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Trial registered on ANZCTR
Registration number
ACTRN12624000530527p
Ethics application status
Submitted, not yet approved
Date submitted
2/04/2024
Date registered
29/04/2024
Date last updated
29/04/2024
Date data sharing statement initially provided
29/04/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Pilot study of co-designed ‘Making-it-Meaningful’ tool with consumers accessing an Australian cancer service.
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Scientific title
Pilot study of co-designed ‘Making-it-Meaningful’ tool with consumers accessing an Australian cancer service.
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Secondary ID [1]
311859
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None
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
This study is a sub-study to registration record ACTRN12622001260718.
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Health condition
Health condition(s) or problem(s) studied:
medication communication in cancer care
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Medication literacy
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Condition category
Condition code
Cancer
330087
330087
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0
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Any cancer
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The MiM is a two-page medication management tool that provides patient with information about common-side effects of the medication and the appropriate contact person to reach out if they have any questions or concerns about their medications, appointment, treatment or medication side effects. The MiM was co-designed with patients and clinicians from Australian cancer services. Three co-design workshops, each lasting for approximately two and half hours were conducted over a period of three weeks. In first workshop, participant democratically selected the issue of medication safety in outpatient setting to address. In second workshop, brainstormed various strategies to address the issue and in the third and final workshop, the prototype for MIM was developed. This prototype was further refined with email feedback from participants. The process of developing the MiM is described in a peer-reviewed publication available through the following link - https://pxjournal.org/cgi/viewcontent.cgi?article=1732&context=journal
Participants allocated to the intervention group will attend their usual consultation or appointment. The health practitioner will use the MiM along with the usual care to facilitate communication about medication management at the consultation and provide a paper copy of the MiM for the patient to take away with them. Participants will take part in verbal phone surveys at three time points (before the consultation, a week after the consultation and a month after the consultation).
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
Participants allocated to the control group will receive usual care from their health care practitioner, which includes communication about medications using the existing medication management tool available in the participating service. At the participating site, patients are provided information from eviQ resource page. No other printed information is provided to the patients for who to contact if they have any concerns.
Participants will take part in a verbal phone survey at three time points (before the consultation, a week after the consultation and a month after the consultation. .
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Control group
Active
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Outcomes
Primary outcome [1]
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Knowledge of medication management at home.
This outcome will be measured using an 11-item survey. More details provided in Assessment method. The survey is published and is available via link - https://www.researchprotocols.org/2023/1/e49902
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Assessment method [1]
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This 11-item survey tool with closed and free-text items will be administered verbally over the phone. The survey comprises six components to capture (1) demographic information, (2) patient knowledge of medications and their side effects (n=4), (3) patient knowledge of how to contact the health service regarding medication concerns (n=3), (4) patient self-efficacy to contact the service about medication concerns (n=2), (5) patient engagement in medication management (n=3), and (6) patient perceptions of the safety of their care (n=2).
The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
At the third or the last survey, 6 free-text items will be used to capture process information about the trial, including the feasibility of using the MiM.
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Timepoint [1]
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The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
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Primary outcome [2]
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Self-efficacy in medication management at home.
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Assessment method [2]
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The 11-item survey tool with closed and free-text items will be administered verbally over the phone. The survey comprises six components to capture (1) demographic information, (2) patient knowledge of medications and their side effects (n=4), (3) patient knowledge of how to contact the health service regarding medication concerns (n=3), (4) patient self-efficacy to contact the service about medication concerns (n=2), (5) patient engagement in medication management (n=3), and (6) patient perceptions of the safety of their care (n=2).
The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
At the third or the last survey, 6 free-text items will be used to capture process information about the trial, including the feasibility of using the MiM.
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Timepoint [2]
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The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
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Primary outcome [3]
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Patient engagement in medication management
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Assessment method [3]
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This 11-item survey tool with closed and free-text items will be administered verbally over the phone. The survey comprises six components to capture (1) demographic information, (2) patient knowledge of medications and their side effects (n=4), (3) patient knowledge of how to contact the health service regarding medication concerns (n=3), (4) patient self-efficacy to contact the service about medication concerns (n=2), (5) patient engagement in medication management (n=3), and (6) patient perceptions of the safety of their care (n=2).
