Communication Skills Intervention to Promote Transition Into Survivorship

Study Overview
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Brief Summary
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The purpose of this study is to improve the communication skills of physicians who transition lymphoma cancer patients from the end of treatment to survivorship.

Official Title
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Communication Skills Intervention to Promote Transition Into Survivorship

Conditions
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Hodgkin's Lymphoma, Diffuse Large B-cell Lymphoma

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Physicians: who treat patients with DLBCL and HD as per self report Patients of Physicians: have a new diagnosis of Hodgkin's or Diffuse Large B-cell Lymphoma as per pathology report or physician assessment in medical record and/or clinical judgment of the treating physician treated with curative intent. For part 1 - have scans indicating remission and completing planned chemotherapy and/or radiation therapy. The treating physician will determine that clinical remission has been achieved based on their best judgment. For part 2 (longitudinal phase): - have new scans indicating remission and completing planned chemotherapy and/or radiation therapy. The treating physician will determine that clinical remission has been achieved based on their best judgment. be at least 18 years old speak English well enough, in the judgment of the consenting professional, to be able to understand all aspects of the study, provide informed consent, and be able to complete all study measures. Exclusion Criteria: Physicians: who do not have adequate patients in their clinical practice to meet the 8 patient enrollment requirement for patients with either DLBCL or HD as per self report Patients of Physicians: show evidence of cognitive impairment severe enough to preclude giving permission to the study staff, or completing the survey instruments of the study. as per physician judgment, patient's prognosis and/or co-morbidities make them inappropriate for participation in a survivorship study. For Part 2 ONLY (longitudinal phase): those who consented to part 1, consult recording, of the study.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| initial survivorship planning consultation<br>The overall design follows a cluster-randomized, clinical trial design. Although an apparently statistically-efficient design would have us randomize patients, the CST intervention must be delivered to physicians at four participating sites (MSKCC, Maimonides, MD Anderson, and Moffitt/TGH). Therefore, participating sites will be stratified by size and randomized to either experimental (initial survivorship planning consultation) or control (initial wellness rehabilitation consultation) in a multiple-level, cluster-randomized design, which protects against physician contamination of the experimental intervention within any site. | |
| initial wellness rehabilitation consultation<br>The overall design follows a cluster-randomized, clinical trial design. Although an apparently statistically-efficient design would have us randomize patients, the CST intervention must be delivered to physicians at four participating sites (MSKCC, Maimonides, MD Anderson, and Moffitt/TGH). Therefore, participating sites will be stratified by size and randomized to either experimental (initial survivorship planning consultation) or control (initial wellness rehabilitation consultation) in a multiple-level, cluster-randomized design, which protects against physician contamination of the experimental intervention within any site. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| impact on patient outcomes of targeted physician communication skills training |  | 3 years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| impact of a targeted CST intervention on the physicians | use of strategies, tasks and skills about transitioning lymphoma patients from the end of primary treatment to survivorship. | 3 years | 
| describe communication during doctor-patient visits during the patients' first three years of survivorship | (MSKCC and MD Anderson baseline data only) The study team will look for qualitative themes to better understand the content of these conversations and the need for survivorship care planning. Half of these recordings were with MSKCC patients and physicians and half were with MD Anderson patients and physicians. | 3 years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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patient outcomes, Survivorship, Communication Skills, Communication strategies, Physicians communication, 11-180