Project CASCADE: Community and Academic Synergy for Cancer Survivorship Care Delivery Enhancement

The University of Texas System (UT)

Status: Invitation-only

Conditions: Cancer Survivorship

Treatments: Behavioral: Survivorship care delivery intervention

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT06883838

HSC-SPH-24-0777

U01CA290663 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to implement a clinic-level cancer survivorship care delivery intervention in partnership with community health center clinicians, patients, and community representatives to test effectiveness of the intervention to improve patient and clinician outcomes and to evaluate implementation of the intervention using an iterative, concurrent mixed-methods approach guided by the Practice Change Model.

Enrollment: 5,584 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria (participants):

-at least one visit to the Community Health Centers (CHCs) in the prior year

Exclusion Criteria (participants):

- no history of cancer recorded in the problem list or past medical history in the medical record

Inclusion Criteria (clinicians):

-employed clinicians (e.g. physicians, nurses, pharmacists, or other allied health professionals) and non-clinician staff of the participating CHC clinics

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: None (Open label)

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5,584 participants in 4 patient groups

Step 1 (2 clinics)-6 months control then 12 months intervention

Experimental group

Treatment:

Behavioral: Survivorship care delivery intervention

Step 2 (2 clinics)-12 months control then 12 months intervention

Experimental group

Treatment:

Behavioral: Survivorship care delivery intervention

Step 3 (2 clinics)-18 months control then 12 months intervention

Experimental group

Treatment:

Behavioral: Survivorship care delivery intervention

Step 4 (2 clinics)- 24 months control then 12 months intervention

Experimental group

Treatment:

Behavioral: Survivorship care delivery intervention