Web-Based Tailored Educational Program in Improving Nurse Communication With Patients About Clinical Trials

Study Overview
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Brief Summary
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This pilot, randomized clinical trial studies a web-based tailored educational program in improving nurse communication with patients about clinical trial treatment options. A web-based tailored educational program may empower and prepare nurses to discuss clinical trial treatment options with patients and may also increase patient participation in clinical trials.

Detailed Description
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PRIMARY OBJECTIVES: I. To develop and pilot test a theory-driven, web-based, tailored, interactive educational program (Oncology Nurse IMPACT: Improving Communication with Patients about Clinical Trials) for oncology nurses to address barriers to discussing clinical trials with patients. II. To implement Oncology Nurse IMPACT on a national level and conduct a formal program evaluation. III. To evaluate the mediators and moderators of education program effect on intentions to discuss clinical trials with patients. OUTLINE: Participants are assigned to 1 of 2 intervention arms. ARM I: Oncology nurses watch web-based informational video clips addressing knowledge, attitudes, subjective norms, and perceived behavioral control (barriers of discussing clinical trials with patients). They also watch role-play video clips to help improve perceived behavioral control and address attitudinal barriers. ARM II: Oncology nurses view online clinical trials educational materials developed based upon National Cancer Institute (NCI) clinical trials educational materials for health care providers. The educational materials contain text and tables as presented on the NCI Website. After completion of study intervention, participants are followed for 3 months.

Official Title
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Oncology Nurse IMPACT: Improving Communication With Patients About Clinical Trials

Conditions
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Healthy, no Evidence of Disease

Intervention / Treatment
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* Other: IMPACT intervention
* Other: Online education materials
* Other: survey administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Currently practicing nurse Involved in direct patient care Self-identify in one of the following primary practice roles--case managers, clinical nurse specialists, nurse practitioners, managers/coordinators, nurse navigators, patient educators, and staff nurses Available email address Exclusion Criteria: Research nurses, nurses without direct patient care, and nurse managers/directors (i.e. not involved in direct patient care) Lack of email address
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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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arm I (IMPACT Intervention)<br>Oncology nurses watch tailored, web-based informational video clips addressing knowledge, attitudes, subjective norms, and perceived behavioral control (barriers of discussing clinical trials with patients). They also watch role-play video clips to help improve perceived behavioral control and address attitudinal barriers. | Other: IMPACT intervention<br>* Tailored, web-based educational short video clips<br>* Other names: educational intervention;Other: survey administration<br>* Ancillary studies<br>|
| Active Comparator: Arm II (online educational materials)<br>Oncology nurses view online clinical trials educational materials developed based upon NCI clinical trials educational materials for health care providers. The educational materials contain text and tables as presented on the NCI Website. | Other: Online education materials<br>* Online NCI-based educational materials<br>* Other names: intervention, educational;Other: survey administration<br>* Ancillary studies<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in nurse's intention to discuss clinical trials with patients | Behavioral intention will be assessed using 4 items (3 with 7 point scales, strongly agree/strongly disagree and 1 which asks for an estimated number of patients). An analysis of covariance (ANCOVA) will be used to compare intention scores, adjusting for the pre-intervention intention score as well as age, ethnicity, education, access to clinical trials, and years spent in nursing as well as other key factors found to be significantly imbalanced between groups. | Baseline to 3 months post-intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in knowledge, attitudes, normative beliefs, and perceived behavioral control | Actual behavior will be measured using a 3-item scale asking participants to provide an estimate of how many patients they spoke with about cancer clinical trials in the past three months (3-month follow-up) and over the past week (subset of nurses completing the biweekly ecological momentary assessment surveys). An ANCOVA approach will be used to examine effects of the intervention on knowledge, attitudes, behavioral control and normative beliefs. | Baseline to 3 months post-intervention |