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Lay Health Worker Expanded Intervention in Community Oncology Practices

Stanford University logo

Stanford University

Status

Completed

Conditions

Cancer
End of Life

Treatments

Behavioral: Program participants
Other: Usual Care

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

Undertreated patient symptoms and resulting acute care use require approaches that improve symptom-burden. Previously a lay health worker (LHW)-led symptom screening intervention was developed for patients with cancer. In pilot work, the intervention was associated with improvements in patient symptom burden and reductions in healthcare use and costs of care at the end of life. This intervention will be expanded across several clinics to evaluate the impact of the LHW intervention on with cancer and the LHW will be trained to refer patients to palliative care. This randomized intervention will evaluate the effect on healthcare use, total costs, palliative care and hospice referral.

Full description

All patients with newly diagnosed cancer, over the age of 75 will be randomized into the CareMore Pilot 2 Program with 200 randomized to the intervention grou and 200 randomized to the control group.

Enrollment

416 patients

Sex

All

Ages

75 to 100 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Newly diagnosed or relapsed cancer diagnosis.
  • 75 years or older
  • Diagnosis of relapse or progressive disease (any cancer diagnosis) as identified by imaging or biopsy and confirmed by physician.
  • Must have capacity to verbally consent

Exclusion criteria

  • Inability to consent to the study due to lack of capacity as documented by the referring physician.

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Triple Blind

416 participants in 2 patient groups

Intervention Group Arm
Experimental group
Description:
Patients randomized into the intervention will be assigned a lay health worker who will contact the patient to begin the intervention. The intervention includes: proactive symptom assessments for patients for up to 12-months.
Treatment:
Other: Usual Care
Behavioral: Program participants
Behavioral:Program participants
Active Comparator group
Description:
The control group arm will receive usual care as provided by their local oncologists.
Treatment:
Other: Usual Care

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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