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CompletedNCT00682994Updated Feb 19, 2016

Patient and Family Decision Making in the Palliative Care Setting

An interventional study of Interview and Questionnaire in Advanced Cancer, sponsored by M.D. Anderson Cancer Center. Completed at 4 sites in 4 countries. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2016-02-19.

Sponsored by M.D. Anderson Cancer Center · Not applicable and Interventional

Phase
Not applicable
Study type
Interventional
Enrollment
780
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this research study is to learn about any differences in certain health-related preferences between patients with cancer and their families.

The main preferences being studied are how decisions are made about healthcare, as well as how much information people want to know about cancer.

Specifically, researchers will compare questionnaire and interview data from Hispanic-Americans living in the United States (the M. D. Anderson part of this multicenter study) with Hispanics living in Latin America (in particular, Argentina, Chile, and Guatemala).

Read the detailed description

Study Background:

People from different cultures may have different preferences in the way decisions about their healthcare are made, as well as how much information they may want to know about the diseases they may have. However, patients and families sometimes disagree about these preferences. In this study, researchers want to learn about any differences in healthcare decision-making and information-sharing preferences between patients and their families, among a group of people from different Hispanic backgrounds.

(Please note that the phrase "family member" has been used in this consent form for short, but the definition includes non-family members that you may consider a "significant other").

Screening Procedures:

Participants in this study must also agree to give the name of a family member (a parent, spouse, adult child, sibling, other family member, or a non-family member that you consider a "significant other") that researchers can ask to participate in a separate part of this study that will require signing a separate consent form. (If the person of your choice is not with you at the time of joining the study, he/she may come back to the clinic at your next follow-up visit.)

If the family member agrees, he/she will complete a similar series of questionnaires about his/her preferences in decisions about your healthcare, what information he/she might want you to know about the disease, and what information he/she might want to know about the disease him/herself. Like you, he/she will also be asked how decisions about your healthcare have been made, his/her satisfaction with those decisions and your healthcare, and his/her sense of connection with what he/she defines to be the overall Hispanic culture. He/she will also complete a similar interview on general information (such as marital status and educational level).

Study Visit:

If you agree to take part in this study and you have given the name of a family member, you will be interviewed to ask for general information about yourself ("demographic" information such as marital status and educational level).

After that, you will complete a series of questionnaires that ask about your preferences in decisions about your healthcare and what information you may want to know about the disease, how decisions about your healthcare have been made, your satisfaction with those decisions and your healthcare, and your sense of connection with what you define to be the overall Hispanic culture.

It should take about 5-10 minutes for the interview and another 20-30 minutes to complete the questionnaires.

Your interview and questionnaire responses will not be shared with your regular doctor. If you feel you need a doctor's opinion about anything that is asked about in the interview and/or questionnaires, please contact your doctor.

Family Member's Participation:

Your family member would complete the questionnaires separately and be interviewed separately from you. You may ask as many additional family members as needed, until one agrees. However, if the family member is scheduled for his/her study visit but does not end up completing the study procedures (interview and questionnaires), your interview and questionnaire data will be destroyed without being used in this study.

Confidentiality:

Your interview and questionnaire responses will only be used for this research study, and will not be shared with your family member.

Length of Study Participation:

After completing the interview and questionnaires, your participation in this study will be over.

This is an investigational study. In total, up to 900 patients and family members will take part in this multicenter study. Up to 300 will be enrolled at M. D. Anderson.

02

Conditions studied

  • Advanced Cancer

Keywords

  • Advanced Cancer
  • Family Member
  • Palliative Care
  • Decision Making
  • Information Disclosure
  • Interview
  • Survey
  • Questionnaire
03

In context

Lead sponsor

M.D. Anderson Cancer Center is the lead sponsor of 2,999 studies on the registry; 581 are open to participants now.

Of its 599 completed or terminated interventional studies of FDA-regulated products, 402 (67%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  1. Patient with advanced cancer (local recurrence or metastatic) at the time of their follow up visit to the outpatient palliative care clinic or at an agreed date after the first visit to the outpatient palliative care clinic.
  2. Patient designates a family member who is a patient's parent, spouse, adult child, sibling, other relative, or significant other (any other person defined by the patient as a partner) to answer the family questionnaire.
  3. Patient is 18 years of age or older (as the assessment tools used in this study have not been validated in the pediatric population).
  4. Patient with normal cognitive status as determined by the interviewer and by her/his ability to understand the nature of the study and consent process.
  5. Patient willing to participate in the study and sign informed consent.
  6. Family member is 18 years of age or older (as the assessment tools used in this study have not been validated in the pediatric population).
  7. Family member with normal cognitive status as determined by the interviewer and by her/his ability to understand the nature of the study and consent process.
  8. Family member willing to participate in the study and sign informed consent.
  9. All participants in the international centers must be from Argentinian, Chilean, or Guatemalan descendence respectively.
  10. All participants in the U.S. must be from self-reported Hispanic descendence, first or second generation immigrants, and reside in the U.S. for at least 5 years.

Exclusion criteria

Exclusion Criteria:

  1. Either patient or family member can not complete the assessments independently.
  2. Either patient or family member refuses to participate in the study.
05

Study design

Phase
Not applicable
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
780 participants (actual)

Study arms

  • Other
    Decision Making

    Questionnaire + Interview

    Behavioral: Interview · Behavioral: Questionnaire

Interventions

  • BehavioralInterview

    Interview lasting about 5-10 minutes.

  • BehavioralQuestionnaire

    Questionnaires taking 20-30 minutes to complete.

    Also known as: Survey

06

What researchers measure

Primary outcomes

  1. Differences in Proportions of Preference for Passive Decision Making

    Time frame: 6 Years

07

Study locations

4 sites
  • UT MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Fundacion FEMEBA - Programa Argentino de Medicina Paliativa - Hospital Tornu
    Buenos Aires, Argentina
  • Dr. Sotero del Rio Hospital - Catholic University of Chile
    Santiago, 8207257, Chile
  • Guatemalan Cancer Institute - INCAN
    Guatemala City, Guatemala
08

References and documents

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 19, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00682994
Lead sponsor
M.D. Anderson Cancer Center
Responsible party
Sponsor
First posted
May 23, 2008
Start date
Mar 2008
Primary completion
Aug 2012
Completion
Aug 2012
Last update
Feb 19, 2016

Study contacts

Eduardo Bruera, MD
principal investigator · M.D. Anderson Cancer Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2012. You cannot join it, but the record below documents what was studied.

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