Quality of Life and Survivorship Care in Patients Undergoing HIPEC (HOPE)

Primary Outcome Measures:

• Assess feasibility of instituting an orientation program, brief follow up care and phone calls in this patient population [ Time Frame: T1, Baseline/pre-HIPEC orientation, Day 0 ] [ Designated as safety issue: No ]
  Utility of SRB, Medical Outcomes Study Health Survey, Short Form (SF-12), Center for Epidemiologic Studies-Depression Scale (CES-D), The Brief Illness Perception Questionnaire, The Distress Thermometer, The State-Trait Anxiety Inventory (STAI)
• Assess feasibility of instituting an orientation program, brief follow up care and phone calls in this patient population [ Time Frame: T2, after HIPEC orientation, Day 0 ] [ Designated as safety issue: No ]
  Utility of SRB, Medical Outcomes Study Health Survey, Short Form (SF-12), Center for Epidemiologic Studies-Depression Scale (CES-D), The Brief Illness Perception Questionnaire, The Distress Thermometer, The State-Trait Anxiety Inventory (STAI)
• Assess feasibility of instituting an orientation program, brief follow up care and phone calls in this patient population [ Time Frame: T3, 1 month post HIPEC, Average Day 30 ] [ Designated as safety issue: No ]
  Utility of SRB, Medical Outcomes Study Health Survey, Short Form (SF-12), Center for Epidemiologic Studies-Depression Scale (CES-D), The Brief Illness Perception Questionnaire, The Distress Thermometer, The State-Trait Anxiety Inventory (STAI)
• Assess feasibility of instituting an orientation program, brief follow up care and phone calls in this patient population [ Time Frame: T4, 3 months post HIPEC, Average Day 90 ] [ Designated as safety issue: No ]
  Utility of SRB, Medical Outcomes Study Health Survey, Short Form (SF-12), Center for Epidemiologic Studies-Depression Scale (CES-D), The Brief Illness Perception Questionnaire, The Distress Thermometer, The State-Trait Anxiety Inventory (STAI)

Secondary Outcome Measures:

• Reduce pre-treatment distress and anxiety [ Time Frame: Pre-HIPEC, Day 0 ] [ Designated as safety issue: No ]
  Compared t-tests will be conducted for the CESD and STAI (state anxiety subscale).
• Improve pre-treatment self-efficacy [ Time Frame: Pre-HIPEC, Day 0 ] [ Designated as safety issue: No ]
  Mean scores on the distress thermometer will be compared as well as individual patient changes.
• Provide educational material delivered by the SRB [ Time Frame: Pre-HIPEC, Day 0 ] [ Designated as safety issue: No ]
  Form to assess utility of the Survivorship Resource Book
• Improve overall post-operative QOL ratings at 3 months, relative to discharge [ Time Frame: T4, 3 months post discharge, Average Day 90 ] [ Designated as safety issue: No ]
  Improve post-operative QOL ratings at 3 months, relative to discharge. Repeated measures analysis of covariance (ANCOVA) will be utilized with the FACT scales.

Detailed Description

Primary Objectives:

• Assess feasibility of instituting an orientation program, brief follow up care and phone calls in this patient population.

Secondary Objectives:

• Reduce pre-treatment distress and anxiety. II. Improve pre-treatment self-efficacy. III. Provide educational material delivered by the SRB. IV. Improve overall post-operative QOL ratings at 3 months, relative to discharge.

Outline: Patients and their caregiver(s) receive a hyperthermic intraperitoneal chemotherapy (HIPEC) orientation with a Survivorship Navigator (SN) over 90 minutes following their initial surgical consult. Patients then receive telephone calls over 20-30 minutes from the SN once weekly for 3 weeks prior to HIPEC. . After HIPEC, patients meet with the SN for 20-30 minutes to discuss adjustments and adaptation to the surgery and hospitalization 3-4 days post-HIPEC, biweekly for two weeks, and weekly thereafter until hospital discharge. After hospital discharge, patients receive telephone calls from the SN twice monthly for 1 month.

Criteria

Inclusion

• Patients who undergo CS and HIPEC for peritoneal surface malignancy