老年分化型甲状腺癌患者用药依从性管理策略的构建与应用

注册号:

Registration number:

ChiCTR2500103405 

最近更新日期:

Date of Last Refreshed on:

2025-05-28 18:12:20 

注册时间:

Date of Registration:

2025-05-28 00:00:00 

注册号状态:

预注册

Registration Status:

Prospective registration

注册题目:

老年分化型甲状腺癌患者用药依从性管理策略的构建与应用

Public title:

Construction and application of medication adherence management strategies for elderly patients with differentiated thyroid cancer

注册题目简写:

English Acronym:

研究课题的正式科学名称:

老年分化型甲状腺癌患者用药依从性管理策略的构建与应用

Scientific title:

Construction and application of medication adherence management strategies for elderly patients with differentiated thyroid cancer

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

刘艳琳 

研究负责人:

王娟 

Applicant:

Yanlin Liu 

Study leader:

Juan Wang 

申请注册联系人电话:

Applicant telephone:

+86 152 9344 4258

研究负责人电话:

Study leader's
telephone:

+86 139 0940 0510

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

3102538341@qq.com

研究负责人电子邮件:

Study leader's E-mail:

153212312@qq.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

甘肃中医药大学

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

甘肃省兰州市城关区渭源路街道定西东路35号甘肃中医药大学

研究负责人通讯地址:

甘肃省兰州市七里河区小西湖东街2号甘肃省肿瘤医院

Applicant address:

Gansu University of Traditional Chinese Medicine, No.35 Dingxi East Road, Weiyuan Road Street, Chengguan District, Lanzhou City, Gansu Province, China

Study leader's address:

Gansu Provincial Cancer Hospital, No.2 Xiaoxihu East Street, Qilihe District, Lanzhou City, Gansu Province, China

申请注册联系人邮政编码:

Applicant postcode:

730000

研究负责人邮政编码:

Study leader's postcode:

730050

申请人所在单位:

甘肃中医药大学

Applicant's institution:

Gansu University of Traditional Chinese Medicine

研究负责人所在单位:

甘肃省肿瘤医院

Affiliation of the Leader:

Gansu Provincial Tumor Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

A202501240004

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

甘肃省肿瘤医院甘肃省医学科学院伦理委员会

Name of the ethic committee:

Ethics Committee of Gansu Provincial Cancer Hospital Gansu Provincial Academy of Medical Sciences

伦理委员会批准日期:

Date of approved by ethic committee:

2025-01-24 00:00:00

伦理委员会联系人:

彭朕

Contact Name of the ethic committee:

Zhen Peng

伦理委员会联系地址:

甘肃省兰州市七里河区小西湖东街2号

Contact Address of the ethic committee:

No.2 Xiaoxihu East Street, Qilihe District, Lanzhou City, China

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 139 9317 0712

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

甘肃省肿瘤医院

Primary sponsor:

Gansu Provincial Tumor Hospital

研究实施负责(组长)单位地址:

甘肃省兰州市七里河区小西湖东街2号

Primary sponsor's address:

No.2 East Xiaoxihu Street, Qilihe District, Lanzhou City, Gansu Province, China

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

甘肃省

市(区县):

兰州市

Country:

China

Province:

Gansu Province

City:

Lanzhou

单位(医院):

甘肃省肿瘤医院

具体地址:

兰州市七里河区小西湖东街2号

Institution
hospital:

Gansu Provincial Tumor Hospital

Address:

No.2 East Xiaoxihu Street, Qilihe District, Lanzhou City, Gansu Province, China

经费或物资来源:

Source(s) of funding:

None

研究疾病:

甲状腺癌  

Target disease:

Thyroid cancer

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

I期临床试验 

Study phase:

1

研究设计:

随机平行对照 

Study design:

Parallel 

研究目的:

本研究旨在基于COM-B模型,综合运用质性访谈、系统文献回顾、专家函询等方法,构建科学、合理且具有可操作性的老年甲状腺癌患者服药依从性管理策略,并通过临床应用效果研究,验证该策略在提升老年甲状腺癌患者服药依从性和改善生活质量方面的有效性与可行性 。  

Objectives of Study:

The purpose of this study is to construct a scientific, reasonable and operable medication adherence management strategy for elderly thyroid cancer patients based on the COM-B model, utilizing qualitative interviews, systematic literature review, and expert correspondence, and to validate the effectiveness and feasibility of this strategy in enhancing medication adherence and improving the quality of life of elderly thyroid cancer patients through the study of the effects of clinical application.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1 甲状腺癌进展期,合并复发或转移的患者; 2 严重未控制的快速性心律失常患者; 3 并发肝、心、脑、肾等系统严重疾病或其他恶性肿瘤的患者; 4 因语言、心理等原因无法进行电话交流和沟通者。

Exclusion criteria:

1 Patients with progressive thyroid cancer, combined with recurrence or metastasis; 2 Patients with severe uncontrolled tachyarrhythmia; 3 Patients with concomitant serious diseases of the liver, heart, brain, kidneys, and other systems, or other malignant tumors; 4 People who are unable to communicate and exchange ideas over the phone due to linguistic and psychological reasons.

