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Effectiveness and Implementation of 'Supportive and Palliative Care Review Kit in Locations Everywhere'
Sponsor: National Cancer Centre, Singapore
Summary
Advanced cancer patients often experience significant physical and emotional symptoms, which can lead to frequent hospital visits and reduced quality of life. Although palliative care can help manage these symptoms and improve well-being, it is often introduced too late. A proactive symptom monitoring model, SPARKLE-2 aims to identify patients who need palliative care earlier by regularly checking their symptoms using a simple questionnaire. Patients with concerned symptoms will receive timely support from the palliative care team, with the goal of improving their quality of life, reducing unnecessary hospital admissions, and helping more patients receive care in the community rather than in hospital. In the earlier SPARKLE-1 study, it showed the improvement of patients' physical wellbeing. SPARKLE-2 seeks to test the effectiveness among advanced cancer patients with unplanned hospital visits while simultaneously collecting data on real-world implementation.
Official title: Effectiveness and Implementation of 'Supportive and Palliative cAre Review Kit in Locations Everywhere' (SPARKLE-2) - A Randomized Controlled Trial
Key Details
Gender
All
Age Range
21 Years - 120 Years
Study Type
INTERVENTIONAL
Enrollment
300
Start Date
2026-08-01
Completion Date
2029-03-31
Last Updated
2026-08-04
Healthy Volunteers
No
Conditions
Interventions
SPARKLE-2
Patients will receive a Short Message Service (SMS) text on their phone every 2 weeks, inviting them to complete a self-reported online six-item Integrated Palliative care Outcome Scale (IPOS) questionnaire over a period of 12 months. If a patient records higher scores on any IPOS symptom domains, a programme coordinator will then make a phone call to the patient for further assessment of symptoms and concerns identified. If indicated, the programme coordinator would then initiate management of the symptoms and concerns according to structured clinical management protocols.
Locations (2)
National Cancer Centre, Singapore
Singapore, Singapore
Singapore General Hospital
Singapore, Singapore