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CompletedNCT05652764Updated Jun 10, 2024

Orem's Self-Care Deficit Theory Based Nursing Interventions for Immunotherapy Treated Cancer Patients

An interventional study of Orem's Self-Care Deficit Theory Based Nursing Interventions for Immunotherapy Treated Cancer Patients in Cancer, Nurse's Role and Treatment Side Effects, sponsored by Akdeniz University. Completed at 1 site in Turkey. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-06-10.

Sponsored by Akdeniz University · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Objective: The aim of this study was to determine the effects of nursing interventions based on Orem Self-Care Deficiency Theory on symptom management, care needs and quality of life in cancer patients who underwent immunotherapy.

Method: The research was planned as a randomized controlled trial. The research is planned to be carried out in the Medical Oncology unit of the Health Sciences University Antalya Training and Research Hospital. It is planned to be done with 58 patients, 29 experimental and 29 control groups. Based on Orem Self-Care Deficit Theory; face-to-face patient education, giving patient education booklet, preparation of symptom management card, face-to-face and telephone counseling initiatives were planned. Patient Description Form, Supportive Care Needs Scale-Short Form, Memorial Symptom Assessment Scale, European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Scale and Self-Care Strength Scale will be used to collect data.

02

Conditions studied

  • Cancer
  • Nurse's Role
  • Treatment Side Effects
  • Quality of Life

Keywords

  • Cancer Immunotherapy
  • Treatment Side Effects
  • Symptom Management
  • Self-Care Deficiency
  • Care Needs
  • Oncology Nursing
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In context

Lead sponsor

Akdeniz University is the lead sponsor of 289 studies on the registry; 60 are open to participants now.

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

  • Coming to Antalya Training and Research Hospital Medical Oncology unit for treatment,
  • First time taking one of the immune checkpoint inhibitors (Ipilimumab CTLA-4, Pembrolizumab PD-1, Nivolumab PD-1, Atezolizumab PDL-1),
  • Speaking and understanding Turkish,
  • Being literate,
  • 18 Years and older
  • With solid tumor,
  • No communication barrier
  • Being able to communicate by phone
  • Individuals who agree to participate in the research.

Exclusion criteria

Exclusion Criteria:

  • Patients receiving other cancer treatments in combination with immunotherapy,
  • Patients with Eastern Cooperative Oncology Group Performance Scale 4.
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
58 participants (actual)

Study arms

  • Experimental
    Immuno-SelfCare

    Other: Orem's Self-Care Deficit Theory Based Nursing Interventions for Immunotherapy Treated Cancer Patients

  • No intervention
    Control Group

Interventions

  • OtherOrem's Self-Care Deficit Theory Based Nursing Interventions for Immunotherapy Treated Cancer Patients

    In this study, face-to-face patient education, giving patient education booklet, preparation of symptom management card, face-to-face and telephone counseling initiatives were planned to the experimental group.

06

What researchers measure

Primary outcomes

  1. Change from Baseline in Symptom on the Memorial Symptom Assessment Scale at week 12

    Memorial Symptom Assessment Scale (MSAS): The Memorial Symptom Assessment Scale is a multidimensional self-report questionnaire that evaluates 32 physical and psychological symptoms according to their frequency, severity and distress/bother to the person in the past week.The total score is the average of the responses to the distress scale items and and ranges from 0 to 4 with higher values indicating greater distress experienced from symptoms.

    Time frame: Baseline and 12th week

  2. Change from Baseline in Supportive Care Needs on the Supportive Care Needs Scale-Short Form at week 12

    Supportive Care Needs Scale-Short Form: The 31-item instrument measures supportive care needs in five domains: health system and information, psychological needs, physical and daily living, patient care and support, and sexual-related. Responses are given on a scale from 1 to 5 where 1 = no help is needed and 5 = high need for help. Total scores range from 31 to 155 and higher scores indicate greater need for help.

    Time frame: Baseline and 12th week

  3. Change from Baseline in Self-Care Strength on the Self-Care Strength Scale at week 12

    Self-Care Strength Scale: A maximum score of 140 is taken from the scale. The high score obtained from the scale indicates the high level of self-care or self-care ability and power of the individual.

    Time frame: Baseline and 12th week

  4. Change from Baseline in Quality of Life Level on the EORTC QLQ-C30 Quality of Life Scale(European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire) at week 12

    EORTC QLQ-C30 Quality of Life Scale(European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire): This Scale was developed to measure the quality of life of patients with cancer. It includes 30 questions and three sub-dimensions: General Well-Being, Functional Difficulties, and Symptom Control. The maximum score on the scale is 100, and the minimum is 0. High scores on the functional sub-dimension indicate good/healthy functional status, high scores on the symptom sub-dimension indicate high levels of symptoms and/or problems, and high scores on the global health status/quality of life sub-dimension indicate good quality of life.

    Time frame: Baseline and 12th week

  5. Change from Baseline in Adverse Events on the Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0 for 12 weeks

    NCI-Common Terminology Criteria for Adverse Events Version 5.0: These algorithms provide support for prescribing the necessary treatment for grade 1 and grade 2 adverse events and for creating special care plans for grade 3 and 4 adverse events.

    Time frame: Baseline,for 12 weeks

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Study locations

1 site
  • Akdeniz University
    Antalya, 07058, Turkey
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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 Jun 10, 2024, 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
NCT05652764
Lead sponsor
Akdeniz University
Responsible party
Mevlüde Ergen (Principal Investigator, Akdeniz University) — Principal investigator
First posted
Dec 15, 2022
Start date
Jan 1, 2023
Primary completion
Aug 30, 2023
Completion
Dec 30, 2023
Last update
Jun 10, 2024

Study contacts

Fatma Arikan
study director · Akdeniz University

Oversight

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 Jun 2024. You cannot join it, but the record below documents what was studied.

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