Improving Patient Education for Lymphoma and Leukemia Inpatients

Study Overview
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Brief Summary
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The purpose of this study is to evaluate the impact of a structured, DVD educational intervention about what to expect during inpatient treatment of a newly diagnosed cancer. The focus of the study will be newly diagnosed lymphoma and acute leukemia patients and their family members. Outcome variables will be the patient and family member's satisfaction with inpatient teaching and anxiety about inpatient treatment.

Detailed Description
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The purpose of this study is to evaluate the impact of a structured, DVD educational intervention about what to expect during inpatient treatment of a newly diagnosed cancer. The focus of the study will be newly diagnosed lymphoma and acute leukemia patients and their family members. Outcome variables will be the patient and family member's satisfaction with inpatient teaching and anxiety about inpatient treatment. The experimental group will watch a DVD educational presentation of information about unit routines and activities; leukemia/lymphoma; treatment modalities and procedures; treatment of side effects; and patient and family members activities of importance to prevent infection and promote well-being during cancer treatment. Participants in the control group will receive usual educational teaching by their assigned nursing staff.

Official Title
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Improving Patient Education for Newly Diagnosed Lymphoma and Acute Leukemia Inpatients

Conditions
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Leukemia, Lymphoma

Intervention / Treatment
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* Other: Structured Education DVD + Verbal Teaching
* Other: Verbal Teaching


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: For participants admitted for suspect diagnosis of leukemia or lymphoma: Admission to the hematology/leukemia unit (6E) at Emory University Hospital with a suspected or actual new diagnosis of leukemia or lymphoma within the past 24 hours English-speaking Completed education to at least the 6th grade level No significant auditory or visual deficits with corrective devices No central nervous system involvement of disease Physiologically stable Not at end of life No alterations in mental status Agrees to family member (family member; significant other; friend) participation in study and to selecting the individual who could participate For Family Members: Willing to view DVD and read education booklet Selected by patient to participate English speaking No significant auditory or visual deficits with corrective devices No alterations in mental status Completed education to at least the 6th grade level Exclusion Criteria: At end of life Altered mental status Significant auditory or visual deficits with corrective devices

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: Other
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: DVD Structured Education<br>Participants in this group will watch an educational DVD in addition to standard teaching by nursing staff. | Other: Structured Education DVD + Verbal Teaching<br>* The structured education DVD is a 15-minute DVD presentation of information about unit routines and activities; leukemia/lymphoma; treatment modalities and procedures; treatment of side effects; and participant and family members activities of importance to prevent infection and promote well-being during cancer treatment. Participants will also receive verbal educational teaching by their assigned nursing staff regarding information about leukemia and lymphoma, common treatments, and side effects.<br>Other: Verbal Teaching<br>* Participants will receive verbal educational teaching by their assigned nursing staff regarding information about leukemia and lymphoma, common treatments, and side effects.<br>|
| Active Comparator: Standard Educational Teaching<br>Participants in this group will receive educational teaching by their assigned nursing staff. | Other: Verbal Teaching<br>* Participants will receive verbal educational teaching by their assigned nursing staff regarding information about leukemia and lymphoma, common treatments, and side effects.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Quality of Discharge Teaching Scale (QDTS) Score | Overall satisfaction will be measured with the Quality of Discharge Teaching Scale (QDTS).The QDTS is a 24 item survey to evaluate all of the teaching received by patients during their hospitalization prior to discharge. Each item on the survey is rated on a 0 to 10 numeric scale, with 0 representing an item was not addressed and 10 representing an item addressed a great deal. For each aspect of education or information being evaluated, participant are asked to rate the content of the education, as well as the delivery of the content. | Post Educational Teaching (Up to 30 minutes) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual analog scale (VAS) Score | Participants are instructed to place a horizontal mark across the 100 mm vertical line anchored at one end with the words No Anxiety and at the other end Worst Anxiety Imaginable at the level of their anxiety about inpatient cancer treatment. Rating of anxiety for the study will be done by having the participant mark their anxiety level on a new, unmarked VAS. Scoring of the VAS is done by measuring in millimeters from the end of the vertical line with the anchor phrases of no anxiety to the intersection of the participant's mark on the vertical line. Possible scores on the VAS range from 0 to 100 millimeters with higher scores indicating higher levels of anxiety. | Post Educational Teaching (Up to 30 minutes) |