[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"palliative-medicine\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:palliative-medicine":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,3,0,[8,46,73],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":34,"lastUpdatePostDateStruct":35,"startDateStruct":38,"completionDateStruct":40,"leadSponsor":42,"locationsCount":45},"100541353","meditation-with-virtual-reality-for-cancer-pain-relief-in-the-pain-therapy-and-palliative-care-service-100541353",false,"NCT06328751","Meditation With Virtual Reality for Cancer Pain Relief in the Pain Therapy and Palliative Care Service","Study With Cancer Patients at the CECON Foundation's Pain Therapy and Palliative Care Service: Meditation With Immersive Virtual Reality for Pain Relief","Inclusion Criteria:\n\n* Be followed up at the Pain Therapy and Palliative Care Service (STDCP) to control symptoms resulting from any type of cancer at any stage;\n* Have a diagnosis of chronic pain, recorded in the medical records.\n* Be between 18 and 75 years old on the date of the first collection;\n* Be able to understand Portuguese (read and write);\n* Have normal vision and hearing;\n* Have a cell phone with an Android system;\n* Be able to make head movements and have sufficient motor control to make body movements;\n* Agree to take part in the study and sign the Informed Consent Form (ICF).\n\nExclusion Criteria:\n\n* Indigenous patients (due to cultural and linguistic peculiarities and special legislation);\n* Patients with records of serious psychiatric illnesses (DSM-5 - Diagnostic and Statistical Manual of Mental Disorders - schizophrenia, schizotypal disorders, delusional disorders, borderline and dementias);\n* Impairment of the ability to understand or communicate based on the researcher's assessment;\n* Report of discomfort with the use of Immersive Virtual Reality;\n* Progression of the disease with limitation in maintaining the proposed regular outpatient visits;\n* Patients with brain tumors, brain metastases or a previous history of seizures.","ALL","18 Years","75 Years",{"count":20,"type":21},129,"ESTIMATED","INTERVENTIONAL",[24],"NA","Cancer is a disabling, challenging and growing global disease. Although early diagnosis and adequate treatment of oncological disease have been developing rapidly, a large part of the population remains without access to specialized services and routinely evolve to symptoms and sequelae with uncontrolled pain, worse quality of life and suffering. Complementary therapies to control pain and improve the well-being of cancer patients are fundamental tools of integrative oncology medicine. This study proposes to use immersive virtual reality to encourage cancer patients to carry out the regular practice of meditation, as an effective tool in pain management and in the search for a better quality of life, based on a structured intervention that encourages autonomy as important part of your treatment. Two studies will be carried out at the Pain Therapy and Palliative Care Service of the Amazonas State Oncology Control Center Foundation (FCECON). Study 1 will be a cross-sectional study to describe the variables associated with the diagnosis and treatment of patients' pain and Study 2 will be a Randomized Controlled Trial that will analyze the impact of an intervention performed with meditation through immersive virtual reality for pain relief. pain in these patients. It is expected that the regular practice of meditation through immersive virtual reality will promote pain relief and improve the quality of life of cancer pain patients.",[27,28,29],"Cancer Pain","Quality of Life","Palliative Medicine",[31,27,28,32],"Meditation","Virtual Reality","RECRUITING","2025-03-10",{"date":36,"type":37},"2025-03-12","ACTUAL",{"date":39,"type":37},"2024-11-07",{"date":41,"type":21},"2027-01",{"name":43,"class":44},"Emily Santos Montarroyos","NETWORK",1,{"id":47,"slug":48,"hasResults":11,"nctId":49,"briefTitle":50,"officialTitle":51,"acronym":4,"eligibilityCriteria":52,"healthyVolunteers":53,"sex":16,"minAge":4,"maxAge":4,"enrollmentInfo":54,"targetDuration":4,"studyType":56,"phases":4,"briefSummary":57,"conditions":58,"keywords":61,"overallStatus":33,"whyStopped":4,"lastUpdateSubmitDate":63,"lastUpdatePostDateStruct":64,"startDateStruct":66,"completionDateStruct":68,"leadSponsor":70,"locationsCount":45},"100541437","exploring-indications-and-practices-of-administering-artificial-hydration-to-terminal-cancer-patients-in-taiwan-100541437","NCT06329856","Exploring Indications and Practices of Administering Artificial Hydration to Terminal Cancer Patients in Taiwan","Exploring Indications and Practices of Administering Artificial Hydration to Terminal Cancer Patients and Establishing Clinical Consensus Guideline in Taiwan","Inclusion Criteria:\n\n* Taiwan Academy of Hospice Palliative Medicine\n* Taiwan Society of Cancer Palliative Medicine\n* At least a year in training to take care of terminally ill patients\n* Have signed informed consent.\n\nExclusion Criteria:\n\n* No clinical experience in palliative care\n* Decline to sign informed consent",true,{"count":55,"type":21},1270,"OBSERVATIONAL","Background: The issue of artificial hydration for terminal cancer patients is a classic ethical dilemma in palliative care. It is a common practice especially when patients are incapable of oral intake; however, there is a lack of research on indications and practices for the provision of artificial hydration to terminal cancer patients in Taiwan. The investigators aim to conduct a nationwide survey of palliative care physicians on their indications (general or specific), and practices of providing artificial hydration to terminal cancer patients. With that understanding of reasoning and clinical practice, the investigators would further establish an indigenous, evidence-based consensus guideline to serve as a reference for physicians in Taiwan.\n\nMethods: The study is comprised of two parts. The first part is to conduct a nationwide survey of palliative and oncology care specialists with a questionnaire designed from literature reviews and principles of clinical ethics. After validation of the questionnaire, the investigators will e-mail it to members of the Taiwan Academy of Hospice Palliative Medicine and the Taiwan Society of Cancer Palliative Medicine. The primary outcome measure of the study is the indication and clinical practice of artificial hydration, and the secondary outcome is factors associated with the administration or withdrawal of hydration.