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CompletedNCT05025748Updated Aug 16, 2023

Ask Questions (ASQ):Implementation of a Communication Intervention

An interventional study of Behavioral Intervention in Stage II Breast Cancer, Stage III Breast Cancer and Stage IV Breast Cancer, sponsored by Barbara Ann Karmanos Cancer Institute. Completed at 8 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-08-16.

Sponsored by Barbara Ann Karmanos Cancer Institute · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
81
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This clinical trial implements a communication intervention to improve patient-oncologist communication in the outpatient medical oncology setting. A communication brochure called the ASQ brochure may help patients prepare for the doctor visit by thinking through the questions that patients and patients' family want to ask the doctor.

Read the detailed description

Patient-centered communication is critical to providing high-quality care. In patient-provider clinical interactions, providers are responsible for several aspects of patient-centered communication. However, to reach the goal of providing the best possible treatments, patients should also actively participate by asking questions and expressing their concerns. Question prompt lists, simple lists of questions provided to patients before clinic visits to help them prepare for the appointment, have been tested in several medical contexts and patient populations, including among an underserved, minority population in Detroit, and have been shown to contribute to improved outcomes related to better communication quality. Using a RE-AIM framework, this descriptive, mixed methods, single-arm intervention study assesses the implementation of an evidence-based communication intervention (question prompt list), the "ASQ brochure". The ASQ brochure is designed to improve patient-oncologist communication and other outcomes by improving patient self-efficacy for managing patient-physician interactions. Investigators will recruit 225 patients and implement the ASQ brochure at seven Karmanos Cancer Center network sites. Participants are newly diagnosed patients with (Stages I-IV) cancer for which systemic therapy is likely a recommended treatment.

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Conditions studied

  • Stage II Breast Cancer
  • Stage III Breast Cancer
  • Stage IV Breast Cancer
  • Stage II Colorectal Cancer
  • Stage III Colorectal Cancer
  • Stage IV Colorectal Cancer
  • Stage II Lung Cancer
  • Stage III Lung Cancer
  • Stage IV Lung Cancer
  • Stage II Prostate Cancer
  • Stage III Prostate Cancer
  • Stage IV Prostate Cancer
  • Stage II Ovarian Cancer
  • Stage III Ovarian Cancer
  • Stage IV Ovarian Cancer
  • Stage II Cervical Cancer
  • Stage III Cervical Cancer
  • Stage II Bladder Cancer
  • Stage III Bladder Cancer
  • Stage IV Bladder Cancer
  • Stage II Kidney Cancer
  • Stage III Kidney Cancer
  • Stage IV Kidney Cancer
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In context

Breast Neoplasms

12,543 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's enrollment of 81 is above the median of 72 across 9,302 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Barbara Ann Karmanos Cancer Institute is the lead sponsor of 158 studies on the registry; 19 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 6 (86%) have results posted.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Adults 18 years of age or older
  • Have a first appointment to see a medical oncologist at a Karmanos Cancer Institute (KCC) site for medical/systemic treatment for a new, confirmed diagnosis of stages I-IV cancer
  • Speak and read English well enough to be able to understand consent documents
  • Given the diverse population seen at KCI, we will make attempts to recruit a representative sample. Our strategy will be simply to ask recruiters to make special attempts to recruit a representative sample. If that strategy fails after the first 10 patients we will build in requirements that at least 25% of the patients self-identify as non-White

Exclusion criteria

Exclusion Criteria:

  • Not specified
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
81 participants (actual)

Study arms

  • Experimental
    Health services research (ASQ brochure)

    Patients receive ASQ brochure and complete questionnaires over 30 minutes at baseline, over 10 minutes pre-clinic visit, and over 30 minutes post-clinic visit.

    Behavioral: Behavioral Intervention

Interventions

  • BehavioralBehavioral Intervention

    Complete questionnaires

    Also known as: Questionnaire Administration

06

What researchers measure

Primary outcomes

  1. Self-efficacy in managing patient-physician interactions

    20 items, 5-point Likert scale

    Time frame: Baseline (Time 1) to pre-clinic visit (TIme 2) post-clinic visit (TIme 3)

Secondary outcomes

  1. Change in knowledge related to the patient's cancer and treatment

    6 investigator-developed questions; 5-point Likert scale (strongly disagree - strongly agree)

    Time frame: Baseline (Time 1) to pre-clinic visit (TIme 2) post-clinic visit (TIme 3)

  2. Change in trust in physicians

    generally (before) and in a specific physician (after): (5 items20 Likert scale)

    Time frame: Baseline (Time 1) to post-clinic visit (Time 3)

  3. Change in distress

    Distress thermometer (one item, Likert scale (no distress - extreme distress)

    Time frame: Baseline (Time 1) to pre-clinic visit (TIme 2) post-clinic visit (TIme 3)

  4. Perceptions of the Question Prompt List

    10 items, 5-point Likert scale

    Time frame: Post-meeting (Time 3)

07

Study locations

8 sites
  • Karmanos Cancer Institute at McLaren Bay Region
    Bay City, Michigan 48706, United States
  • Karmanos Cancer Institute at McLaren Clarkston
    Clarkston, Michigan 48346, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Karmanos Cancer Institute at McLaren Flint
    Flint, Michigan 48532, United States
  • Karmanos Cancer Institute at McLaren Macomb
    Mount Clemens, Michigan 48043, United States
  • Karmanos Cancer Institute at McLaren Central Michigan
    Mount Pleasant, Michigan 48858, United States
  • Karmanos Cancer Institute at McLaren Northern Michigan
    Petoskey, Michigan 49770, United States
  • Karmanos Cancer Institute at McLaren Port Huron
    Port Huron, Michigan 48060, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 16, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05025748
Lead sponsor
Barbara Ann Karmanos Cancer Institute
Responsible party
Susan Eggly (Principal Investigator, Barbara Ann Karmanos Cancer Institute) — Principal investigator
First posted
Aug 27, 2021
Start date
Aug 25, 2021
Primary completion
Aug 31, 2022
Completion
Aug 31, 2022
Last update
Aug 16, 2023

Study contacts

Susan Eggly, PhD
principal investigator · Wayne State University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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