Study Summary
This trial will help to improve best practices in generalist-level palliative care in CF by providing a framework for a nationally generalizable model.
- Cystic Fibrosis
- Quality of Life
Treatment Effectiveness
Phase-Based Effectiveness
Study Objectives
1 Primary · 13 Secondary · Reporting Duration: 2 years
Trial Safety
Phase-Based Safety
Awards & Highlights
Trial Design
0 Treatment Group
1001 Total Participants · 0 Treatment Group
Primary Treatment: Treatment · No Placebo Group · N/A
Trial Logistics
Trial Timeline
Who is running the clinical trial?
Eligibility Criteria
Age Any Age · All Participants · 1 Total Inclusion Criteria
Mark “Yes” if the following statements are true for you:- Quill, Timothy E., and Amy P. Abernethy. 2013. “Generalist Plus Specialist Palliative Care — Creating a More Sustainable Model”. New England Journal of Medicine. Massachusetts Medical Society. doi:10.1056/nejmp1215620.
- Friedman, Deborah, Rachel W. Linnemann, Lily L. Altstein, Suhayla Islam, Kieu-Tram Bach, Chelsea Lamb, John Volpe, et al.. 2018. “The CF-CARES Primary Palliative Care Model: A Cf-specific Structured Assessment of Symptoms, Distress, and Coping”. Journal of Cystic Fibrosis. Elsevier BV. doi:10.1016/j.jcf.2017.02.011.
- Collins, John J., Maura E. Byrnes, Ira J. Dunkel, Jeanne Lapin, Traci Nadel, Howard T. Thaler, Tanya Polyak, Bruce Rapkin, and Russell K. Portenoy. 2000. “The Measurement of Symptoms in Children with Cancer”. Journal of Pain and Symptom Management. Elsevier BV. doi:10.1016/s0885-3924(00)00127-5.
- Spitzer, Robert L.. 1999. “Validation and Utility of a Self-report Version of Prime-mdthe PHQ Primary Care Study”. Jama. American Medical Association (AMA). doi:10.1001/jama.282.18.1737.
- Irwin, Debra E, Heather E Gross, Brian D Stucky, David Thissen, Esi DeWitt, Jin Lai, Dagmar Amtmann, Leyla Khastou, James W Varni, and Darren A DeWalt. 2012. “Development of Six PROMIS Pediatrics Proxy-report Item Banks”. Health and Quality of Life Outcomes. Springer Science and Business Media LLC. doi:10.1186/1477-7525-10-22.
- Glajchen, Myra, Alice Kornblith, Peter Homel, Lisa Fraidin, Alex Mauskop, and Russell K. Portenoy. 2005. “Development of a Brief Assessment Scale for Caregivers of the Medically Ill”. Journal of Pain and Symptom Management. Elsevier BV. doi:10.1016/j.jpainsymman.2004.06.017.
- Dhingra, Lara, Patricia Walker, Maria Berdella, Amy Plachta, Jack Chen, Ashley Fresenius, Julie Balzano, et al.. 2020. “Addressing the Burden of Illness in Adults with Cystic Fibrosis with Screening and Triage: An Early Intervention Model of Palliative Care”. Journal of Cystic Fibrosis. Elsevier BV. doi:10.1016/j.jcf.2019.08.009.
- Quittner, Alexandra L, Lutz Goldbeck, Janice Abbott, Alistair Duff, Patrick Lambrecht, Amparo Solé, Marijke M Tibosch, et al.. 2014. “Prevalence of Depression and Anxiety in Patients with Cystic Fibrosis and Parent Caregivers: Results of the International Depression Epidemiological Study Across Nine Countries”. Thorax. BMJ. doi:10.1136/thoraxjnl-2014-205983.
- Elkins, Mark R., Michael Robinson, Barbara R. Rose, Colin Harbour, Carmel P. Moriarty, Guy B. Marks, Elena G. Belousova, Wei Xuan, and Peter T.P. Bye. 2006. “A Controlled Trial of Long-term Inhaled Hypertonic Saline in Patients with Cystic Fibrosis”. New England Journal of Medicine. Massachusetts Medical Society. doi:10.1056/nejmoa043900.
