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Brief Title: Early Integrated Telehealth Versus In-Person Palliative Care for Patients With Lung Cancer
Official Title: Comparative Effectiveness of Early Integrated Telehealth Versus In-Person Palliative Care for Patients With Advanced Lung Cancer
Study ID: NCT03375489
Brief Summary: This research study is evaluating ways to provide palliative care to patients who have recently been diagnosed with lung cancer and their families.
Detailed Description: Patients with serious cancers, like advanced lung cancer, often experience physical symptoms, such as pain or shortness of breath. In addition, both patients and their loved ones (family and friends) often feel worried or sad about the cancer diagnosis. Research has shown that early involvement of a team of clinicians that specialize in lessening (or "palliating") many of these distressing physical and emotional symptoms and in helping patients and their families cope with a serious illness improves patients' and their loved ones' experience with their cancer. This team is called "palliative care," and consists of physicians and advanced practice nurses (or "nurse practitioners") who work closely and collaboratively with the oncology team to care for the participant and the participant's loved ones. Research shows that when the palliative care team works closely with the oncology team to care for patients with advanced cancer, they have better symptom control, quality of life, and mood, and their loved ones feel less distressed. the investigators call this model of care, "early integrated palliative care." While the investigators know that having palliative care clinicians work closely with the oncology team is helpful for patients and their loved ones, many patients do not have access to these specialists because hospitals and cancer clinics lack enough staff and because some patients and family members live in distant regions that make attending clinic visits difficult and expensive. One way to overcome these barriers is to have patients meet with palliative care clinicians using secure video-conferencing technology. The purpose of this study is to determine if meeting with a palliative care clinician through video-conferencing is just as beneficial for patients and their families as meeting with a palliative care clinician in person. Specifically, this study will compare these two different strategies for meeting with the palliative care clinician. The first strategy is to schedule the participant to meet with the palliative care clinician regularly each month in person at the clinic. The investigators call this strategy "In-person palliative care." The second strategy is to schedule the participant to meet with the palliative care clinician regularly each month using secure video-conferencing, such as through a smart phone or tablet computer. If the participant do not have this form of technology, the investigators will provide it for the participant. The investigators call this strategy "telehealth palliative care." The primary goals of this study are to learn if telehealth palliative care is just as effective as in-person palliative care for improving quality of life, mood symptoms, and satisfaction with care for patients with advanced lung cancer and their families.
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
University of Alabama at Birmingham, Birmingham, Alabama, United States
City of Hope, Los Angeles, California, United States
University of California - San Francisco, San Francisco, California, United States
University of Colorado, Aurora, Colorado, United States
Emory University, Atlanta, Georgia, United States
Northwestern University School of Medicine, Chicago, Illinois, United States
Rush University Medical Center, Chicago, Illinois, United States
University of Kansas Medical Center, Westwood, Kansas, United States
Johns Hopkins Medicine, Baltimore, Maryland, United States
Massachusetts General Hospital, Boston, Massachusetts, United States
Dana Farber Cancer Institute, Boston, Massachusetts, United States
University of Michigan, Ann Arbor, Michigan, United States
Mayo Clinic in Rochester, Rochester, Minnesota, United States
Dartmouth-Hitchcock Health, Lebanon, New Hampshire, United States
University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States
Wake Forest University, Winston-Salem, North Carolina, United States
Cleveland Clinic, Cleveland, Ohio, United States
Fox Chase Cancer Center, Philadelphia, Pennsylvania, United States
Vanderbilt University, Nashville, Tennessee, United States
University of Texas at Austin, Austin, Texas, United States
UT Southwestern Medical Center, Dallas, Texas, United States
University of Virginia, Charlottesville, Virginia, United States
University of Wisconsin, Madison, Wisconsin, United States
Name: Jennifer Temel, MD
Affiliation: Massachusetts General Hospital
Role: PRINCIPAL_INVESTIGATOR