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Completed

NCT Number: NCT02912273

Optimizing Fall-risk Prediction in Older Adults With Cancer

To establish the optimal strategy of fall-risk assessment to predict falls in older adults receiving cancer therapy.

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Key information

Conditions

Cancer Neoplasms

Age range

65 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age ≥65
  • Receiving systemic cancer therapy, including conventional chemotherapy, novel/targeted agents or hormonal agents (e.g. anti-estrogen or anti-androgen) OR will begin systemic therapy within the next 4 weeks.
  • Estimated life expectancy >1 year
  • Anticipated to receive ongoing care at Siteman Cancer Center and its satellite sites
  • Able to understand and willing to sign an IRB-approved written informed consent document

Exclusion criteria

  • Unable to read and understand English

Treatment and study plan

Baseline Participant Assessment

Other
  • Section 1 contains demographic questions
  • Section 2 contains daily activity questions with multiple choice answers, multiple physical function questions, and if the participants has fallen and how many falls have occurred in the last 6 months
  • Section 3 has the participant list all medication
  • Section 4 contains several questions about participant health (lists of illnesses and indicate if illness interferes with their activities)
  • Section 5 contains several questions about participant fall concerns with answers ranging from 1=Not at all to 4=Very
  • Section 6 contains multiple questions asking about emotional distress/depression, fatigue, pain interference, pain intensity, and numbness and tingling

Baseline Healthcare Provider Assessment

Other
  • Cognition: Orientation-Memory-Concentration Test which contains 6 questions that the provider will ask the participant. Form items 1-3, the response is either correct (score 0) or incorrect (score 1). For items 4-6, subtract one point for each error. Total score of 11 or greater indicates cognitive impairment (maximum score =28)
  • Trail Making Test Part B - consists of 25 circles distributed over a sheet of paper. The circles include both numbers and letters; the participants draws lines to connect the circles in an ascending pattern, but with the added task of alternating between the numbers and letter. The test is timed.
  • Timed "Up and "Go - the provider measures the time in seconds it takes for the participant to stand up from a standard arm chair, walk a distance of 3 meters, turn, walk back to the chair, and sit down again.

Follow-up Participant Assessment

Other
  • Section 1 contains multiple choice questions about daily actives and several physical function questions
  • Section 2 asks the participants how many medications they take on a daily basis, indicate any medication for depression, anxiety, nausea , and other stomach conditions
  • Section 3 contains multiple questions asking about emotional distress/depression, fatigue, pain interference, pain intensity, and numbness and tingling

Follow-up Healthcare Provider Assessment

Other
  • Trail Making Test Part B - consists of 25 circles distributed over a sheet of paper. The circles include both numbers and letters; the participants draws lines to connect the circles in an ascending pattern, but with the added task of alternating between the numbers and letter. The test is timed.
  • Timed "Up and "Go - the provider measures the time in seconds it takes for the participant to stand up from a standard arm chair, walk a distance of 3 meters, turn, walk back to the chair, and sit down again.

End-of-study Participant Assessment

Other
  • Section 1 contains multiple choice questions about daily actives and several physical function questions
  • Section 2 asks the participants how many medications they take on a daily basis, indicate any medication for depression, anxiety, nausea , and other stomach conditions
  • Section 3 contains multiple questions about the participant's concern about falling with answers ranging from 1=Not at all to 4=Very
  • Section 4 contains multiple questions asking about emotional distress/depression, fatigue, pain interference, pain intensity, and numbness and tingling

End-of-study Healthcare Provider Assessment

Other
  • Cognition: Orientation-Memory-Concentration Test which contains 6 questions that the provider will ask the participant. Form items 1-3, the response is either correct (score 0) or incorrect (score 1). For items 4-6, subtract one point for each error. Total score of 11 or greater indicates cognitive impairment (maximum score =28)
  • Trail Making Test Part B - consists of 25 circles distributed over a sheet of paper. The circles include both numbers and letters; the participants draws lines to connect the circles in an ascending pattern, but with the added task of alternating between the numbers and letter. The test is timed.
  • Timed "Up and "Go - the provider measures the time in seconds it takes for the participant to stand up from a standard arm chair, walk a distance of 3 meters, turn, walk back to the chair, and sit down again.

Primary outcomes

  1. Number of falls

    Time frame: Up to 6 months

    -The Prevention of Falls Network Europe (PROFANE) Consensus Group guidelines will be used

Secondary outcomes

  1. Time to fall event

    Time frame: Up to 6 months

  2. Overall survival

    Time frame: Up to 6 months

  3. Number of falls that were considered injurious falls

    Time frame: Up to 6 months

  4. Fear of falling as Measured by the Falls Efficacy Scale-International

    Time frame: Up to 6 months

    measures the level of concern about falling during social and physical activities inside and outside the home whether or not the person actually does the activity. The level of concern is measured on a four point Likert scale (1=not at all concerned to 4=very concerned)

Sponsors and collaborators

Lead sponsor

Washington University School of Medicine

Other

Registry information

Important dates

Study start
2016
Primary completion
2020
Study completion
2020
First posted
Sep 23, 2016
Registry last updated
Oct 14, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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