Social Risk Factors and Discrimination in Cancer Survivorship

Summary

The objective of the proposed study is to scale social risk factor screening and referral for cancer survivors and to solidify information exchange between clinical and community settings in order to improve survivor health and well-being. This will be completed through three primary aims: 1) To ascertain workflow and map community resources needed to facilitate social risk factor screening and referral for breast and prostate cancer survivors in Washington, District of Columbia. 2) To determine impact of Community Health Worker (CHW) support on Black breast and prostate cancer survivor health and wellbeing as measured through quality of life (QOL) and social connection. 3) To determine impact of anti-racism training for staff and clinicians at three cancer centers on patient-reported discrimination.

Conditions

• Social Determinants of Health
• Breast Cancer
• Prostate Cancer
• Health Equity
• Disparities

Interventions

BEHAVIORAL

Community Health Worker support

Participant will receive weekly or monthly support (via phone or in person) from a community health worker. The community health worker will be responsible for continuously assessing the patient's social needs, providing referrals to community based organizations, and assisting with the patient's non-medical needs as they progress through survivorship (e.g. social support, referrals, etc). Individuals who identify no risk factor will receive monthly phone calls, while individuals who identify 1-3 risk factors will receive monthly home visits with interim phone calls for 6 months. Those who identify 4 or more risk factors or have intensive needs such as behavioral health will receive the same services as the medium risk group and will also be connected with the social work teams within each institution.

Sponsors & Collaborators

• George Washington University

  collaborator OTHER

• Howard University

  collaborator OTHER

• Georgetown University

  collaborator OTHER

• Medstar Health Research Institute

  lead OTHER

Principal Investigators

• Hannah Arem, PhD · Medstar Health Research Institute

• Mandi Pratt-Chapman, PhD · George Washington University

Study Design

Allocation

NA

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

SINGLE_GROUP

Eligibility

Min Age

18 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2022-05-05

Primary Completion

2026-07-20

Completion

2026-09-30

Countries

• United States

Study Locations