The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
At the third or the last survey, 6 free-text items will be used to capture process information about the trial, including the feasibility of using the MiM.
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Timepoint [3]
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The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
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Secondary outcome [1]
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To investigate the suitability of recruitment, retention and data collection processes and materials for a large study. This will be assessed as a composite outcome.
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Assessment method [1]
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The 11-item survey tool with closed and free-text items will be administered verbally over the phone. The survey comprises six components to capture (1) demographic information, (2) patient knowledge of medications and their side effects (n=4), (3) patient knowledge of how to contact the health service regarding medication concerns (n=3), (4) patient self-efficacy to contact the service about medication concerns (n=2), (5) patient engagement in medication management (n=3), and (6) patient perceptions of the safety of their care (n=2).
The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
At the third or the last survey, 6 free-text items will be used to capture process information about the trial, including the feasibility of using the MiM.
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Timepoint [1]
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The survey will be conducted at three time points. One week prior to the appointment with the medical practitioner, one week after appointment with the medical practitioner when intervention/control was delivered and at four weeks mark after the delivery of the intervention/control.
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Eligibility
Key inclusion criteria
Inclusion and exclusion criteria for patients:
• Outpatients receiving treatment and care at Macquarie Health cancer service.
• Be 18 years or older.
• Self-identify as from Mandarin or English-speaking background.
• Willing to give written consent and participate in the study.
Inclusion criteria for health practitioners.
• Employed at MQ Health cancer service.
• Have used the MiM tool.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Exclusion criteria for patients
• People who experience a sudden deterioration in health where participation would be considered an undue burden.
Exclusion criteria for healthcare staff:
• Staff who have not used the MIM tool
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation will be concealed by using a sealed envelop method .
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using sealed envelop method. .
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
3/06/2024
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Macquarie University
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Macquarie University
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
318387
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Country [1]
318387
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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Macquarie University Human Research Ethics Committee Medical Sciences
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Ethics committee address [1]
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https://www.mq.edu.au/research/ethics-integrity-and-policies/ethics/human-ethics
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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08/04/2024
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Approval date [1]
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Ethics approval number [1]
315020
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Summary
Brief summary
The purpose of this study is to test out a consumer engagement strategy called Making it Meaningful (MiM). The MiM has been designed for people who use cancer services and may be undergoing a change in their medications. Eligibility criteria: Outpatients who are receiving treatment or care at participating cancer service and aged 18 years or older will be eligible to take part. Patients who attend the service must identify their primary language as English or Mandarin to be eligible to participate Study details Participants who choose to enroll in this study will be randomly allocated to either receive the MiM medication management tool, or to receive standard care provided by the cancer service. Participants who are allocated to the MiM group will attend an appointment with their health practitioner (medical practitioner) who will use the Make it Meaningful Tool (MiM) to facilitate communication at the individual appointment where medications are changed. It is anticipated that this appointment will take no longer than your usual consultation. The health care practitioner will provide a paper copy of the MiM for the patient to take away from the appointment. The health care practitioner will also provide instructions to the patient about how the tool can be used to inform them of who to contact if they have any concerns about medication, treatment or experience side effects, etc.. Participants who are allocated to the standard care group will not receive the MiM tool, they will instead discuss the medication management together with their health care practitioner using the usual care strategy currently provided. All participants will be asked to complete a series of questionnaires over the phone when they first agree to participate in the study, 1 week and then 4 weeks after the medication discussion with their health care practitioner. It is expected that completion of these questionnaires will take 15 minutes. It is hoped this research will determine that use of the MiM tool is practical and acceptable to cancer patients. If this small study shows that the MiM tool is helpful for cancer patients, it may be studied further in a larger trial that may lead to improvements in medication communication for cancer patients in the future
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Ashfaq Chauhan
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Address
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Level 6, 75 Talavera Road, Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61298502460
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Ashfaq Chauhan
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Address
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Level 6, 75 Talavera Road, Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61298502460
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ashfaq Chauhan
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Address
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Level 6, 75 Talavera Road, Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61298502460
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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