Telemedicine Clinic for Prostate Cancer Patients

Study Overview
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Brief Summary
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This randomized, open label study will evaluate a nurse and pharmacist led clinic conducted remotely from Grand River Regional Cancer Centre at Grand River Hospital (GRRCC/GRH) using OTN teleconferencing as a platform for patients with prostate cancer receiving oral chemotherapy agents.

Official Title
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A Pilot Study of a Nurse and Pharmacist Led OTN (Ontario Telemedicine Network) Based Clinic for Management of Prostate Cancer Patients on Oral Therapy

Conditions
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Cancer, Treatment-Related

Intervention / Treatment
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* Other: Visits conducted via Telemedicine


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Male over 18 years of age with prostate cancer receiving oral treatment with abiraterone or enzalutamide. Ability to provide consent to study. Willingness to complete study questionnaires and a semi-structured exit interview. Adequate command of the English language to complete study questionnaire and survey. Access to technology to allow a link to the virtual telemedicine clinic. (excluding control group) Willingness to participate in videoconference with pharmacist or nurse from their home environment. (excluding control group) Exclusion Criteria: Patients receiving oral anti-cancer therapy other than abiraterone and enzalutamide. Patients lacking the technology at home to participate in the virtual telemedicine clinic. (excluding control group) -

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: OTN virtual clinic<br>Pharmacist and nurse led OTN based remote teleconference based clinic (OTN) The OTN clinic will be conducted by providing the patient with a link via email which will allow the patient to access OTN teleconferencing and meet virtually with a pharmacist and nurse during a previously scheduled appointment. Virtual clinic appointments will be 30 minutes long and will consist of a patient assessment and open ended questions about the patient health status using a modified version of the validated MOATT (MASCC Oral Agent Teaching Tool) created by the Multidisciplinary Association of Supportive Care in Cancer. | Other: Visits conducted via Telemedicine<br>* Patients will be followed via telemedicine with visits lead by a Pharmacist and a Nurse<br>|
| No Intervention: In person Visits<br>Patients are followed in person at the cancer clinic based on standard of care guidelines | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction with overall care | The primary outcome will be a comparison of patient satisfaction with overall care utilizing a validated scale between the group of patients using the OTN clinic and a group of control patients receiving conventional care at GRRCC | 2 Years |