Clinical trial · Interventional
Oncology Associated Symptoms & Individualized Strategies
Use of Telehealth Technologies for Symptom Management Support for People With Advanced Cancer Living in Rural Communities
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Why stopped (as posted): Determined this protocol was not appropriate for ClinicalTrials.gov
Summary
Brief summary (as posted)
Nearly 20% of Americans and 41% of Iowans live in rural or non-metropolitan areas.(1) Lack of access to providers, long travel distances, and a disconnected health system contribute to increased distress and lower quality-of-life (QOL) in people with advanced cancer living in rural areas. (2) In the state of Iowa, 94% of rural residents have high-speed internet access. (3) The University of Iowa Health Care (UIHC) eHealth eNovation Center has developed the infrastructure to address the health care access gap in Iowa. The combination of wide availability of high-speed internet and the eHealth network provides an opportunity to develop and test interventions that leverage this infrastructure in order to address this important palliative care gap. This is a pilot study to evaluate the feasibility of an eHealth self-management intervention for cancer symptom management. The intervention consists of a web-application that provides tailored educational information about cancer symptoms and a monitoring platform to track symptom distress and strategies used to manage them. Participants will also receive e-visits from a research nurse or research assistant via UIHC eHealth and eNovation video platform. The purpose of this study is obtain feasibility data about the intervention for a future RCT and to evaluate the OASIS intervention with patients living in rural Iowa receiving treatment for advanced cancer. The specific aims are: 1. to evaluate the feasibility of the OASIS intervention to self-manage symptoms of rural patients with advanced cancer, including a) recruitment and retention, b) use patterns, c) usability of each component of the intervention (i.e., the e-visit platform and the web-application), d) acceptability of the intervention and study (i.e., satisfaction, barriers and facilitators to use, burden); and 2. to determine preliminary effects of the intervention on self-management behaviors and symptom severity, symptom distress, and symptom interference.
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Advanced Cancer | Malignant Neoplasm | CURATED_BROADER | 0.78 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Advanced Cancer Symptom Management | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- OTHER
- label
- OASIS
- description
- Patients that meet the eligibility criteria will be enrolled in the study and will receive the advanced cancer symptom management intervention
- interventionNames
- Behavioral: Advanced Cancer Symptom Management
Primary outcomes (3)
- measure
- Measuring change in Health Education Impact Questionnaire (heiQ)
- timeFrame
- Week 0,4, 8, 12
- description
- An outcomes and evaluation measure for patient education and self-management interventions for people. This scale is assessing change between four time points
- measure
- Measuring change in Symptom burden (MDASI - core)
- timeFrame
- Week 0,4, 8, 12
- description
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
- Maximum age
- 99 Years
Show eligibility criteria text
Inclusion Criteria: * Adults (18 yrs or older) with a current diagnosis of advanced cancer of solid tumor (stage 3 or 4) origin considered incurable by the treating oncologist, * Experiencing with at least one distressing symptoms (rated 3 or greater on 0-10 numeric rating scale for symptom distress), * Able to read and write in English * Have a laptop, mobile phone and/or tablet with a video camera that can use to access the internet * Have high-speed internet connection in his/her home Exclusion Criteria: * Patients who are not able to complete the study surveys (alone or with assistance) due impaired mental, cognitive, or physical status.
References
Publications (3)
- BACKGROUNDU.S. Census Bureau. Urban, Urbanized Area, Urban Cluster, and Rural Population, 2010 and 2000: United States. 2010; https://www.census.gov. Accessed 12/23/2015.
- BACKGROUNDPedro LW, Schmiege SJ. Rural living as context: a study of disparities in long-term cancer survivors. Oncol Nurs Forum. 2014 May;41(3):E211-9. doi: 10.1188/14.ONF.E211-E219. PMID 24769604
- BACKGROUNDConnect Iowa. Broadband Infrastructure at a State and Local Level in Iowa. 2015.