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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ANZCTR
Last refreshed on: 12 November 2018
Main ID:  ACTRN12617000407392
Date of registration: 20/03/2017
Prospective Registration: No
Primary sponsor: University of Queensland
Public title: The psychosocial impact of haematopoietic stem cell donation on adult related donors
Scientific title: A multi-center, prospective, exploratory study of the psychosocial impact of donating haematopoietic stem cells on adult related donors
Date of first enrolment: 16/02/2017
Target sample size: 41
Recruitment status: Active, not recruiting
URL:  https://anzctr.org.au/ACTRN12617000407392.aspx
Study type:  Observational
Study design:  Purpose: Psychosocial;Duration: Longitudinal;Selection: Defined population;Timing: Prospective;  
Phase: 
Countries of recruitment
Australia
Contacts
Name: Ms Nienke Zomerdijk   
Address:  Cancer Care Services Building 34, Ground Floor, Clinical Research Unit Royal Brisbane & Women’s Hospital Herston, Qld 4029 Australia
Telephone: +617 3646 6652
Email: Nienke.Zomerdijk@health.qld.gov.au
Affiliation: 
Name: Ms Nienke Zomerdijk   
Address:  Cancer Care Services Building 34, Ground Floor, Clinical Research Unit Royal Brisbane & Women’s Hospital Herston, Qld 4029 Australia
Telephone: +617 3646 6652
Email: Nienke.Zomerdijk@health.qld.gov.au
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: Update
Group 1: Adult related stem cell transplant donors of planned allogeneic transplant recipients.
Group 2: Adult related lymphocyte donors of planned lymphocyte infusion recipients.
Group 3: BMT Nurses within the RBWH and Westmead Hospital Haematology and Bone Marrow Transplant Units.

1) Ages eligible for study: 18 to 70 years
2) Able to provide informed consent

Exclusion criteria: People whose primary language is other than English
Women who are pregnant and the human fetus
Children and/or young people (ie. <18 years)
People with a cognitive impairment, an intellectual disability or a mental illness


Age minimum: 18 Years
Age maximum: 70 Years
Gender: Both males and females
Health Condition(s) or Problem(s) studied
Public Health - Health service research
Blood - Haematological diseases
Haematopoietic stem cell donation;Psychosocial distress ;Unmet needs ;Quality of life;
Haematopoietic stem cell donation
Psychosocial distress
Unmet needs
Quality of life
Mental Health - Studies of normal psychology, cognitive function and behaviour
Intervention(s)
PHASE 1
Group 1 - adult related stem cell transplant donors
Adult related stem cell transplant donors of planned allogeneic transplant recipients will complete three semi-structured interviews and provide three samples of saliva (as a measure of stress) at the following time points:
(T1) Within 2 weeks before the stem cell mobilisation commences;
(T2) Within 24 hours (pre- or post-donation) of the donors’ stem cell collection and;
(T3) Within 2 weeks of the 30-day anniversary of the stem cell collection.

Group 2 - Adult related lymphocyte infusion donors
Adult related lymphocyte donors of planned lymphocyte infusions recipients are included in this study to consider any potential effect granulocyte colony-stimulating factor (GCSF) may have on salivary alpha-amylase levels. Related lymphocyte donors will provide three samples of saliva at the following time points:
(T1) Within 2 weeks before the lymphocyte collection;
(T2) Within 24 hours (pre- or post-donation) of the donors’ lymphocyte collection and;
(T3) Within 2 weeks of the 30-day anniversary of the lymphocyte collection

Group 3 - Bone Marrow Transplant Nurses
Bone Marrow Transplant Nurses will complete one interview towards the end of the study. The interview will explore the nature of their role, their perceptions of the psychosocial needs of donors and their role (if any) in responding to donor distress.

