Trial Outcomes & Findings for Health Care Coach Support in Reducing Acute Care Use and Cost in Patients With Cancer (NCT NCT03154190)

Last Updated: 2025-01-24

Results Overview

Mean emergency department visits for each patient will be abstracted by electronic medical record chart review for each patient at 6 months after enrollment. We will evaluate comparisons of mean numbers of emergency department visits between study arms.

Recruitment status

COMPLETED

Study phase

Target enrollment

128 participants

Primary outcome timeframe

6 months after patient enrollment

Results posted on

2025-01-24

Participant Flow

Participant milestones

Participant milestones
Measure	Arm A (Usual Care) Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Overall Study STARTED	64	64
Overall Study 6 Months	41	44
Overall Study COMPLETED	30	28
Overall Study NOT COMPLETED	34	36

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Health Care Coach Support in Reducing Acute Care Use and Cost in Patients With Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies	Total n=128 Participants Total of all reporting groups
Age, Continuous	67 years n=99 Participants	70 years n=107 Participants	67 years n=206 Participants
Sex/Gender, Customized Gender Identity · Female	31 Participants n=99 Participants	30 Participants n=107 Participants	61 Participants n=206 Participants
Sex/Gender, Customized Gender Identity · Male	32 Participants n=99 Participants	32 Participants n=107 Participants	64 Participants n=206 Participants
Sex/Gender, Customized Gender Identity · Non-binary	1 Participants n=99 Participants	2 Participants n=107 Participants	3 Participants n=206 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	11 Participants n=99 Participants	12 Participants n=107 Participants	23 Participants n=206 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	53 Participants n=99 Participants	52 Participants n=107 Participants	105 Participants n=206 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=99 Participants	0 Participants n=107 Participants	0 Participants n=206 Participants
Race (NIH/OMB) American Indian or Alaska Native	1 Participants n=99 Participants	1 Participants n=107 Participants	2 Participants n=206 Participants
Race (NIH/OMB) Asian	7 Participants n=99 Participants	4 Participants n=107 Participants	11 Participants n=206 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	1 Participants n=99 Participants	1 Participants n=107 Participants	2 Participants n=206 Participants
Race (NIH/OMB) Black or African American	3 Participants n=99 Participants	2 Participants n=107 Participants	5 Participants n=206 Participants
Race (NIH/OMB) White	40 Participants n=99 Participants	46 Participants n=107 Participants	86 Participants n=206 Participants
Race (NIH/OMB) More than one race	2 Participants n=99 Participants	0 Participants n=107 Participants	2 Participants n=206 Participants
Race (NIH/OMB) Unknown or Not Reported	10 Participants n=99 Participants	10 Participants n=107 Participants	20 Participants n=206 Participants
Education Level Less than 8th Grade	1 Participants n=99 Participants	0 Participants n=107 Participants	1 Participants n=206 Participants
Education Level Some High School	1 Participants n=99 Participants	1 Participants n=107 Participants	2 Participants n=206 Participants
Education Level High School Graduate or GED	5 Participants n=99 Participants	8 Participants n=107 Participants	13 Participants n=206 Participants
Education Level 4-Year College Graduate	11 Participants n=99 Participants	8 Participants n=107 Participants	19 Participants n=206 Participants