- Friedman, Deborah, Rachel W. Linnemann, Lily L. Altstein, Anna M. Georgiopoulos, Suhayla Islam, Kieu‐Tram Bach, Anita John, et al.. 2019. “Effects of a Primary Palliative Care Intervention on Quality of Life and Mental Health in Cystic Fibrosis”. Pediatric Pulmonology. Wiley. doi:10.1002/ppul.24311.
- Balzano, Julie, Ashley Fresenius, Patricia Walker, Maria Berdella, Russell K. Portenoy, Marilyn Bookbinder, Myra Glajchen, et al.. 2016. “Web-based Symptom Screening in Cystic Fibrosis Patients: A Feasibility Study”. Journal of Cystic Fibrosis. Elsevier BV. doi:10.1016/j.jcf.2015.11.001.
- Quittner, Alexandra L., Avani C. Modi, Claire Wainwright, Kelly Otto, Jean Kirihara, and A. Bruce Montgomery. 2009. “Determination of the Minimal Clinically Important Difference Scores for the Cystic Fibrosis Questionnaire-revised Respiratory Symptom Scale in Two Populations of Patients with Cystic Fibrosis and Chronic Pseudomonas Aeruginosa Airway Infection”. Chest. Elsevier BV. doi:10.1378/chest.08-1190.
- Spitzer, Robert L., Kurt Kroenke, Janet B. W. Williams, and Bernd Löwe. 2006. “A Brief Measure for Assessing Generalized Anxiety Disorder”. Archives of Internal Medicine. American Medical Association (AMA). doi:10.1001/archinte.166.10.1092.
- Linnemann, Rachel W., Deborah Friedman, Lily L. Altstein, Suhayla Islam, Kieu-Tram Bach, Anna M. Georgiopoulos, Samuel M. Moskowitz, and Lael M. Yonker. 2019. “Advance Care Planning Experiences and Preferences Among People with Cystic Fibrosis”. Journal of Palliative Medicine. Mary Ann Liebert Inc. doi:10.1089/jpm.2018.0262.
- Sawicki, Gregory S., Deborah E. Sellers, and Walter M. Robinson. 2008. “Self-reported Physical and Psychological Symptom Burden in Adults with Cystic Fibrosis”. Journal of Pain and Symptom Management. Elsevier BV. doi:10.1016/j.jpainsymman.2007.06.005.
- Quittner, Alexandra L., Gregory S. Sawicki, Ann McMullen, Lawrence Rasouliyan, David J. Pasta, Ashley Yegin, and Michael W. Konstan. 2012. “Erratum To: Psychometric Evaluation of the Cystic Fibrosis Questionnaire-revised in a National, US Sample”. Quality of Life Research. Springer Science and Business Media LLC. doi:10.1007/s11136-011-0091-5.
- L??we, Bernd, J??rgen Un??tzer, Christopher M. Callahan, Anthony J. Perkins, and Kurt Kroenke. 2004. “Monitoring Depression Treatment Outcomes with the Patient Health Questionnaire-9”. Medical Care. Ovid Technologies (Wolters Kluwer Health). doi:10.1097/00005650-200412000-00006.
- Hays, Ron D., Jakob B. Bjorner, Dennis A. Revicki, Karen L. Spritzer, and David Cella. 2009. “Development of Physical and Mental Health Summary Scores from the Patient-reported Outcomes Measurement Information System (PROMIS) Global Items”. Quality of Life Research. Springer Science and Business Media LLC. doi:10.1007/s11136-009-9496-9.
- Wojtaszczyk, Ann, Myra Glajchen, Russell K. Portenoy, Maria Berdella, Patricia Walker, Malcolm Barrett, Jack Chen, et al.. 2017. “Trajectories of Caregiver Burden in Families of Adult Cystic Fibrosis Patients”. Palliative and Supportive Care. Cambridge University Press (CUP). doi:10.1017/s1478951517000918.
