，为期三个月。两组患者将接受(1)研究登记时的深入评估，(2)教育材料，(3)每周症状评估，和(4)研究结束时的深入评估。癌症护理链接的患者和他们的临床提供者还将收到(5)每周症状评分的可视摘要，以及(6)治疗建议。将进行癌症CareLink的使用趋势和可用性评估。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。我们预计，癌症CareLink将成为加强护理过程和患者结局的典范。

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.