Comparative Effectiveness Trial of Two Supportive Cancer Care Delivery Models for Adults With Cancer

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.

Interventions

• Receive technology-based supportive cancer care · OTHER

  All participants will receive an electronic health record message or email with standardized information provided regarding advance care planning and symptom management.

• Receive redesigned team-based supportive cancer care · BEHAVIORAL

  Lay Health Workers will meet with 1:1 with participants over 12 months to discuss advance care planning, surrogate decision-makers, advance directives and physician orders for life sustaining treatment.

Published eligibility criteria

Verbatim from the registry. Only the site can decide how these apply to a specific patient.

Inclusion Criteria:

1. Newly diagnosed patients with solid tumor cancer diagnosis or recurrence of the disease.
2. Patients must have the ability to understand and willingness to provide verbal consent.
3. Participants must speak English, Spanish, Chinese, or Vietnamese.

Exclusion Criteria:

1. Inability to consent to the study
2. Plans to change oncologist within 12 months
3. Employed by the practice site
4. Patients who anticipate moving from the area within 12 months

Sites (17)

• University of Alabama at Birmingham, Birmingham, Alabama · RECRUITING
• University of South Alabama, Mobile, Alabama · RECRUITING
• Beckman Research Institute of City of Hope, Duarte, California · RECRUITING
• VA Medical Center, Fresno, Fresno, California · RECRUITING
• Santa Clara Valley Medical Center, Fruitdale, California · RECRUITING
• St Jude Heritage Medical Group, Fullerton, California · RECRUITING
• Oncology Institute for Hope and Innovation, Los Angeles, California · RECRUITING
• Sacramento VA Medical Center - VA Northern California Health Care System, Mather, California · ACTIVE_NOT_RECRUITING
• Pacific Cancer Care, Monterey, California · ACTIVE_NOT_RECRUITING
• VA Palo Alto, Palo Alto, California · ACTIVE_NOT_RECRUITING
• Zuckerberg San Francisco General, San Francisco, California · RECRUITING
• Kaiser Foundation Research Institute, San Francisco, California · RECRUITING
• University of San Francisco, San Francisco, California · RECRUITING
• San Francisco VA Medical Center, San Francisco, California · ACTIVE_NOT_RECRUITING
• Spark M. Matsunaga VA Medical Center, Honolulu, Hawaii · RECRUITING
• North Las Vegas VA Medical Center, Las Vegas, Nevada · ACTIVE_NOT_RECRUITING
• George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, Utah · RECRUITING