- Dellon, E.P., J. Goggin, E. Chen, K. Sabadosa, S.E. Hempstead, A. Faro, and K. Homa. 2018. “Defining Palliative Care in Cystic Fibrosis: A Delphi Study”. Journal of Cystic Fibrosis. Elsevier BV. doi:10.1016/j.jcf.2017.10.011.
- Kavalieratos, Dio, Anna M. Georgiopoulos, Lara Dhingra, Melissa J. Basile, Elliot Rabinowitz, Sarah E. Hempstead, Albert Faro, and Elisabeth P. Dellon. 2021. “Models of Palliative Care Delivery for Individuals with Cystic Fibrosis: Cystic Fibrosis Foundation Evidence-informed Consensus Guidelines”. Journal of Palliative Medicine. Mary Ann Liebert Inc. doi:10.1089/jpm.2020.0311.
- Basile, Melissa, Lincy Jojan, Mara R. Hobler, Elisabeth P. Dellon, Anna M. Georgiopoulos, Jessica L. Goggin, Elaine Chen, et al.. 2021. “Assessing Practices, Beliefs, and Attitudes About Palliative Care Among People with Cystic Fibrosis, Their Caregivers, and Clinicians: Results of a Content Analysis”. Journal of Palliative Medicine. Mary Ann Liebert Inc. doi:10.1089/jpm.2020.0725.
- Modi, A. C.. 2003. “Validation of a Disease-specific Measure of Health-related Quality of Life for Children with Cystic Fibrosis”. Journal of Pediatric Psychology. Oxford University Press (OUP). doi:10.1093/jpepsy/jsg044.
- Quittner, Alexandra L., Michael S. Schechter, Lawrence Rasouliyan, Tmirah Haselkorn, David J. Pasta, and Jeffrey S. Wagener. 2010. “Impact of Socioeconomic Status, Race, and Ethnicity on Quality of Life in Patients with Cystic Fibrosis in the United States”. Chest. Elsevier BV. doi:10.1378/chest.09-0345.
- Golden-Kreutz, Deanna M., Michael W. Browne, Georita M. Frierson, and Barbara L. Andersen. 2004. “Assessing Stress in Cancer Patients”. Assessment. SAGE Publications. doi:10.1177/1073191104267398.
- Georgiopoulos, Anna M., Deborah Friedman, Elizabeth A. Porter, Amy Krasner, Sheetal P. Kakarala, Breanna K. Glaeser, Siena C. Napoleon, and Janet Wozniak. 2018. “Screening for ADHD in Adults with Cystic Fibrosis: Prevalence, Health-related Quality of Life, and Adherence”. Journal of Cystic Fibrosis. Elsevier BV. doi:10.1016/j.jcf.2017.08.011.
- Linnemann, Rachel W., Patricia J. O'Malley, Deborah Friedman, Anna M. Georgiopoulos, David Buxton, Lily L. Altstein, Leonard Sicilian, Allen Lapey, Gregory S. Sawicki, and Samuel M. Moskowitz. 2016. “Development and Evaluation of a Palliative Care Curriculum for Cystic Fibrosis Healthcare Providers”. Journal of Cystic Fibrosis. Elsevier BV. doi:10.1016/j.jcf.2015.03.005.
- Ahluwalia, Sangeeta C., Christine Chen, Laura Raaen, Aneesa Motala, Anne M. Walling, Margaret Chamberlin, Claire O'Hanlon, et al.. 2018. “A Systematic Review in Support of the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, Fourth Edition”. Journal of Pain and Symptom Management. Elsevier BV. doi:10.1016/j.jpainsymman.2018.09.008.
- Kroenke, Kurt, Tara W. Strine, Robert L. Spitzer, Janet B.W. Williams, Joyce T. Berry, and Ali H. Mokdad. 2009. “The PHQ-8 as a Measure of Current Depression in the General Population”. Journal of Affective Disorders. Elsevier BV. doi:10.1016/j.jad.2008.06.026.
- Crandall, Christian S., Jeanne J. Preisler, and Julie Aussprung. 1992. “Measuring Life Event Stress in the Lives of College Students: The Undergraduate Stress Questionnaire (USQ)”. Journal of Behavioral Medicine. Springer Science and Business Media LLC. doi:10.1007/bf00844860.