Education Level Some College or 2-Year Degree	22 Participants n=99 Participants	20 Participants n=107 Participants	42 Participants n=206 Participants
Education Level More than 4-Year College Graduate	6 Participants n=99 Participants	14 Participants n=107 Participants	20 Participants n=206 Participants
Education Level Prefer Not To Answer	18 Participants n=99 Participants	13 Participants n=107 Participants	31 Participants n=206 Participants
Insurance Status Medicare	20 Participants n=99 Participants	21 Participants n=107 Participants	41 Participants n=206 Participants
Insurance Status Medicaid	3 Participants n=99 Participants	3 Participants n=107 Participants	6 Participants n=206 Participants
Insurance Status Private	40 Participants n=99 Participants	38 Participants n=107 Participants	78 Participants n=206 Participants
Insurance Status Uninsured	1 Participants n=99 Participants	2 Participants n=107 Participants	3 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Gynecology	4 Participants n=99 Participants	7 Participants n=107 Participants	11 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Genitourinary	3 Participants n=99 Participants	5 Participants n=107 Participants	8 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Gastrointestinal	29 Participants n=99 Participants	20 Participants n=107 Participants	49 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Breast	5 Participants n=99 Participants	4 Participants n=107 Participants	9 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Thoracic	10 Participants n=99 Participants	14 Participants n=107 Participants	24 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Malignant Hematologic	5 Participants n=99 Participants	5 Participants n=107 Participants	10 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Head and Neck	1 Participants n=99 Participants	5 Participants n=107 Participants	6 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Melanoma	2 Participants n=99 Participants	2 Participants n=107 Participants	4 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Glioblastoma	4 Participants n=99 Participants	2 Participants n=107 Participants	6 Participants n=206 Participants
Anatomic Site of Cancer Diagnosis Unknown Primary	1 Participants n=99 Participants	0 Participants n=107 Participants	1 Participants n=206 Participants
Cancer Stage at Diagnosis 3	9 Participants n=99 Participants	12 Participants n=107 Participants	21 Participants n=206 Participants
Cancer Stage at Diagnosis 4	49 Participants n=99 Participants	48 Participants n=107 Participants	97 Participants n=206 Participants
Cancer Stage at Diagnosis Not applicable (i.e., Leukemia, Glioblastoma)	6 Participants n=99 Participants	4 Participants n=107 Participants	10 Participants n=206 Participants
Cancer-Directed Treatment Chemotherapy	60 participants n=99 Participants	60 participants n=107 Participants	120 participants n=206 Participants
Cancer-Directed Treatment Radiation	28 participants n=99 Participants	25 participants n=107 Participants	53 participants n=206 Participants
Cancer-Directed Treatment Surgery	10 participants n=99 Participants	19 participants n=107 Participants	29 participants n=206 Participants
Recurrent Cancer - no	29 Participants n=99 Participants	23 Participants n=107 Participants	52 Participants n=206 Participants
Symptom Burden	12.8 score on a scale STANDARD_DEVIATION 11.5 • n=99 Participants	13.3 score on a scale STANDARD_DEVIATION 10.5 • n=107 Participants	13 score on a scale STANDARD_DEVIATION 11.3 • n=206 Participants

