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The Lymphoma InterVEntion: personalized feedback and a self-management intervention to improve patient reported outcomes


- candidate number24642
- NTR NumberNTR5953
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR14-jul-2016
- Secondary IDsNL54096.028.15/P1533 CCMO/METC Brabant
- Public TitleThe Lymphoma InterVEntion: personalized feedback and a self-management intervention to improve patient reported outcomes
- Scientific TitleExamining the effectiveness of personalized feedback and a web-based self-management intervention on patient-reported outcomes
- ACRONYMLymphoma InterVEntion [LIVE]
- hypothesisThe purpose of this study is to develop an intervention for patients with lymphoma to reduce the impact of psychological problems that arise after diagnosis. The research question is whether personalized feedback and/or a self-management intervention compared with usual care is effective in reducing psychological distress and/or improving self-management skills and information provision.
- Healt Condition(s) or Problem(s) studiedLymphoma, Self-perceived health
- Inclusion criteria1. Diagnosed 6 to 12 months before inclusion with Hodgkin lymphoma or non-Hodgkin lymphoma, including chronic lymphocytic leukaemia as defined by the International Classification of diseases for Oncology-3 codes (ICD-O-3)
2. Diagnosed in one of the participating hospitals
3. Aged 18 years or older at time of diagnosis
- Exclusion criteria1. Problems with the Dutch language
2. Severe psychopathology or dementia
3. Patients in transition to terminal care
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-sep-2016
- planned closingdate1-sep-2020
- Target number of participants222
- InterventionsThe Lymphoma InterVEntion [LIVE] trial consists of two components: (1) the provision of personalized feedback to patients about their self-reported symptoms and quality of life in comparison with other age and sex-matched lymphoma patients and/or a norm population, and (2) a web-based self-management intervention Living with lymphoma directed at improving self-management skills and information provision, while reducing psychological distress. The provision of personalized feedback on PROs facilitates monitoring one’s own symptoms and functioning. The second component, Living with lymphoma, is an adaptation from BREAst cancer e-healTH (BREATH) for patients with breast cancer survivors and is based on cognitive behavioural therapy (CBT) components, such as psychoeducation and cognitive reframing and is directed to lymphoma patients.

The control group receives usual care.
- Primary outcomeSelf-management skills (heiQ; Osborne, 2007), Satisfaction with information provision (ISQ; Thomas, 2004) , and psychological distress (HADS; Zigmond, 1983).

1. Osborne RH, Elsworth GR, Whitfield K. The Health Education Impact Questionnaire (heiQ): an outcomes and evaluation measure for patient education and self-management interventions for people with chronic conditions. Patient education and counseling. 2007;66(2):192-201.
2. Thomas R, Kaminski E, Stanton E, Williams M. Measuring information strategies in oncology - developing an information satisfaction questionnaire. Eur J Cancer Care. 2004;13(1):65-70.
3. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica Scandinavica. 1983;67(6):361-70.
- Secondary outcome1. General health-related quality of life (EORTC QLQ-C30)
2. Disease-specific health-related quality of life (EORTC QLQ-HL27 for Hodgkin lymphoma, QLQ-NHL-HG29 for aggressive and QLQ-NHL-LG20 for indolent non-Hodgkin lymphomas, and QLQ-CLL17 for chronic lymphocytic leukaemia
3. Adjustment to cancer (MAC)
4. Self-effecacy (SE-28)
5. Illness perceptions (B-IPQ)
6. Fatigue (MFI)
7. Health care use

Medical disease-specific data are collected form the Netherlands Cancer Registry and for the experimental groups, technical data on the use of personalized feedback and the web-based intervention are collected, in addition to the standardized questionnaires.
- TimepointsBaseline (6 to 12 months after lymphoma diagnosis) and 16 weeks, 12 months and 24 months after baseline
- Trial web site
- statusplanned
- CONTACT FOR PUBLIC QUERIESMSc L.P.J. (Lindy) Arts
- CONTACT for SCIENTIFIC QUERIESDr S. Oerlemans
- Sponsor/Initiator Integraal Kankercentrum Nederland
- Funding
(Source(s) of Monetary or Material Support)
Jonker-Driessen Stichting
- Publications
- Brief summaryPatients with lymphoma are at risk of experiencing adverse problems, with up to a quarter reporting psychological distress. Greater resources for coping with the cancer experience can reduce the risk for poor psychological health. Personalized feedback and a web-based self-management intervention provide patients with knowledge and skills, which might improve empowerment and increase active participation to self-manage their symptoms, since time spent with a health care professional is limited.
- Main changes (audit trail)
- RECORD14-jul-2016 - 23-aug-2016


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