PLAN Intervention to Enhance Engagement of Latino Cancer Patients in Advanced Care Planning

Fred Hutchinson Cancer Center (FHCC)

Status: Completed

Conditions: Metastatic Malignant Solid Neoplasm; Locally Advanced Malignant Solid Neoplasm

Treatments: Other: Best Practice; Other: Questionnaire Administration; Other: Communication Intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04889144

K07CA207580 (U.S. NIH Grant/Contract)

NCI-2022-00542 (Registry Identifier)

10760 (Other Identifier)

RG1121949

Details and patient eligibility

About

This trial tests whether Planning for Your Advance Care Needs (PLAN) intervention works to enhance Latino patients' understanding of and engagement in advanced care planning. The PLAN intervention may be an effective method to help people with cancer plan for and talk about advance care planning (the care they would want if they were unable to communicate) with their loved ones and doctors.

Full description

OUTLINE: Patients are randomized to 1 of 2 arms.

ARM I: Patients participate in PLAN intervention, consisting of 3 coaching sessions over 45-60 minutes each with a health coach.

ARM II: Patients receive usual care.

After completion of study treatment, patients are followed up at 1 week and then at 3 months.

Enrollment: 27 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Identifying ethnically as Latino.
• Locally advanced or metastatic cancer and/or have experienced disease progression on at least first-line chemotherapy.
• Ability to provide informed consent.

Exclusion criteria

• Not fluent in English or Spanish.
• Severely cognitively impaired (as measured by Short Portable Mental Status Questionnaire scores of >= 6 to be delivered by trained study research staff during screening).
• Too ill or weak to complete the interviews (as judged by interviewer).
• Currently receiving palliative care/hospice at the time of enrollment (to allow prediction of [advanced care planning] ACP).
• Children and young adults under age 18.
• Patients deemed inappropriate for the study by their treating oncologist.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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27 participants in 2 patient groups

Arm I (PLAN intervention)

Experimental group

Description:

Patients participate in PLAN intervention, consisting of 3 coaching sessions over 45-60 minutes each with a health coach.

Treatment:

Other: Questionnaire Administration

Other: Communication Intervention

Arm II (Best practice)

Active Comparator group

Description:

Patients receive usual care.

Treatment:

Other: Questionnaire Administration

Other: Best Practice