Recent evidence suggests that detailed assessment can by itself have a salutary treatment effect. This study will determine whether specialized assessment can be a useful strategy to improve quality of life (QL) in cancer patients. The Functional Assessment of Cancer Therapy (FACT) has been developed by the investigators to assess disease-specific problems as well as general QL, and mobilize the patient and staff to action. The study will assess whether using the FACT scale can provide a mechanism for improving QL. Two treatment groups will be compared: one which includes a structured dialogue about specific QL concerns during a four month period of chemotherapy, and another which employs paper-and-pencil self-report of the same concerns. A third, no treatment control group will also be included. The primary question is whether one or both of two manipulated uses of these newly-developed scales will improve QL. It is expected to be related to enhancing awareness of oral communication about important problems and QL concerns which then stimulate treatment decisions, the hypotheses are: 1. All patients completing the FACT will show improved QL, increased satisfaction with treatment, and more objective changes in treatment than those in the control group who receive standard medical care. 2. Patients participating in a structured dialogue as part of the assessment, will have improved QL compared to those completing the assessment without the structured dialogue. If the magnitude of the difference between these two groups is not dramatic, a follow-up study in Years 4-5 will examine the cost effectiveness of the two treatments to determine if the extra effort of a face to face interview is necessary to improve QL. In addition, an attention placebo control group will be added if the therapeutic component of the intervention requires further specification.
|Rosenbloom, Sarah K; Victorson, David E; Hahn, Elizabeth A et al. (2007) Assessment is not enough: a randomized controlled trial of the effects of HRQL assessment on quality of life and satisfaction in oncology clinical practice. Psychooncology 16:1069-79|
|Brady, M J; Cella, D F; Mo, F et al. (1997) Reliability and validity of the Functional Assessment of Cancer Therapy-Breast quality-of-life instrument. J Clin Oncol 15:974-86|
|Wan, G J; Counte, M A; Cella, D F (1997) The influence of personal expectations on cancer patients' reports of health-related quality of life. Psychooncology 6:1-11|
|Gonin, R; Lloyd, S; Cella, D et al. (1996) Establishing equivalence between scaled measures of quality of life. Qual Life Res 5:20-6|
|Yellen, S B; Cella, D F (1995) Someone to live for: social well-being, parenthood status, and decision-making in oncology. J Clin Oncol 13:1255-64|
|Cella, D F; Bonomi, A E; Lloyd, S R et al. (1995) Reliability and validity of the Functional Assessment of Cancer Therapy-Lung (FACT-L) quality of life instrument. Lung Cancer 12:199-220|
|Cella, D F; Tulsky, D S; Gray, G et al. (1993) The Functional Assessment of Cancer Therapy scale: development and validation of the general measure. J Clin Oncol 11:570-9|