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Community Health Worker Based Intervention to Improve Palliative Care

Johns Hopkins University logo

Johns Hopkins University

Status

Invitation-only

Conditions

Advanced Cancer
End Stage Cancer
Cancer
Malignancy

Treatments

Other: Community Health Worker (CHW) based palliative care

Study type

Interventional

Funder types

Other
NIH

Identifiers

NCT05407844
1R01MD016935-01 (U.S. NIH Grant/Contract)
IRB00283002
1R01CA252101-01A1 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The study aims to find out if community health worker (CHW) support will improve palliative care outcomes in African American patients with advanced cancer, by comparing the quality of life of patients who are receiving standard care to those whose standard care is supplemented with CHW support.

Full description

This research is being done to establish the effectiveness of a Community Health Worker based palliative care intervention among African American patients with advanced solid organ malignancies and their care givers.

The investigators' long-term goal is to reduce the research-to-practice gap in utilization of evidence-based palliative care in African Americans with advanced cancer. The objectives of this study are to establish the effectiveness of a CHW-based palliative care intervention and develop generalizable knowledge on how contextual factors influence implementation.

Enrollment

310 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Patient Inclusion Criteria:

  • Self-identified African American patients with advanced (AJCC stage III or IV) solid organ malignancy
  • >18 years old
  • English speaking
  • Intact cognition and ability to provide informed consent

Patient Exclusion Criteria:

  • Participants < 18 years of age
  • Participants who are already receiving palliative care services

Caregiver Inclusion Criteria:

  • Adult (>18 years old) caregivers providing informal (unpaid) care to an eligible African American cancer patient (related or unrelated)
  • >18 years old
  • English speaking
  • Intact cognition and ability to provide informed consent

Caregiver Exclusion Criteria:

  • Participants < 18 years of age

Trial design

Primary purpose

Supportive Care

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

310 participants in 2 patient groups

Standard care
No Intervention group
Description:
Standard cancer care
Standard care + DeCIDE PC intervention
Experimental group
Description:
Community health worker support and standard cancer care
Treatment:
Other: Community Health Worker (CHW) based palliative care

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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