Women who develop ovarian cancer usually present with advanced disease at diagnosis and these women are at high risk for prolonged physical problems and sustained psychological distress over their illness trajectory.
The specific aims of the study are to: 1) test the effects of a standardized nursing intervention protocol (SNIP) on quality of life (QOL) outcomes (anxiety, depressive symptoms, overall QOL, and uncertainty) for adult women newly diagnosed with ovarian cancer at 1, 3, and 6 months post-hospitalization as compared to adult women newly diagnosed with ovarian cancer who receive usual attention control care plus; 2) test the effects of SNIP on costs of care, including health services resource use; and 3) explore the differential effects of SNIP on patterns of symptom distress, number of symptoms, dimensions of QOL, number of complications, resource utilization including rehospitalizations, and survival. The design is a single blind, randomized clinical trial study to test the effects of a SNIP in 225 patients with ovarian cancer at 1,3, and 6 months post-hospitalization. The intervention is provided by an oncology advanced practice nurse working in consultation with a psychiatric consultation-liaison nurse over a 5-month period including post-surgical care and the initiation of chemotherapy. The effects of the intervention will be evaluated using self-report questionnaires administered at pre-treatment, 1, 3, and 6 months post-hospitalization. The intervention will be demonstrated to be cost effective when compared to costs incurred by patients who do not receive it. Cost data will be obtained from the Resource Information Management System at Yale-New Haven Hospital to measure directly required resources. Additional mediating or outcome variables include: patterns of symptom distress, dimensions of QOL, number of complications, resource utilization including rehospitalizations, and survival. Data analysis will include: mean difference analyses, individual difference analyses, and outcome analyses. The primary analysis will be a multivariate analysis of covariance with repeated measures.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
1R01NR007778-01A2
Application #
6685819
Study Section
Nursing Research Study Section (NURS)
Program Officer
Hare, Martha L
Project Start
2003-08-01
Project End
2006-05-31
Budget Start
2003-08-01
Budget End
2004-05-31
Support Year
1
Fiscal Year
2003
Total Cost
$544,991
Indirect Cost
Name
Yale University
Department
Type
Schools of Nursing
DUNS #
043207562
City
New Haven
State
CT
Country
United States
Zip Code
06520
McCorkle, Ruth; Ercolano, Elizabeth; Lazenby, Mark et al. (2011) Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin 61:50-62
McCorkle, Ruth; Jeon, Sangchoon; Ercolano, Elizabeth et al. (2011) Healthcare utilization in women after abdominal surgery for ovarian cancer. Nurs Res 60:47-57
Kendrick, Margaret; Ercolano, Elizabeth; McCorkle, Ruth (2011) Interventions to prevent postoperative complications in women with ovarian cancer. Clin J Oncol Nurs 15:195-202
Liu, Shan; Ercolano, Elizabeth; Siefert, Mary Lou et al. (2010) Patterns of symptoms in women after gynecologic surgery. Oncol Nurs Forum 37:E133-40
Liu, Shan; Dixon, Jane; Qiu, Guang et al. (2009) Using generalized estimating equations to analyze longitudinal data in nursing research. West J Nurs Res 31:948-64
McCorkle, Ruth; Dowd, Michael; Ercolano, Elizabeth et al. (2009) Effects of a nursing intervention on quality of life outcomes in post-surgical women with gynecological cancers. Psychooncology 18:62-70
Schulman-Green, Dena; Ercolano, Elizabeth; Dowd, Michael et al. (2008) Quality of life among women after surgery for ovarian cancer. Palliat Support Care 6:239-47