Neoplasms

Skin and Connective Tissue Diseases

All Conditions

Gland and Hormone Related Diseases

Respiratory Tract (Lung and Bronchial) Diseases

Urinary Tract, Sexual Organs, and Pregnancy Conditions

Digestive System Diseases

Breast Neoplasms

Thyroid Diseases

Lung Neoplasms

Urinary Bladder Neoplasms

Uterine Cervical Neoplasms

Thyroid Neoplasms

Head and Neck Neoplasms

Rectal Neoplasms

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Intestinal Diseases

Rectal Diseases

All participants will complete surveys to assess Quality of Care and Patient Reported outcomes at baseline, 3 months and 6 months. The CARES intervention will include a maximum of 10 navigation and 10 counseling sessions delivered over approximately a 6- month period delivered by oncology nurse navigators and master's level counselors. Sessions will be scheduled to correspond with key transition points during treatment and may be held in person, virtually, or by phone.

All participants will complete surveys to assess Quality of Care and Patient Reported Outcomes. Patients will receive a standardized list of resources.

Nurse navigators and masters levels counselors will meet with participants up to 10 times each (10 navigation and 10 counseling) over a 6 month period. The number of sessions will be determined by the length of the patient's treatment. The timing of each session will be guided by a regular assessment to reduce the time from diagnosis to initiation of treatment and the time between subsequent treatments. Sessions will occur at key transition points during treatment to target the factors associated with treatment delays, reduced Quality of Care and poor Patient Reported Outcomes

CARES Intervention

Jennifer V Gonzalez, MS

Jennifer V Gonzalez

Steven Schuster, MD

Marty Jacobsen

Ryan Lanning, MD

Poojitha Valasareddy, MD

Jennifer P Gonzalez

Evelinn Borrayo, PhD

This study will assess if the CARES (Cancer Advocacy, Resources, Education and Support) intervention improves time to start of treatment after diagnosis and time to treatment completion for solid tumors (ex: lung, head, neck, thyroid, cervical, breast, bladder, colon, and rectal cancers) in rural patients.

This is a randomized study. 320 participants will be enrolled to the CARES intervention or usual care arms. All participants will complete surveys to assess Quality of Care and Patient Reported outcomes at baseline, 3 months and 6 months. The CARES intervention will include a maximum of 10 navigation and 10 counseling sessions delivered over approximately a 6- month period delivered by oncology nurse navigators and master's level counselors. Sessions will be scheduled to correspond with key transition points during treatment and may be held in person, virtually, or by phone. Patients enrolled to the usual care arm will receive a standardized list of resources. Participation will last 6 months.

Improving Care for Rural Patients With Solid Tumors

Improving the Timeliness and Quality of Care for Rural Patients With Solid Tumors

Number of days from diagnosis to treatment initiation and number of days from treatment initiation to treatment completion

Use Quality of Care (QOC) questionnaire to determine if CARES intervention results in favorable QOC experience

Use Patient Reported Outcomes (PRO) questionnaire o determine if CARES intervention results in improvements in distress, adaptive coping, and tobacco use

National Cancer Institute (NCI)

University of Colorado, Denver

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Improving Care for Rural Patients With Solid Tumors	NCT04916990	Lung Cancer Head and Neck C... Thyroid Cancer Cervical Cancer Breast Cancer Bladder Cancer Colon Cancer Rectum Cancer	CARES Intervent...	18 Years - 99 Years	University of Colorado, Denver
Improving Care for Rural Patients With Solid Tumors	NCT04916990	Lung Cancer Head and Neck C... Thyroid Cancer Cervical Cancer Breast Cancer Bladder Cancer Colon Cancer Rectum Cancer	CARES Intervent...	18 Years - 99 Years	University of Colorado, Denver

Spots Global Cancer Trial Database for cares intervention