- Scott, Eric L., Emily Foxen-Craft, Michelle Caird, Riley Philliben, Trevor deSebour, Emily Currier, and Terri Voepel-Lewis. 2019. “Parental Proxy PROMIS Pain Interference Scores Are Only Modestly Concordant with Their Child’s Scores”. The Clinical Journal of Pain. Ovid Technologies (Wolters Kluwer Health). doi:10.1097/ajp.0000000000000772.
- Collins, Emily S., Jana Witt, Claudia Bausewein, Barbara A. Daveson, Irene J. Higginson, and Fliss E.M. Murtagh. 2015. “A Systematic Review of the Use of the Palliative Care Outcome Scale and the Support Team Assessment Schedule in Palliative Care”. Journal of Pain and Symptom Management. Elsevier BV. doi:10.1016/j.jpainsymman.2015.07.015.
- Collins, John J, Tom D Devine, Gina S Dick, Elizabeth A Johnson, Henry A Kilham, C.Ross Pinkerton, M.M Stevens, Howard T Thaler, and Russell K Portenoy. 2002. “The Measurement of Symptoms in Young Children with Cancer”. Journal of Pain and Symptom Management. Elsevier BV. doi:10.1016/s0885-3924(01)00375-x.
- Alpern, Adrianne N., Lyndia C. Brumback, Felix Ratjen, Margaret Rosenfeld, Stephanie D. Davis, and Alexandra L. Quittner. 2015. “Initial Evaluation of the Parent Cystic Fibrosis Questionnaire—revised (CFQ-R) in Infants and Young Children”. Journal of Cystic Fibrosis. Elsevier BV. doi:10.1016/j.jcf.2014.11.002.
- Pilkonis, Paul A., Lan Yu, Jason Colditz, Nathan Dodds, Kelly L. Johnston, Catherine Maihoefer, Angela M. Stover, Dennis C. Daley, and Dennis McCarty. 2013. “Item Banks for Alcohol Use from the Patient-reported Outcomes Measurement Information System (PROMIS®): Use, Consequences, and Expectancies”. Drug and Alcohol Dependence. Elsevier BV. doi:10.1016/j.drugalcdep.2012.11.002.
- Quittner, Alexandra L., Avani C. Modi, Claire Wainwright, Kelly Otto, Jean Kirihara, and A. Bruce Montgomery. 2009. “Determination of the Minimal Clinically Important Difference Scores for the Cystic Fibrosis Questionnaire-revised Respiratory Symptom Scale in Two Populations of Patients with Cystic Fibrosis and Chronic Pseudomonas Aeruginosa Airway Infection”. Chest. Elsevier BV. doi:10.1378/chest.08-1190.
- Basile, Melissa, Lincy Jojan, Mara R. Hobler, Elisabeth P. Dellon, Anna M. Georgiopoulos, Jessica L. Goggin, Elaine Chen, et al.. 2021. “Assessing Practices, Beliefs, and Attitudes About Palliative Care Among People with Cystic Fibrosis, Their Caregivers, and Clinicians: Results of a Content Analysis”. Journal of Palliative Medicine. Mary Ann Liebert Inc. doi:10.1089/jpm.2020.0725.
- Quittner AL, Goldbeck L, Abbott J, Duff A, Lambrecht P, Sole A, Tibosch MM, Bergsten Brucefors A, Yuksel H, Catastini P, Blackwell L, Barker D. Prevalence of depression and anxiety in patients with cystic fibrosis and parent caregivers: results of The International Depression Epidemiological Study across nine countries. Thorax. 2014 Dec;69(12):1090-7. doi: 10.1136/thoraxjnl-2014-205983. Epub 2014 Sep 21.
- Golden-Kreutz DM, Browne MW, Frierson GM, Andersen BL. Assessing stress in cancer patients: a second-order factor analysis model for the Perceived Stress Scale. Assessment. 2004 Sep;11(3):216-23. doi: 10.1177/1073191104267398.
