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Brief Title: Comparative Effectiveness Trial of Two Supportive Cancer Care Delivery Models for Adults With Cancer
Official Title: Comparative Effectiveness Trial of Two Supportive Cancer Care Delivery Models for Adults With Cancer
Study ID: NCT05297734
Brief Summary: This cluster-randomized comparative effectiveness trial compares a technology-based supportive cancer care (SCC) approach with a redesigned team-based supportive cancer care (SCC) approach.
Detailed Description: PRIMARY OBJECTIVES: I. Greater intervention effects on health-related quality of life SECONDARY OBJECTIVES: I. Greater intervention effects on patient activation II. Greater satisfaction with care and decision-making III. Greater documentation of goals of care and symptoms IV. To lower acute care V. Greater palliative care and hospice OUTLINE: Sites are randomized to 1 of 2 arms. ARM A: Patients receive educational materials to assist with advance care planning and symptom management through a technology-based supportive cancer care weekly during months 1-4 and every other week during months 5-12. ARM B: Patients are paired with a lay health worker who will discuss the same educational materials from ARM A either in person or by telephone discussions weekly during months 1-4 and every other week during months 5-12. All participants complete a baseline interview upon enrollment during the initial consent phone contact and then a survey at 3-, 6-and 12-months post enrollment.
Minimum Age: 21 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of Alabama at Birmingham, Birmingham, Alabama, United States
University of South Alabama, Mobile, Alabama, United States
Beckman Research Institute of City of Hope, Duarte, California, United States
VA Medical Center, Fresno, Fresno, California, United States
Santa Clara Valley Medical Center, Fruitdale, California, United States
St Jude Heritage Medical Group, Fullerton, California, United States
Oncology Institute for Hope and Innovation, Los Angeles, California, United States
Sacramento VA Medical Center - VA Northern California Health Care System, Mather, California, United States
Pacific Cancer Care, Monterey, California, United States
VA Palo Alto, Palo Alto, California, United States
Zuckerberg San Francisco General, San Francisco, California, United States
Kaiser Foundation Research Institute, San Francisco, California, United States
University of San Francisco, San Francisco, California, United States
San Francisco VA Medical Center, San Francisco, California, United States
Spark M. Matsunaga VA Medical Center, Honolulu, Hawaii, United States
North Las Vegas VA Medical Center, Las Vegas, Nevada, United States
George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, Utah, United States