PRIMARY outcome

Timeframe: 6 months after patient enrollment

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Number of Emergency Department Visits (Chart Review)	1.33 visits Standard Deviation 2.53	0.41 visits Standard Deviation 1.02

PRIMARY outcome

Timeframe: 6 months after patient enrollment

Mean Hospitalization use for each patient will be abstracted by electronic medical record chart review for each patient at 6 months after enrollment. We will evaluate comparisons of mean numbers of hospitalizations between the two study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Number of Hospitalization Visits (Chart Review)	0.91 visits Standard Deviation 1.98	0.44 visits Standard Deviation 1.28

SECONDARY outcome

Timeframe: Change in patient satisfaction with care and decision making from baseline to 6 and 12 months

Population: Participants who completed the survey at each respective time point are included in the analysis.

Each patient will receive a satisfaction with decision-making survey (The Satisfaction with Decision Survey) at baseline, 6 months, and 12 months. Satisfaction with Decision was assessed using the Satisfaction with Decision scale, which measured rating of decision-making. Questions were assessed with responses on a scale of "strongly disagree," "disagree," "neither agree nor disagree," "agree," or "strongly agree." Results are expressed as proportion of participants who responded "strongly agree."

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=47 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=51 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale Baseline: I am satisfied that I am adequately informed about the treatment decisions available to me	47 Participants	50 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale Baseline: I made the best decisions possible about my treatment options	47 Participants	50 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 12 Month: I made the best decisions possible about my treatment options	29 Participants	28 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale Baseline: I believe that my decisions were consistent with what's important to me	47 Participants	50 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 6 Month: I believe that my decisions were consistent with what's important to me	40 Participants	44 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 12 Month: I believe that my decisions were consistent with what's important to me	29 Participants	28 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale Baseline: I expect to successfully carry out (or continue to carry out) the decision I made	47 Participants	50 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 6 Month: I expect to successfully carry out (or continue to carry out) the decision I made	40 Participants	44 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 12 Month: I expect to successfully carry out (or continue to carry out) the decision I made	29 Participants	28 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale Baseline: I was encouraged by the Cancer Center staff to speak up about my treatment preferences	47 Participants	50 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 6 Month: I was encouraged by the Cancer Center staff to speak up about my treatment preferences	40 Participants	44 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 12 Month: I was encouraged by the Cancer Center staff to speak up about my treatment preferences	29 Participants	28 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale Baseline: I am satisfied with the care I received at St. Joseph Heritage Healthcare	46 Participants	50 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 6 Month: I am satisfied with the care I received at St. Joseph Heritage Healthcare	39 Participants	44 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 12 Month: I am satisfied with the care I received at St. Joseph Heritage Healthcare	28 Participants	28 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 6 Month: I am satisfied that I am adequately informed about the treatment decisions available to me	40 Participants	44 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 12 Month: I am satisfied that I am adequately informed about the treatment decisions available to me	29 Participants	28 Participants
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale 6 Month: I made the best decisions possible about my treatment options	40 Participants	44 Participants

SECONDARY outcome

Timeframe: Change in patient satisfaction with care from baseline to 6 and 12 months

Population: Participants who completed the survey at each respective time point are included in the analysis.

Each patient will receive a satisfaction with care survey (The Consumer Assessment of Healthcare Providers and Systems-G) at baseline, 6 months, and 12 months. Overall Health and Overall Mental or Emotional health was assessed using the Consumer Assessment of Health Care Providers and Systems-Clinician and Group Survey version 2.0 (cite) questions #26, which measured rating of overall health with responses, "excellent," "very good," "fair," or "poor." Questions were assessed with responses "never", "sometimes," "usually," or "always," or care rated as "worst," "fair," good", or "best." Results are expressed as proportion of participants who responded "always", or "best care."

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=47 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: How often did you get an answer to your medical question the same day during office hours?	22 Participants	22 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: How often did you get an answer to your medical question the same day during office hours?	21 Participants	34 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: How often did you get an answer to your medical question the same day during office hours?	15 Participants	17 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: How often did you get an answer to your medical question the same day after office hours?	11 Participants	9 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: How often did you get an answer to your medical question the same day after office hours?	9 Participants	13 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month : How often did you get an answer to your medical question the same day after office hours?	6 Participants	10 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: How often did your provider team explain things in a way that was easy to understand?	34 Participants	38 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: Received the best care?	30 Participants	37 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: In general, how would you rate your overall health?	10 Participants	12 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month : How often did your provider team explain things in a way that was easy to understand?	35 Participants	42 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: How often did your provider team explain things in a way that was easy to understand?	27 Participants	24 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: How often did this provider's team listen carefully to you?	40 Participants	46 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: How often did this provider's team listen carefully to you?	37 Participants	42 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: How often did this provider's team listen carefully to you?	28 Participants	26 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: How often did this provider's team show respect for what you had to say?	42 Participants	47 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: How often did this provider's team show respect for what you had to say?	38 Participants	43 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: How often did this provider's team show respect for what you had to say?	30 Participants	28 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: How often did this provider's team spend enough time with you?	40 Participants	41 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: How often did this provider's team spend enough time with you?	40 Participants	44 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: How often did this provider's team spend enough time with you?	30 Participants	28 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: How often did your provider's office follow up to give you the results of a test?	37 Participants	39 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: How often did your provider's office follow up to give you the results of a test?	35 Participants	38 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: How often did your provider's office follow up to give you the results of a test?	28 Participants	24 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: I am satisfied with the care I received at St. Joseph Heritage Health Care?	47 Participants	50 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: I am satisfied with the care I received at St. Joseph Heritage Health Care?	40 Participants	44 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: I am satisfied with the care I received at St. Joseph Heritage Health Care?	27 Participants	28 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: Received the best care?	27 Participants	33 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: Received the best care?	21 Participants	22 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: In general, how would you rate your overall health?	12 Participants	12 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: In general, how would you rate your overall health?	9 Participants	9 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. Baseline: In general, how would you rate your overall mental or emotional health?	31 Participants	34 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 6 Month: In general, how would you rate your overall mental or emotional health?	13 Participants	28 Participants
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. 12 Month: In general, how would you rate your overall mental or emotional health?	9 Participants	18 Participants

