Spots Global Cancer Trial Database for Evaluation of a Program for Routine Implementation of Symptom Distress Screening and Referral in Cancer Care

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Trial Identification

Brief Title: Evaluation of a Program for Routine Implementation of Symptom Distress Screening and Referral in Cancer Care

Official Title: Evaluation of a Program for Routine Implementation of Symptom Distress Screening and Referral in Cancer Care: a Stepped Wedge Cluster Randomized Trial

Study ID: NCT05949996

Conditions

Neoplasms

Interventions

A nurse-led symptom distress screening program

Study Description

Brief Summary: This study proposes to evaluate the process and outcome of an implementation program designed to implement nurse-led symptom distress screening and referral into routine cancer care clinics. Specifically, using a stepped-wedge cluster randomized controlled trial, This study aim to test if a systematic symptom distress screening program increases the proportion of eligible patients screened and referred compared to usual control. For process evaluation, this study will use qualitative methods to assess the experience and response to the implementation program.

Detailed Description: This study proposes to evaluate the process and outcome of an implementation program designed to implement nurse-led symptom distress screening and referral into routine cancer care clinics. Specifically, using a stepped-wedge cluster randomized controlled trial, this study aim to test if a systematic symptom distress screening program (i.e. using the five implementation strategies including training, audit, feedback, facilitation and adaptable workflow) increases the proportion of eligible patients screened and referred compared to usual control under which no implementation strategies will be used to facilitate the adoption of the systematic symptom distress screening and referral. The investigator hypothesize that (1) the intervention will increase the proportion of eligible patients screened; (2) the intervention will increase the proportion of patients with moderate to severe symptom distress referred for psychosocial support. For process evaluation, this study will use qualitative methods to assess the experience and response to the implementation program.