Clinical trial NCT03874195: Palliative Care For Me (PCforMe)
Official title: Usability Testing of a Web-based Tool to Prepare Patients for Palliative Care
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Palliative Care
Lead sponsor: Duke University
Sponsor class: OTHER
First posted: 2019-03-14
Enrollment: 80
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: The Investigator will 1:1 randomize patients to an Active Control arm or Intervention arm. Both arms will receive a tablet computer (iPad or Galaxy Tab based on preference) connected to the internet with disposable headphones to use for up to 30 minutes. Subjects in the Active Control arm will receive a list of three nationally-recognized websites to receive information on palliative care - www.palliativedoctors.org; getpalliativecare.org; and Wikipedia "Palliative Care" https://en.wikipedia.org/wiki/Palliative_care). Intervention Arm subjects will receive access to PCforMe.
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to test the usability of PCforMe, a web-based preparation and engagement tool about palliative care, during a pre-visit pilot trial in outpatient palliative care at the Duke Cancer Institute Palliative Care Clinic.

Detailed description: The Investigator will 1:1 randomize patients to an Active Control arm or Intervention arm. Both arms will receive a tablet computer (iPad or Galaxy Tab based on preference) connected to the internet with disposable headphones to use for up to 30 minutes. Subjects in the Active Control arm will receive a list of three nationally-recognized websites to receive information on palliative care - www.palliativedoctors.org; getpalliativecare.org; and Wikipedia "Palliative Care" https://en.wikipedia.org/wiki/Palliative_care). Intervention Arm subjects will receive access to PCforMe.

PCforMe is an online, web-based, interactive tool to prepare patients for a clinical palliative care encounter. PCforMe is accessible through www.pcforme.org. It does not collect any patient information, including identifiers (e.g. name, email address, disease, location) or health information (e.g. disease, symptom severity or location). The system uses a combination of animated videos and user-answered questions to generate a "Palliative Care Passport", which is a summary of information entered into the system. Research staff will print out the Passport for patients and hand it to them prior to the appointment.

Queries for users include standard-of-care questions asked by palliative care clinicians, including areas that patients want to more learn about. No diagnoses, medication advice, or clinical assessments are made or given.

Eligibility criteria: Inclusion Criteria:

* Potential participants will be identified by reviewing clinic appointment listings in EPIC (e.g., diagnosis, date of diagnosis, date of clinic appointment, physician), and deemed eligible by the RA by meeting the following criteria:

  * Age \>18
  * capacity to give consent
  * has a scheduled outpatient visit (initial consult) with a palliative care provider
  * ability to speak and understand English

Exclusion Criteria:

* Not meeting the inclusion requirements

Primary outcomes:
measure: System usability as measured by the system usability scale
timeFrame: 1 hour
Secondary outcomes:
measure: Change in Palliative Care knowledge
timeFrame: Baseline, up to 1 hour
measure: Change in Perceived Efficacy for the Patient-Physician Interaction (PEPPI)
timeFrame: Baseline, up to 1 hour
measure: Change in single-item Prepared item
timeFrame: Baseline, up to 1 hour
Other outcomes:
Locations:
city: Durham
country: United States
facility: Duke University Cancer Center
state: North Carolina
Study officials:
affiliation: Duke University Health Systems
name: Arif Kamal, MD
role: PRINCIPAL_INVESTIGATOR
References: