A Quality Improvement Approach to the Management of Chronic Lymphocytic Leukemia

Study Overview
=================
Brief Summary
-----------------
This project addresses the need to improve physician knowledge and clinical practice patterns related to quality of life (QoL) concerns for patients with chronic lymphocytic leukemia (CLL).

Detailed Description
-----------------
This multifaceted initiative will include evaluating patient perspectives on their QoL, evaluating provider perspectives on managing QoL, and providing education to the whole CLL care team (hematologists/oncologists, nurse practitioners, physician assistants, and nurses) on contemporary approaches for individualized, patient-centered management of CLL. Providers, including physicians, nurse practitioners, and physician assistants will participate in educational initiatives geared towards enhancing their knowledge and confidence with managing QoL concerns for patients with CLL. Pre and post surveys will be conducted with providers to evaluate change in these areas. The project aims to train this team on how to enhance communication with patients and caregivers as a means to increase patient engagement in care and QoL in this population.

Official Title
-----------------
A Quality Improvement Approach to the Management of Chronic Lymphocytic Leukemia

Conditions
-----------------
Chronic Lymphocytic Leukemia

Intervention / Treatment
-----------------
* Other: Education Intervention


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Clinician Participant must be a hematologist, oncologist, nurse practitioner, or physician assistant who practices medicine in the Duke Cancer Network Participant treats patients with CLL Participant is willing to participate in the educational component of this project Inclusion Criteria: Patient Patient has a diagnosis of Chronic Lymphocytic Leukemia Patient is over the age of 18 Patient is being treated at a Duke Cancer Network affiliate site, Patient is expected to see their physician or another member of their care team at least 3 times annually. Signed informed consent Exclusion Criteria: Clinician None Exclusion Criteria: Patient Patient is Non-English speaking Patient diagnosed with CLL < 60 days ago
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Clinician education<br> | Other: Education Intervention<br>* Education interventions will be delivered sporadically within the 6-month window between the time the clinician completes the pre-survey and when he/she completes the post-survey. Interventions consist of e-brief publications, teleconferences with project faculty, and evidence based resources.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in provider knowledge with management of Quality of Life Concerns for CLL patients, as measured by survey |  | Baseline, 6 months | 
| Change in provider confidence with management of Quality of Life Concerns for CLL patients, as measured by survey |  | Baseline, 6 months |