Palliative Care Intervention in Improving Symptom Control and Quality of Life in Patients With Stage II-IV Non-small Cell Lung Cancer and Their Family Caregivers
Caregiver, Psychological Impact of Cancer and Its Treatment, Recurrent Non-small Cell Lung Cancer
About this trial
This is an interventional supportive care trial for Caregiver
Eligibility Criteria
Inclusion Criteria:
Patient eligibility criteria for entry into the project include:
- Diagnosis of stages II-IV non-small cell lung cancer (NSCLC)
- Undergoing treatment with surgery, chemotherapy, radiation, or combined modalities
- In Phase 2, subjects are also required on accrual to be referred to Palliative Care
FCG eligibility criteria include:
- Designated by the patient as a person closely involved in their care
- Age 18 years and older
All subjects must have the ability to understand and the willingness to sign a written informed consent
Sites / Locations
- City of Hope Medical Center
- Southern California Permanente Medical Group
- Kaiser Permanente-Ontario Vineyard Medical Offices and Ambulatory SurgiCenter
- Kaiser Permanente Department of Research and Evaluation
- Kaiser Permanente Medical Center
Arms of the Study
Arm 1
Arm 2
Active Comparator
Experimental
Phase I (usual care)
Phase II (individualized palliative care)
Participants receive usual care. This phase will aid in identifying usual care patterns in each site and provide an audit of system utilization as well as finalization of the educational materials for Phase II.
Participants receive individualized palliative care comprised of tailored educational sessions designed for each patient and FCG that have been modified based on patterns observed in Phase I. The first patient teaching session will cover physical and psychological areas and the second will cover social and spiritual areas. These sessions will be completed within 2 weeks of accrual. A third teaching session is held with the FCG alone to give the FCG the opportunity to discuss their perspectives and focus on their needs. Patients will be asked to identify topics they want included and which if any should be omitted which provides for tailoring of the content to the patient's needs and preferences.