Four Conversations RCT

Duke University

Status: Completed

Conditions: Breast Cancer

Treatments: Behavioral: Four Conversations

Study type: Interventional

Funder types: Other; NETWORK; Industry

Identifiers

NCT02944344

Pro00070790

Details and patient eligibility

About

The purpose of this study is to see whether patients with metastatic breast cancer, their caregivers, and their healthcare providers can improve in shared decision making (SDM) and preparedness around end of life (EOL) planning through participation in Reimagine's online Four Conversations™ program. The goal is to close clinical practice gaps and enhance the quality of care for patients with metastatic breast cancer through increased competence and performance of healthcare providers and healthcare systems.

Enrollment: 357 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosed with metastatic breast cancer (MBC), caregiver to patient with MBC who is enrolled in this study, or MBC provider
• Age ≥ 18 years
• Internet access through a computer, laptop, tablet, or other mobile device
• Able/willing to have an online interaction with a Reimagine Pillar Guide
• Providing informed consent
• Able to read/write English

Exclusion criteria

• None

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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357 participants in 2 patient groups

Four Conversations Intervention

Experimental group

Description:

Subjects in this arm will participate in Reimagine's online Four Conversations program during the initial study period of four weeks.

Treatment:

Behavioral: Four Conversations

Waitlisted Control

Other group

Description:

Subjects in this arm will continue to receive standard care from their healthcare providers during the initial study period (i.e. no intervention). After four weeks, subjects will then participate in Reimagine's online Four Conversations program.

Treatment:

Behavioral: Four Conversations