Addressing Barriers to Palliative Care Use in Bladder Cancer

Study Overview
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Brief Summary
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Investigators plan to establish an in-depth understanding of knowledge and beliefs about palliative care in advanced Bladder Cancer patients and their caregivers, and to identify factors associated with positive and negative experiences with palliative care services among those who have received them.

Official Title
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Addressing Barriers to Palliative Care Use in Bladder Cancer Through Better Understanding of Knowledge and Belief Development

Conditions
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Muscle-Invasive Bladder Carcinoma, Bladder Cancer Stage II, Bladder Cancer Stage III, Bladder Cancer Stage IV

Intervention / Treatment
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* Other: Surveys


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Eligibility for both patient and caregiver participants will include: age ≥18 years able to speak and read English cognitively able to participate in study tasks willing to participate in surveys, semi-structured interviews, and/or focus groups able to participate in either a Zoom meeting or phone interview able to complete an emailed or paper survey Patient Participants: a diagnosis of muscle-invasive or locally advanced bladder cancer (stages II-IV). Exclusion Criteria: Patients and caregivers will be excluded if unable to provide verbal or written consent

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 |
| --- | --- |
| Bladder Cancer Patient Participants<br>Participants will be scheduled for one-on-one interviews that will occur over Zoom or telephone. | Other: Surveys<br>* Survey will be administered involving questions regarding knowledge and perception of palliative care.<br>|
| Care Givers for Bladder Cancer Patient Participants<br>Participants will be scheduled for one-on-one interviews that will occur over Zoom or telephone. | Other: Surveys<br>* Survey will be administered involving questions regarding knowledge and perception of palliative care.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Development of palliative care knowledge and beliefs | Thematic analysis of interviews transcriptions to identify the themes that underpin the development of palliative care beliefs among patients with muscle invasive bladder cancer. | 12 Months | 
| Proportion with accurate palliative care knowledge and beliefs | Proportion of patients correctly answering each palliative care knowledge question. | 12 Months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Association between Bladder Cancer stage and palliative care knowledge | Analysis of variance calculated for the mean number of subjects with each cancer stage correctly answering each palliative care knowledge question | 12 Months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bladder