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Brief Title: Lay Health Worker Expanded Intervention in Community Oncology Practices
Official Title: Lay Health Worker Expanded Intervention in Community Oncology Practices
Study ID: NCT04463992
Brief Summary: Undertreated patient symptoms and resulting acute care use require approaches that improve symptom-burden. Previously a lay health worker (LHW)-led symptom screening intervention was developed for patients with cancer. In pilot work, the intervention was associated with improvements in patient symptom burden and reductions in healthcare use and costs of care at the end of life. This intervention will be expanded across several clinics to evaluate the impact of the LHW intervention on with cancer and the LHW will be trained to refer patients to palliative care. This randomized intervention will evaluate the effect on healthcare use, total costs, palliative care and hospice referral.
Detailed Description: All patients with newly diagnosed cancer, over the age of 75 will be randomized into the CareMore Pilot 2 Program with 200 randomized to the intervention grou and 200 randomized to the control group.
Minimum Age: 75 Years
Eligible Ages: OLDER_ADULT
Sex: ALL
Healthy Volunteers: Yes
The Oncology Institute of Hope and Innovation, Tucson, Arizona, United States
The Oncology Institute of Hope and Innovation, Henderson, Nevada, United States
Name: Manali I Patel, MD MPH MS
Affiliation: Stanford University
Role: PRINCIPAL_INVESTIGATOR