Evaluation of FROM-16 in ATMP Patients & Families

Study Overview
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Brief Summary
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Poor health, and its treatment, has impact beyond the healthcare system into wider society. A person's productivity, taxable earnings, benefit payments and community contribution may all be adversely affected by poor health. Family members living with or caring for a patient may suffer equally, or sometimes more than the patient themselves, but this familial burden has gone largely unrecognised by healthcare systems. The Family-Reported Outcome Measure (FROM-16) is the first generic questionnaire designed to measure the impact of any chronic disease on the quality of life of family members or partners of patients with a health condition. Advance Therapy Medicinal Products (ATMPs) are a novel & ground-breaking therapeutic approach for curative treatment of disease and/or injury where conventional treatments have been ineffective. Such disease/injury generally has an extremely high impact on the patient's quality of life, and also the quality of life of the patient's family, in particular those family members who take on the role of 'informal carer'. ATMPs usually have very high costs and this can limit their usage, especially in the context of low prevalence disease and publicly-funded healthcare systems, where healthcare providers may be reluctant to take on the cost burden of the ATMP therapy. As a result, there is a particular focus on the 'value' of ATMPs. An important component of value is 'Societal Value', where a treatment leads to societal contributions, and considering Societal Value may justify the high cost of ATMPs despite the relatively few patients cured. In this study, we will validate the FROM-16 for use as one measure of the Societal Value of very high cost, potentially curative treatments such as ATMPs.

Official Title
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Family Reported Outcomes in the Estimation of Societal Value of Advanced Therapy Medicinal Products (ATMPs)

Conditions
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Family Members, Cancer

Intervention / Treatment
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* Other: FROM-16 Questionnaire
* Other: Semi-structured two-part interview


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients: Patients of any age Ability to read English or Welsh (where age-appropriate). Capacity to give written informed consent, or assent for their family member to participate Attending ATMP treatment centre with a family member/carer. Being considered for, or have recently received, ATMP therapy for any diagnosed condition. Family Members: Considered by the patient to be the person most affected by the patient's condition Adult family members aged 18 years or older. A family member or partner, living with or caring for, a patient who is being prepared to receive ATMP treatment or has recently received ATMP therapy for any diagnosed condition. Have capacity to give written informed consent and complete the interview and questionnaires. Exclusion Criteria: Patients: Adult patients: Lacking capacity, or unwilling to give written informed consent for their family member to participate. Gillick competent paediatric patients: unwilling to give written informed assent and/or consent for their family member to participate. Non-Gillick competent paediatric patients: patient's parent/guardian refuses to give consent or is unable to give consent on their behalf. Not being prepared for ATMP therapy, or is currently receiving ATMPs. Family Members: Family members under 18 years of age. Not considered by the patient to be a family member or carer. Lacking capacity or willingness to give informed written consent to participate Having a severe handicap or disability that prevents the completion of interview and questionnaires.
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

| Intervention/Treatment |
| --- |
|Other: FROM-16 Questionnaire|A 16-item questionnaire to provide information about the impact of a patient's disease/condition the participants (family member of patient) quality of life|
|Other: Semi-structured two-part interview|A telephone/video interview to provide additional context to the FROM-16 responses|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Validity of the FROM-16 to the ATMP population | Successful outcomes will be defined by this study demonstrating that the FROM-16 is a suitable tool for gathering FROMs from ATMP patient family members, through showing high reliability of the responses to the FROM-16, and showing that the FROM-16 is valid when applied to this population. Reliability, assessed by Cronbach's Alpha, should have scores in excess of 0.8, indicating high internal consistency. Validity will be assessed in three dimensions: Face, Construct and Content Validity. Face validity will be assessed by an experimenter independent to the data analytics and collection processes. Content validity will be assessed by thematic analysis of interview transcripts, and by assessing the intraclass correlation of themes. Construct validity will be assessed by measuring convergent and discriminatory validity by confirmatory factor analysis. | November 2021 - March 2022 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Family members, ATMPs, Family reported outcome measures, Value-based healthcare, Severe disease, Familial impact, Societal value, Advanced Therapy Medicinal Products