About this trial
This is a multicenter randomized controlled trial that assesses the efficacy of a decisional intervention \[University of Rochester-Geriatric Oncology assessment for Acute myeloid Leukemia (UR-GOAL)\] compared to an attention control.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥60 years (from date of consent, confirmed on electronic medical records)
A new diagnosis of AML
Diagnosis can be based on the International Consensus Classification or World Health Organization
Myeloid sarcoma is allowed
Disqualifiers
A diagnosis of acute promyelocytic leukemia
Patients with psychiatric or cognitive conditions which the treating oncologist believes prohibits informed consent or compliance with study procedures
Prior cancer-directed treatment for AML
Selected by the patient when asked if there is a "family member, partner, friend or caregiver [age 18 or older] with whom you discuss or who can be helpful in healthrelated matters."
Trial design
Parallel
Treatments tested in this trial
UR-GOAL
BehavioralPatients will view an AML video, complete the best/worst scaling, will be provided with a summary report, and will be asked to review and discuss at upcoming clinical visits. Caregivers, if available, will view an AML video, will be provided with a summary report, and will be asked to review. Oncologists will be provided with a summary report and will be asked to review and discuss at upcoming clinical visits.
Treatment groups
Trial outcomes
Primary outcomes
Distress Thermometer Questionnaire at 1 month
A self-report measure to capture distress and identify a list of sources of that distress. This is a 10-item scale, rated from 0-10 (0=no distress, 10=severe distress), with a possible total of 10; a higher score indicates greater distress.
Secondary outcomes
9-item Shared Decision Making Questionnaire at 2 weeks
9-item Shared Decision Making Questionnaire at 2 weeks
Decisional Conflict Scale Questionnaire at 2 weeks
Decisional Conflict Scale Questionnaire at 2 weeks
Observed shared decision making
OPTION5 instrument from audio-recorded treatment decision-making clinical visits
Sponsors and contacts
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University of Rochester
Lead sponsor
National Cancer Institute (NCI)
Collaborator