Enhancing Community Capacity to Improve Cancer Care Delivery
NCT04107116 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 832
Last updated 2025-02-27
Summary
Undertreated patient symptoms and resulting acute care use require approaches that improve symptom-burden. Previously a a lay health worker (LHW)-led symptom screening intervention was developed for patients with advanced cancer. This intervention will be expanded to all patients with cancer and the LHW will be trained to refer patients to palliative care and behavioral health. This intervention will evaluate the effect on symptom-burden, survival, healthcare use, and total costs.
Conditions
- End of Life
- Cancer
Interventions
- BEHAVIORAL
-
Program participants
The intervention is a 12-month telephonic program in which a lay health worker (LHW), supervised on-site by a registered nurse practitioner (RNP), assessed patient symptoms after diagnosis using the validated Edmonton Symptom Assessment Scale (ESAS) (cite) with the frequency of symptom assessment varying based on patient risk.
- OTHER
-
Usual Care
Usual care as provided by local oncologists
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Manali I Patel, MD MPH MS · Stanford University
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2016-11-01
- Primary Completion
- 2020-09-30
- Completion
- 2021-09-30
Countries
- United States
Study Locations
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