- Collins ES, Witt J, Bausewein C, Daveson BA, Higginson IJ, Murtagh FE. A Systematic Review of the Use of the Palliative Care Outcome Scale and the Support Team Assessment Schedule in Palliative Care. J Pain Symptom Manage. 2015 Dec;50(6):842-53.e19. doi: 10.1016/j.jpainsymman.2015.07.015. Epub 2015 Aug 31.
- Lowe B, Unutzer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the patient health questionnaire-9. Med Care. 2004 Dec;42(12):1194-201. doi: 10.1097/00005650-200412000-00006.
- Quill TE, Abernethy AP. Generalist plus specialist palliative care--creating a more sustainable model. N Engl J Med. 2013 Mar 28;368(13):1173-5. doi: 10.1056/NEJMp1215620. Epub 2013 Mar 6. No abstract available.
- Glajchen M, Kornblith A, Homel P, Fraidin L, Mauskop A, Portenoy RK. Development of a brief assessment scale for caregivers of the medically ill. J Pain Symptom Manage. 2005 Mar;29(3):245-54. doi: 10.1016/j.jpainsymman.2004.06.017.
- Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary Care Evaluation of Mental Disorders. Patient Health Questionnaire. JAMA. 1999 Nov 10;282(18):1737-44. doi: 10.1001/jama.282.18.1737.
- Collins JJ, Byrnes ME, Dunkel IJ, Lapin J, Nadel T, Thaler HT, Polyak T, Rapkin B, Portenoy RK. The measurement of symptoms in children with cancer. J Pain Symptom Manage. 2000 May;19(5):363-77. doi: 10.1016/s0885-3924(00)00127-5.
- Elkins MR, Robinson M, Rose BR, Harbour C, Moriarty CP, Marks GB, Belousova EG, Xuan W, Bye PT; National Hypertonic Saline in Cystic Fibrosis (NHSCF) Study Group. A controlled trial of long-term inhaled hypertonic saline in patients with cystic fibrosis. N Engl J Med. 2006 Jan 19;354(3):229-40. doi: 10.1056/NEJMoa043900.
- Quittner AL, Modi AC, Wainwright C, Otto K, Kirihara J, Montgomery AB. Determination of the minimal clinically important difference scores for the Cystic Fibrosis Questionnaire-Revised respiratory symptom scale in two populations of patients with cystic fibrosis and chronic Pseudomonas aeruginosa airway infection. Chest. 2009 Jun;135(6):1610-1618. doi: 10.1378/chest.08-1190. Epub 2009 May 15.
- Collins JJ, Devine TD, Dick GS, Johnson EA, Kilham HA, Pinkerton CR, Stevens MM, Thaler HT, Portenoy RK. The measurement of symptoms in young children with cancer: the validation of the Memorial Symptom Assessment Scale in children aged 7-12. J Pain Symptom Manage. 2002 Jan;23(1):10-6. doi: 10.1016/s0885-3924(01)00375-x.
- Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.
- Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983 Dec;24(4):385-96. No abstract available.
- Modi AC, Quittner AL. Validation of a disease-specific measure of health-related quality of life for children with cystic fibrosis. J Pediatr Psychol. 2003 Dec;28(8):535-45. doi: 10.1093/jpepsy/jsg044.
- Anna M. Georgiopoulos, M.D. 2021. "Pragmatic Implementation Trial of a CF Primary Palliative Care Intervention". ClinicalTrials.gov. https://clinicaltrials.gov/ct2/show/NCT04923880.
Frequently Asked Questions
Is there still availability for individuals to join this clinical investigation?
"The information on clinicaltrials.gov reveals that this trial is currently recruiting participants, having first been posted on June 25th 2021 and was most recently updated in mid-November of the same year." - Anonymous Online Contributor
What is the total number of participants involved in this research project?
"Affirmative. Clinicaltrials.gov has the latest information on this trial, which was first announced on June 25th 2021 and most recently updated November 15th of the same year. This study is seeking 1001 participants from 5 different clinical sites." - Anonymous Online Contributor