研究实施时间:

Study execute time:

From 2024-06-01 00:00:00 To 2026-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-06-01 00:00:00 To 2025-12-31 00:00:00

干预措施:

Interventions:

组别:

对照组

样本量:

28

Group:

control group

Sample size:

干预措施:

对照组实施常规护理与用药指导。医护人员将对患者进行基本的用药教育,详细阐述所用药物的适应症、剂量及注意事项。患者在出院后将安排定期随访,以记录其用药情况,并密切观察可能出现的潜在不良反应。同时,为患者提供基本的心理支持,以帮助其缓解在治疗过程中的焦虑情绪,确保患者在整个治疗过程中保持积极的心态,从而更好地配合治疗。

干预措施代码:

Intervention:

The control group implements routine nursing and medication instruction. Healthcare professionals will provide patients with basic medication education, detailing the indications, dosages and precautions of the drugs used. Regular follow-up visits will be arranged after the patients are discharged from the hospital in order to record their medication use and closely observe potential adverse reactions that may occur. At the same time, basic psychological support will be provided to patients to help alleviate their anxiety during the treatment process and to ensure that they maintain a positive mindset throughout the treatment process so that they can better cooperate with the treatment.

Intervention code:

组别:

干预组

样本量:

28

Group:

intervention group

Sample size:

干预措施:

干预组患者在接受常规护理与用药指导的基础上,将实施专门针对老年甲状腺癌患者的服药依从性管理策略。

干预措施代码:

Intervention:

Patients in the intervention group will receive routine nursing care and medication instructions, and will implement medication adherence management strategies specifically designed for elderly thyroid cancer patients.

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

甘肃省 

市(区县):

兰州 

Country:

China

Province:

Gansu Province

City:

Lanzhou

单位(医院):

甘肃省肿瘤医院 

单位级别:

三级甲等 

Institution
hospital:

Gansu Provincial Tumor Hospital

Level of the institution:

Tertiary A

测量指标:

Outcomes:

指标中文名:

一般资料调查表

指标类型:

次要指标

Outcome:

General information questionnaire

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

Morisky服药依从性量表

指标类型:

主要指标

Outcome:

Morisky Medication Adherence Scale, MMAS-8

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

服药信念量表

指标类型:

次要指标

Outcome:

Beliefs about Medicines Questionnaire, BMQ

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

欧洲癌症研究与治疗组织生活质量测定量表

指标类型:

次要指标

Outcome:

European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core 30, EORTC QLQ-C30

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

促甲状腺激素

指标类型:

主要指标

Outcome:

Thyroid Stimulating Hormone

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

游离三碘甲状腺原氨酸

指标类型:

次要指标

Outcome:

Free Triiodothyronine

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

游离甲状腺素

指标类型:

次要指标

Outcome:

Free Thyroxine

Type:

Secondary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

指标中文名:

甲状腺球蛋白

指标类型:

主要指标

Outcome:

Thyroglobulin

Type:

Primary indicator

测量时间点:

测量方法:

Measure time point of outcome:

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

其它  

说明

Fate of sample:

0thers  

Note:

征募研究对象情况:

Recruiting status:

尚未开始

Not yet recruiting

年龄范围:

Participant age:

最小 Min age 60 years
最大 Max age years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

根据患者入院的先后顺序进行编号,编号范围为01至56号。随后,采用随机数字表法将患者分为对照组和观察组。在研究过程中,患者对其分组情况并不知情。

Randomization Procedure (please state who generates the random number sequence and by what method):

The patients were numbered according to the order of their admission to the hospital, and the numbering range was 01 to 56. Subsequently, the patients were divided into control and observation groups using random number table method. During the study, patients were unaware of their grouping.

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

本研究采用单盲设计,数据收集人员对受试者的分组分配(即干预组与对照组)保持盲态。分组信息由独立统计人员通过计算机随机序列生成并密封保存,仅在研究结束时揭盲。

Blinding:

This study utilized a single-blind design in which the data collectors were blinded to the subjects' group assignment (i.e., intervention vs. control group). The grouping information was generated by an independent statistician through a computerized randomized sequence and kept sealed, and was only unblinded at the end of the study.

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

本研究将在试验完成并发表主要研究成果后6个月,将去标识化的原始数据,上传至Figshare公共数据平台(https://figshare.com/),可通过邮件联系作者及通讯作者,提供研究方案摘要及伦理审查证明申请访问。

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

The study will upload the de-identified raw data, uploaded to the Figshare public data platform (https://figshare.com/), 6 months after the completion of the trial and publication of the main findings, which can be accessed by contacting the author(s) and corresponding author(s) by email, providing a summary of the study protocol and proof of ethical clearance to request access.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

Figshare公共数据平台(https://figshare.com/)

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

https://figshare.com/

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2025-05-28 18:12:14