Patient-identified Values as Outcome Targets (PIVOT) Feasibility Pilot Trial

A behavioral trial aimed at helping patients identify what matters most to them and is part of a larger effort to pivot from disease-oriented care to whole-person care.

Primary Objectives:

The primary objective of the pilot clinical trial is to evaluate feasibility, operationalized as attrition, acceptability, and adherence rates of the GAS measure.

Secondary Objectives:

To evaluate initial efficacy across both arms (pre-post comparison) and between arms (A-B comparison) of goal encouragement. Due to the pilot nature of this work and a lack of published effect size estimates, this trial is unlikely to be adequately powered to estimate true efficacy. However, this trial will provide a rich source of preliminary data and effect size estimates that can be utilized to conduct formal power analysis for a larger efficacy trial.

The tertiary objective will be to identify themes within the GAS measures created by participants, utilizing grounded theory inductive coding of themes into broader categories, and comparing against the common categories pre-identified within the Patient Priorities Care framework.

The quaternary objective will be to assess a novel measure of CIPN outcomes called the Individual Neuropathy Report Card against current common CIPN measures.

Eligibility Criteria:
Inclusion Criteria:

* Provision of signed and dated electronic informed consent form
* Stated willingness to comply with all study procedures and availability for the duration of the study
* Age 18 or older.
* Documented diagnosis of chemotherapy-induced peripheral neuropathy meeting the following criteria: 1) onset associated with timing of neurotoxic chemotherapy and 2) symptomatic reports of peripheral neuropathy.
* Access to smartphone and internet for participating in a technology-based intervention
* Upcoming in-person appointment in the Main Hospital Pain Management Clinic 4-6 weeks from the consent date.
* English-speaking
* Pain or bothersome symptoms present most days of the week at an average of ≥4/10 on the Numeric Rating Scale for the past 3 months
* No longer receiving cancer treatment or has been on stable maintenance treatment for the past 3 months.
* Resides in the Houston Metroplex
* A score ≤7 on the validated Six Item Cognitive Impairment Test (6CIT) for unimpaired cognition

Exclusion Criteria:

* Provision of signed and dated electronic informed consent form
* Stated willingness to comply with all study procedures and availability for the duration of the study
* Age 18 or older.
* Documented diagnosis of chemotherapy-induced peripheral neuropathy meeting the following criteria: 1) onset associated with timing of neurotoxic chemotherapy and 2) symptomatic reports of peripheral neuropathy.
* Access to smartphone and internet for participating in a technology-based intervention
* Upcoming in-person appointment in the Main Hospital Pain Management Clinic 4-6 weeks from the consent date.
* English-speaking
* Pain or bothersome symptoms present most days of the week at an average of ≥4/10 on the Numeric Rating Scale for the past 3 months
* No longer receiving cancer treatment or has been on stable maintenance treatment for the past 3 months.
* Resides in the Houston Metroplex
* A score ≤7 on the validated Six Item Cognitive Impairment Test (6CIT) for unimpaired cognition