SECONDARY outcome

Timeframe: 12 months after patient enrollment

Emergency Department use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of emergency department visits between study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Mean Emergency Department Visits (Chart Review)	2.02 mean visits per year Standard Deviation 3.86	0.92 mean visits per year Standard Deviation 1.67

SECONDARY outcome

Timeframe: 30 days prior to death

Number of people with Emergency Department use in the 30 days before death will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of the number of people with emergency department visits between study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=26 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=32 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Number of People With Emergency Department Visit (Chart Review)	4 Participants	0 Participants

SECONDARY outcome

Timeframe: 12 months after patient enrollment

Hospital use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of hospitalization use between study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Hospitalization Visits (Chart Review)	1.63 visits Standard Deviation 3.03	0.82 visits Standard Deviation 1.68

SECONDARY outcome

Timeframe: 30 days prior to death

Number of patients with hospital use in the 30 days before death will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of proportion of people with hospitalization use between study arms in the 30 days before death.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=26 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=32 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Number of Patients With Hospital Use (Chart Review)	3 Participants	0 Participants

SECONDARY outcome

Timeframe: 6 months after patient enrollment

Hospice use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of hospice use between study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Hospice Consult (Chart Review)	10 Participants	20 Participants

SECONDARY outcome

Timeframe: 12 months after patient enrollment

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Hospice Consult (Chart Review)	10 Participants	20 Participants

SECONDARY outcome

Timeframe: 30 days prior to death

Hospice use for each patient will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of hospice use between study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=26 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=32 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Hospice Consult (Chart Review)	9 Participants	16 Participants

SECONDARY outcome

Timeframe: 6 months after patient enrollment

Palliative Care consult for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of palliative care use between study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Palliative Care Consult (Chart Review)	37 Participants	55 Participants

SECONDARY outcome

Timeframe: 12 months after patient enrollment

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=64 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=64 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Palliative Care Consult (Chart Review)	37 Participants	55 Participants

SECONDARY outcome

Timeframe: 30 days prior to death

Palliative Care consult for each patient will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of palliative care use between study arms.

Outcome measures

Outcome measures
Measure	Arm A (Usual Care) n=26 Participants Patients receive usual care. Best Practice: Receive usual care Laboratory Biomarker Analysis: Correlative studies Survey Administration: Ancillary studies	Arm B (Health Care Coach Support) n=32 Participants Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. Laboratory Biomarker Analysis: Correlative studies Supportive Care: Undergo health care coach support Survey Administration: Ancillary studies
Palliative Care Consult (Chart Review)	17 Participants	26 Participants

Adverse Events

Arm A (Usual Care)

Serious events: 0 serious events

Other events: 0 other events

Deaths: 26 deaths

Arm B (Health Care Coach Support)

Serious events: 0 serious events

Other events: 0 other events

Deaths: 32 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Manali Patel

Stanford University School of Medicine

Phone: 650-723-4000

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place