0
No votes yet

A Demonstration Project to Increase the Awareness of Cancer Clinical Trials Among Community-Dwelling Seniors

Heidi E. Ehrenberger
Jamie R. Breeden
Mary E. Donovan
ONF 2003, 30(4), E80-E83 DOI: 10.1188/03.ONF.E80-E83

Purpose/Objectives: To describe the planning, implementation, and evaluation of an educational program to increase the awareness of cancer clinical trials among community-dwelling seniors in a southeastern metropolitan community.

Data Sources: Published articles, research findings, conference proceedings, government-issued educational materials, and clinical experiences with patient recruitment and enrollment.

Data Synthesis: The elderly are underrepresented significantly in cancer clinical trials. Often, patients and the lay public are not aware of clinical trials or have misconceptions about research. Community outreach efforts represent one viable strategy to close this knowledge gap.

Conclusions: Local communities can build partnerships to identify creative methods for disseminating materials about clinical trials.

Implications for Nursing: Oncology nurses can create and participate in partnerships that communicate information about cancer clinical trials within their local communities.

References 

Adams, J., Silverman, M., Musa, D., & Peele, P. (1997). Recruiting older adults for clinical trials. <i>Controlled Clinical Trials, 18</i>, 14-26.

Balducci, L., & Extermann, M. (2000). Cancer and aging: An evolving panorama. <i>Hematology/Oncology Clinics of North America, 14</i>, 1-16.

Dean-Clower, E., Scheytt, J., Harley, K., Aikin, J., Axelrod, A., Graves, C., et al. (2000). Cancer Clinical Trials Education Program: A training program to reach patients and the public. <i>Health Promotion Practice, 1</i>, 90-101.

Edwards, B.K., Howe, H.L., Ries, L.A., Thun, M.J., Rosenberg, H.M., Yancik, R., et al. (2002). Annual report to the nation on the status of cancer, 1973-1999, featuring implications of age and aging on the U.S. cancer burden. <i>Cancer, 94</i>, 2766-2792.

Ehrenberger, H.E., Alligood, M.R., Thomas, S.P., Wallace, D.C., & Licavoli, C.M. (2002). Testing a theory of decision-making derived from King's system framework in women eligible for a cancer clinical trial. <i>Nursing Science Quarterly, 15</i>, 156-163.

Giovanazzi-Bannon, S., Rademaker, A., Lai, G., & Benson, A.B., III. (1994). Treatment tolerance of elderly patients with cancer entered onto phase II clinical trials: An Illinois cancer center study. <i>Journal of Clinical Oncology, 12</i>, 2447-2452.

Harris Interactive, Inc. (2000, October 28). Misconceptions and lack of awareness greatly reduce recruitment for cancer clinical trials [Press release]. Retrieved June 22, 2002, from <a target="_blank" href='http://www.harrisinteractive.com/news/newsletters/healthnews/HI_HealthCa...

Hutchins, L.F., Unger, J., Crowley, J., Coltman, C., & Albain, K. (1999). Underrepresentation of patients 65 years of age or older in cancer-treatment trials. <i>New England Journal of Medicine, 341</i>, 2061-2067.

Joshi, T.G., & Ehrenberger, H.E. (2001). Cancer clinical trials in the new millennium: Novel challenges and opportunities for oncology nursing. <i>Clinical Journal of Oncology Nursing, 5</i>, 147-152.

Lara, P., Higdon, R., Lim, N., Kwan, K., Tanaka, M., Lau, D., et al. (2001). Prospective evaluation of cancer clinical trial accrual patterns: Identifying potential barriers to enrollment. <i>Journal of Clinical Oncology, 19</i>, 1728-1733.

Lengacher, C.A., Gonzalez, L.L., Giuliano, R., Bennett, M.P., Cox, C.E., & Reintgen, D.S. (2001). The process of clinical trials: A model for successful clinical trial participation. <i>Oncology Nursing Forum, 28</i>, 1115-1120.

Meadows, B. (2000). Recruitment and promotion strategies for clinical trials. In A. Klimaszewski, J. Aikin, M. Bacon, S. DiStasio, H. Ehrenberger, & B. Ford (Eds.), <i>Manual for clinical trials nursing</i> (pp. 73-75). Pittsburgh, PA: Oncology Nursing Society.

Michaels, M., Denicoff, A.M., Bright, M.A., Abrams, J., & Robinson, D. (2002). Current initiatives at the National Cancer Institute. <i>Oncology Issues, 17</i>(2), 33-35.

National Cancer Institute. (2002). <i>Integrating aging and cancer research in NCI cancer centers.</i> Retrieved July 22, 2002, from <a target="_blank" href='http://deainfo.nci.nih.gov/concepts/AgingCancerRFA.htm'>http://deainfo.n...

National Cancer Institute, Office of Cancer Communications. (1996). <i>The public's perception of medical and cancer research: Results of a focus group study.</i> Bethesda, MD: Author.

National Institute on Aging & National Cancer Institute. (2001). <i>Workshop report: Exploring the role of cancer centers for integrating aging and cancer research.</i> Retrieved July 22, 2002, from <a target="_blank" href='http://nia.nih.gov/health/nianci'>http://nia.nih.gov/health/nianci</a>

Sateren, W.B., Trimble, E.L., Abrams, J., Brawley, O., Breen, N., Ford, L., et al. (2002). How sociodemographics, presence of oncology specialists, and hospital cancer programs affect accrual to cancer treatment trials. <i>Journal of Clinical Oncology, 20</i>, 2109-2117.

Trimble, E., Carter, C., Cain, D., Freidlin, B., Underleider, R., & Friedman, M. (1994). Representation of older patients in cancer treatment trials. <i>Cancer, 74</i>(Suppl. 7), 2208-2214.

Underwood, S.M., & Alexander, G.A. (Eds.). (2000). Participation of minorities and women in clinical cancer research. <i>Annals of Epidemiology, 10</i>(Suppl. 8), S1-S112.