\n\nThe second part is to establish a national consensus on clinical guidelines for administering artificial hydration, where the investigators will conduct a modified Delphi method for 6 rounds. Literature reviews will be first performed and 14 sessions of one-to-one interviews in Round 1 to develop a draft. Subsequent rounds comprise questionnaire surveys among all panelists, teleconferences and e-mail discussions among core members, and cancer patients\u002Fpatients' family discussions. Statistical criteria include median and disagreement scores according to the Inter-Percentile Range Adjusted for Symmetry. Items voted for by 70% or more panelists will be selected and formalized into a consensus guideline.\n\nExpected results: The investigators hypothesize that the indication to administer artificial hydration to the terminal cancer patient is multi-factorial and culturally based.\n\nConclusion: The establishment of a consensus guideline will help clinicians to make an appropriate decision from ethical, medical, cultural, and emotional factors and facilitate cancer patients to achieve a good quality of dying.",[59,60,29],"Terminal Cancer","Hospice",[62],"Artificial hydration","2025-02-12",{"date":65,"type":37},"2025-02-14",{"date":67,"type":37},"2024-08-15",{"date":69,"type":21},"2026-07",{"name":71,"class":72},"National Taiwan University Hospital","OTHER",{"id":74,"slug":75,"hasResults":11,"nctId":76,"briefTitle":77,"officialTitle":78,"acronym":79,"eligibilityCriteria":80,"healthyVolunteers":53,"sex":16,"minAge":81,"maxAge":82,"enrollmentInfo":83,"targetDuration":4,"studyType":56,"phases":4,"briefSummary":85,"conditions":86,"keywords":91,"overallStatus":97,"whyStopped":4,"lastUpdateSubmitDate":98,"lastUpdatePostDateStruct":99,"startDateStruct":101,"completionDateStruct":103,"leadSponsor":105,"locationsCount":4},"100576855","paediatric-breakthrough-pain-assessment-100576855","NCT06790719","Paediatric Breakthrough Pain Assessment","Development and Validation of a Paediatric Breakthrough Pain Assessment Tool","BEACON","Inclusion Criteria:\n\n* Children and young people aged 8-25 years who have experienced 1) background pain related to a life limiting or life threatening condition and 2) around-the-clock analgesia prescribed for the previous week, as confirmed by their healthcare team (Studies 1, 2, and 3).\n* Children and young people must be able to communicate and read in English at a level close to, or in line with their chronological age.\n* For study 1, non-verbal children and young people, or those with limited verbal ability, will be recruited if they are happy to participate using the Microsoft Teams chat function.\n* Parents and caregivers of children and young people aged 3-month-25-years who have experienced 1) background pain related to a life limiting or life threatening condition and 2) around-the-clock analgesia prescribed for the previous week, as confirmed by their healthcare team. (Studies 1, 2, and 3).\n* Caregivers can be caring for verbal, non-verbal, or pre-verbal children with or without cognitive or developmental difficulties of any level.\n* Parents and caregivers must have self-reported full or partial responsibility for assessing the child or young person's pain.\n* Healthcare professionals in primary, secondary and tertiary care who are involved in the care of children and young people with life limiting or life threatening conditions (Studies 2 and 3).\n\nExclusion Criteria:\n\n* • Children, young people, parents and caregivers with limited ability to communicate and read in English.\n\n  * Children and young people judged by caregivers or healthcare professionals to lack capacity to take part, who are too unwell, or might find it too distressing.\n  * Parents and caregivers judged by healthcare professionals to lack capacity to consent, or to be 'struggling' too much. However, if they wish to take part, they can send an email or text message to the study email account or mobile phone.","8 Years","99 Years",{"count":84,"type":21},210,"Many children and young people with life-limiting and life-threatening illnesses get sudden bursts of pain called breakthrough pain. At the moment, there aren't any good ways to measure this pain in children and young people. The investigators are developing two questionnaires to help: one for patients to fill out themselves and another for parents or healthcare professionals to complete for younger children and young people who cannot explain their pain for themselves.\n\nThe investigators plan to work with 210 people across hospitals and hospices in England and Wales. This includes children and young people with life-limiting and life-threatening illnesses, their caregivers, and healthcare professionals. The investigators have already made a first version of the questionnaires.\n\nThe project has three main Studies:\n\nIn Study 1, the investigators will talk to 5-10 young patients and 5-10 caregivers about their experiences with breakthrough pain. The investigators will use their feedback to improve the questionnaires.\n\nIn Study 2, the investigators will ask 5-10 patients, 5-10 caregivers, and 5-10 healthcare professionals to fill out the questionnaires while speaking their thoughts out loud. This will help the investigators find any parts that are confusing or difficult to understand.\n\nIn Study 3, the investigators will test how well the questionnaires works. 80 patients, 40 caregivers, and 40 healthcare professionals will complete the questionnaires three different times to make sure they measure breakthrough pain as accurately as possible.\n\nThese questionnaire will be useful for hospitals and hospices across England and Wales to help them better manage pain, including breakthrough pain, in patients aged 3 months to 25 years who have life-limiting and life-threatening illnesses.",[87,29,88,89,90],"Breakthrough Pain","Oncology Pain","Pediatric ALL","Young People",[92,93,94,95,96],"Breakthrough pain","paediatrics","paediatric pain","palliative care","pain assessment","NOT_YET_RECRUITING","2025-01-17",{"date":100,"type":37},"2025-01-24",{"date":102,"type":21},"2025-01-20",{"date":104,"type":21},"2025-12",{"name":106,"class":72},"University of Southampton"]