SHARE (Sharing Goals and Preferences) Study

Study Overview
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Brief Summary
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This research study is evaluating the usefulness of a video and questionnaire to help cancer patients think about the goals of their care.

Detailed Description
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The investigators are conducting a study with patients from Dana Farber Cancer Institute (DFCI) and DFCI-affiliate at St. Elizabeth's Hospital who are being treated for their cancer. The purpose of the study is to test the implementation of a short video, a brief questionnaire, and a wallet card designed to help patients understand and articulate their goals and preferences when making decisions about their cancer treatment and communicate these preferences to their clinicians. The short video and brief questionnaire were developed to help patients with cancer think about their goals of care and their treatment and information preferences and to prompt discussions with their health care team about these preferences. The wallet card is designed to help patients remember some key questions that may be useful as they make decisions about future treatments A pilot test will be completed to assess the feasibility and usability of the revised More Good Days video, brief questionnaire and wallet card in helping seriously-ill cancer patients think about what a good day means to them and test whether these tools can help patients to identify and communicate their medical treatment preferences and goals with their care team.

Official Title
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SHARE (Sharing Goals and Preferences) Study

Conditions
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Other Cancer

Intervention / Treatment
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* Other: More Good Days video&brief questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient who are receiving treatment at: DFCI in the thoracic oncology group DFCI-affiliated St. Elizabeth's Hospital and have progressed on 2nd line or later-line systemic therapies (chemotherapy, immunotherapy, biological, or targeted therapies) Clinicians' schedules to identify patients with metastatic cancers who are considering or pursuing additional palliative therapy Exclusion Criteria: Patients who are not interested in the study Patients of physicians who opt out of participating Patients whose physicians did not opt out, but whose physician does not think they are well suited for 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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: More Good Days video&brief questionnaire<br>Participants will watch the More Good Days video and will be given a brief questionnaire and wallet card to help identify their goals and preferences about information and care The More Good Days video is developed to help patients with advanced cancer think about what a good day means to them and to help them think about questions they may have for their physicians when discussing treatments. The 3-page brief questionnaire is designed to help patients identify their preferences about information and care and to help encourage a conversation between patients and their doctors and health care team about their goals and preferences The wallet card will help patients think about questions they may want to ask their providers when considering treatments. | Other: More Good Days video&brief questionnaire<br>* Help patients with advanced cancer think about what a good day means to them and to help them think about questions they may have for their physicians when discussing treatments<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Enrollment | % of patients invited to participate who choose to enroll | 2 years | 
| Overall rating of intervention | % who rate intervention as good/very good/excellent. | 1 month | 
| Would recommend intervention to others | % who would recommend intervention to others with cancers like theirs | 1 month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Preferred format for viewing video and completing questionnaire | preferences for watching alone vs. with family; in clinic vs. home, interest in accessing via electronic record portal | 1 month | 
| Patient anxiety | Hospital Anxiety and Depression Scale (HADS) (score 0 to 21 for 7 anxiety items, higher=more anxiety) | 1 month | 
| Patient distress | National Comprehensive Cancer Network distress thermometer (score 0 to 10, higher worse distress) | 1 month | 
| Patient depression | Patient Health Questionnaire-9 (PHQ-9) (9 items, score 0 to 27, higher = more depressed) | 1 month | 
| Hope | Hearth Hope Index (12 items, score 12 to 48, higher = more hope) | 1 month | 
| FACIT-PAL Quality of Life | FACIT-PAL instrument general quality of life (27 general items, score 0 to 108, higher=better quality of life) | 1 month | 
| Quality of life-palliative care specific items | Palliative care subscale of FACITPAL (14 items, score 0 to 56, higher = better quality of life) | 1 month | 
| Therapeutic Alliance | Human Connection Scale (16 items, score 16 to 64, higher = more therapeutic alliance) | 1 month | 

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