Comorbidities And Reducing inEquitieS (CARES)

MedStar Health

Status: Completed

Conditions: Hypertension; Cancer, Breast; Cancer Prostate; Diabetes Mellitus

Treatments: Behavioral: Support

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT04836221

00003543

Details and patient eligibility

About

Black cancer patients tend to have worse outcomes than White cancer patients. Some of this disparity may be due to comorbidities. The purpose of this study is to improve management of co-morbidities among cancer patients in order to improve cancer outcomes and improve health equity.

Comorbidities such as diabetes and hypertension can complicate cancer treatment or can make it difficult to reach optimal health after treatment. This study will offer additional support and tools to manage cancer patient's health needs. First, the study will use a mobile health application, managed by a company called Welldoc, to monitor patient progress in real time and to provide ongoing guidance. Second, the study will connect patients with a Community Health Worker who will speak with them weekly to discuss self-care information, including medical scheduling or appointment needs, and assist with daily self-monitoring of blood pressure and/or blood glucose monitoring. Lastly, an oncology nurse will monitor reported health and triage any medical needs and whether additional medical care is needed.

Enrollment: 63 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Black women with a diagnosis of stage 0-IV breast cancer and within a month of treatment initiation or with 6+ months of treatment left OR Black men with a history of prostate cancer who are on long-term androgen deprivation therapy;
• Blood pressure >=120/80 OR diagnosis of diabetes
• Individuals who develop these conditions during treatment such as those scheduled to initiate steroid-containing chemotherapy or targeted PI3K inhibitor therapies
• Access to a smartphone and/or internet for the duration of the study.
• Can understand and communicate in English

Exclusion criteria

• Unwilling to participate in a 6-month study

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

---

63 participants in 1 patient group

Intervention

Experimental group

Description:

Will receive mHealth support for comorbidity and support from a Community Health Worker by phone

Treatment:

Behavioral: Support