Expanding Rural Health Cancer Control Capacity

Debra Friedman

Status: Active, not recruiting

Conditions: Cancer

Treatments: Behavioral: Survivorship Patient Navigation Intervention; Behavioral: Telehealth Survivorship Visit Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04765072

VICC PED 2019

3P30CA068485-24S2 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

Through this pilot study, investigators will test an innovative approach to implement survivorship care planning at three sites located in or adjacent to rural counties. The pilot data will inform a subsequent multi-site Hybrid Type 3 Implementation-Effectiveness study that will assess both implementation and clinical effectiveness outcomes.

Full description

Study Aims:

• Pilot test the implementation of guideline-based survivorship care planning in a rural setting using patient navigation plus telehealth among underserved rural cancer survivors. Investigators will collect feasibility data on patient recruitment rates and the ability to measure clinical effectiveness outcomes using the electronic health record and patient reports (survivor adherence to recommended disease surveillance, health assessment and cancer prevention/early detection practices).
• Identify the facilitators and barriers to future larger scale implementation of guideline-based survivorship care planning in rural settings to optimize the implementation strategies. Through a mixed methods approach, investigators will address implementation research questions focused on "real world" implementation of the guideline-based intervention in rural areas, including barriers/facilitators and translation to other rural settings. This will allow us to optimize the implementation strategies that will be further evaluated in the future large-scale implementation trial

Enrollment: 33 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Cancer patient at least 18 years of age at time of cancer therapy
• English-speaking with the ability to provide informed consent
• Received treatment for Stage 0 - III cancer with curative intent
• Completed cancer therapy within the previous 12 months (i.e., 12 months prior to consenting) and in complete remission

Trial design

Primary purpose: Supportive Care

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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33 participants in 1 patient group

Survivorship care

Experimental group

Description:

Participants in rural areas will receive a telehealth (providing health-related services through electronic communication technologies) survivorship care plan in combination with assistance from a patient navigator.

Treatment:

Behavioral: Telehealth Survivorship Visit Intervention

Behavioral: Survivorship Patient Navigation Intervention