Feasibility of a randomized controlled trial of symptom screening and feedback to healthcare providers compared with standard of care using the SPARK platform.
Purpose: Supportive care Prioritization, Assessment and Recommendations for Kids (SPARK) is a web-based application that enables symptom screening and access to clinical practice guidelines for symptom management. Objective was to determine the feasibility of a randomized trial of daily symptom scre...
| Publicado en: | Supportive Care in Cancer Vol. 28; no. 6; pp. 2729 - 2735 |
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| Autores principales: | , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Jun2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=142867421&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 142867421 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09414355 O1J jtl: Supportive Care in Cancer issn: 09414355 maglogo: N pubinfo: dt: Jun2020 vid: 28 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 142867421 142867421 NLM31707500 142867421 10.1007/s00520-019-05115-2 NLM31707500 142867421 ppf: 2729 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Feasibility of a randomized controlled trial of symptom screening and feedback to healthcare providers compared with standard of care using the SPARK platform. aug: au: Cook, Sadie Vettese, Emily Tomlinson, George A. Soman, Dilip Schechter, Tal Kuczynski, Susan Gladstone, Brenda Dupuis, L. Lee Sung, Lillian affil: Program in Child Health Evaluative Sciences, The Hospital for Sick Children, Peter Gilgan Centre for Research and Learning, 686 Bay Street, M5G 0A4, Toronto, Ontario, Canada sug: subj: Hematopoietic Stem Cell Transplantation Methods Neoplasms Therapy Quality of Health Care Adverse Drug Event Research Palliative Care Methods Human Multidisciplinary Care Team Female Pilot Studies Male Health Screening Methods Health Personnel Child Adolescence Validation Studies Comparative Studies Evaluation Research Multicenter Studies Randomized Controlled Trials Scales Child: 6-12 years Adolescent: 13-18 years Female Male ab: Purpose: Supportive care Prioritization, Assessment and Recommendations for Kids (SPARK) is a web-based application that enables symptom screening and access to clinical practice guidelines for symptom management. Objective was to determine the feasibility of a randomized trial of daily symptom screening for 5 days among children receiving cancer treatments.Methods: We included English-speaking pediatric cancer and hematopoietic stem cell transplantation (HSCT) patients who were 8-18 years of age at enrollment and who were expected to be in the hospital or in clinic daily for five consecutive days. We randomized children to either undergo daily symptom screening with symptom reports provided to the healthcare team using the SPARK vs. standard of care. The primary endpoint was feasibility, defined as being able to enroll at least 30 participants within 1 year, and among those randomized to intervention, at least 75% completing symptom screening on at least 60% of on-study days.Results: From July 2018 to November 2018, we enrolled and randomized 30 participants. The median age at enrollment was 12.5 (range 8-18) years. Among the intervention group, the median number of days Symptom Screening in Pediatrics Tool (SSPedi) was completed at least once was 5 (range 4 to 5), with one participant missing 1 day of symptom screening. Among all participants, baseline and day 5 SSPedi scores were obtained in 29/30 participants.Conclusion: A randomized trial of the SPARK with daily symptom screening for 5 days was feasible. It is now appropriate to proceed toward a definitive multi-center trial to test the efficacy of SPARK to improve symptom control. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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