PHASE II
In response to the needs identified through interviews with adult related stem cell donors and nurses, a psycho-educational resource will be developed to improve donor efficacy and promote self-care. Adult related stem cell donors and Nurses from Phase I will be re-contacted and asked to evaluate the psychoeducational resource. A study pack including an information sheet, resource, questionnaire and reply paid envelope for returning the questionnaire will be mailed to potential participants. Consent is presumed by completion and return of
Primary Outcome(s)
Phase I
Health-related quality of life will be measured using the World Health Organisation Quality of Life (WHOQOL-BREF); an abbreviated version of the WHOQOL-100.[(1) 2 weeks pre-stem cell collection;
(2) 30 days post-stem cell collection]
Phase I
Saliva will be collected using Salivettes and analysed for salivary alpha-amylase activity (biomarker for activity of the sympathetic nervous system) by a liquid handling platform (the Beckman Coulter AU-480).[(1) 2 weeks pre-stem cell collection;
(2) on the day of stem cell collection;
(3) 30 days post-stem cell collection]
Phase I
Psychological distress will be measured using the Kessler Psychological Distress Scale (K10)[(1) 2 weeks pre-stem cell collection;
(2) on the day of stem cell collection;
(3) 30 days post-stem cell collection]
Secondary Outcome(s)
Phase I
BMT Nurse demographics (age, length of professional experience as nurses in Haematology/BMT Units and as BMT Coordinators) will be assessed by a questionnaire designed specifically for this study.[BMT Coordinator demographics will be assessed through one interview at a single timepoint.]
Phase I
Donors will rate their opinion of the recipient's health using the Karnofsky Performance Status (KPS) scale.[(1) 2 weeks pre-stem cell collection;
(2) on the day of stem cell collection;
(3) 30 days post-stem cell collection]
Phase I
Relationship closeness with the recipient will be assessed using the Autonomy and Relatedness Inventory (ARI) scale[(1) 2 weeks pre-stem cell collection;
(2) 30 days post-stem cell collection]
Phase 1
Qualitative questionnaire 2 - Adult related stem cell transplant donors of planned allogeneic transplant recipients. These qualitative questions explore the deeper aspects of related donation and any suggestions for improvement pre-donation and on the day of donation. 1. Sources of emotional support and use of emotional support services of the hospital? 2. Adequacy of emotional support from the hospital: *Not at all adequate *Moderately adequate *Adequate *Very adequate 3. How do you think the hospital can improve donor emotional support? [On the day of stem cell collection]
Phase I
BMT Nurse' perceptions of the related donation process will be assessed by a questionnaire designed specifically for this study. Open-ended questions invited BMT Nurses to give their opinion about the related donation process in terms of their own role, the challenges encountered in their professional experience, related donors' concerns and suggestions to improve the organisation of related donation. [Phase I
BMT Nurses' perceptions of the related donation process will be assessed through one interview at a single timepoint. ]
Phase 1
Adult related stem cell transplant donor demographics assessed by a questionnaire designed specifically for this study. Participants are asked for their age, gender, country of birth, marital status, relationship to the recipient, and education. [2 weeks pre-stem cell collection]
Phase I
Organisation of related donor care in BMT Units will assessed by a questionnaire designed specifically for this study. Questions on donation procedures requested a description of each BMT unit’s organisation, including (1) information provided to potential donors (support materials and professionals involved); (2) HLA tests procedures; (3) the consent process; (4) the availability of financial support; and (5) donor follow- up. [Phase I
Organisation of related donor care in BMT Units will be assessed through one interview with BMT Nurse participants at a single timepoint ]
Phase I
Self esteem will be measured using the Better Person scale developed by Simmons et al., 1977[(1) 2 weeks pre-stem cell collection;
(2) on the day of stem cell collection;
(3) 30 days post-stem cell collection]
Phase I
Donor-recipient contact will be assessed using a scale designed specifically for the study of (a) daily, (b) weekly, (c) monthly or (d) yearly/less frequent contact[(1) 2 weeks pre-stem cell collection;
(2) 30 days post-stem cell collection]
Phase II
Acceptability of the resource will be determined by participant evaluation of the acceptability, perceived usefulness and benefits of the resource. The items included in the questionnaires for completion by donors and Nurses will assess participant perceptions of the content, structure, design, timing and delivery of the resource. [Participant evaluation of the resource will be assess through completion and return of a postal questionnaire. A study pack including an information sheet, resource, questionnaire and reply paid envelope for returning the questionnaire will be mailed to potential participants.]
Phase 1
Qualitative questionnaire 3 - Adult related stem cell transplant donors of planned allogeneic transplant recipients. These qualitative questions explore the deeper aspects of related donation and any suggestions for improvement post-donation. 1. Looking back, what are your thoughts and feelings about being a donor after donation? 2. Has donating changed your relationship with your recipient or other family members? 3. What was the most challenging aspect of donation? [30 days post-stem cell collection]
Phase I
Ambivalence about donation will be measured using the Ambivalence about Donation scale developed by Simmons et al., 1977.[2 weeks pre-stem cell collection
]
Phase I
Guilt and responsibility will be assessed using the Guilt and Responsibility scale developed by Butterworth et al., 1993. The individual items are examined separately in the analyses.[(1) 2 weeks pre-stem cell collection;
(2) on the day of stem cell collection;
(3) 30 days post-stem cell collection]
Phase I
Qualitative questionnaire 1 - Adult related stem cell transplant donors of planned allogeneic transplant recipients. In addition to validated measures, a number of qualitative questions were designed specifically for the study to provide a full assessment of the deeper aspects of related donation and suggestions for improvement pre-donation: 1. Decision to donate/ Did you at all hesitate in deciding to donate? 2. What was your motivation to donate? I.e. why are you donating? 3. Did you at all feel pressured to donate? 4. What are your thoughts and feelings about being a donor? 5. How prepared do you feel for the donation experience? 6. What were some of the sources of information that you accessed prior to donation? Use a checklist of available sources: *Haematologist *Internet, incl. videos *BMT coordinator *Books *Friends/family *General practitioner 7. What was the most helpful source of information about donation? 8. How do you think the hospital can improve donor preparation? [2 weeks pre-stem cell collection]
Phase I
Donation experience will be assessed using the Donation Experience scale developed by Butterworth et al., 1993. An overall score is not derived, but individual items are reviewed to understand the donation experience.[(1) on the day of stem cell collection;
(2) 30 days post-stem cell collection]
Secondary ID(s)
None
Source(s) of Monetary Support
Royal Brisbane & Women's Hospital Foundation
Australian Government Department of Education and Training
Secondary Sponsor(s)
Ethics review
Status: Approved
Approval date:
Contact:
Royal Brisbane & Women's Hospital Human Research Ethics Committee
Status: Approved
Approval date:
Contact:
University of Queensland Human Research Ethics Committee
Results
Results available:
Date Posted:
Date Completed:
URL:
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