Practices and Organizations Related to Emerging Occupations of Care (EPOCK) Coordination in Oncology

Care Coordination in Oncology Clinical Trial

— EPOCK  

Official title:

Pilot Observational and Analytic Study of Practices and Organizations Related to Emerging Occupations of Care Coordination in Oncology: Modeling the Concept of Care Coordination in Oncology (EPOCK)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03350776
• Other study ID #: CHUBX 2016/31
• Status: Completed
• Start date: April 17, 2018
• Est. completion date: October 30, 2019

Study information

• Verified date: June 2020
• Source: University Hospital, Bordeaux
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

Several stakeholders are implied in cancer care pathways and there is a need for coordinating their actions. New occupations of care coordination have thus emerged. However, the conditions of their efficiency have been too few reported and included discrepancies between reports. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations (nurse-based) by comparing theoretical expected outcomes to professionals, patients and caregivers representations.

Description:

Several stakeholders are implied in cancer care pathways and there is a need to coordinate their actions. New occupations of care coordination have thus emerged, such as nurse coordinator in France (IDEC: Infirmière de Coordination). However, the conditions of their efficiency are not well known. Moreover, several other complementary approaches and nurse occupations have to be identified because of their contribution to care coordination (IDE TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD, IDE ETP)*. Finally, all together, these interventions of care coordination appeared as complex and asked for a theoretical model. Because of this high variability of the practices, without an underlying model, the impact of care coordination on patient quality of life, safety and efficiency of care is difficult to assess. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations by comparing theoretical expected outcomes to professionals, patients and caregivers representations.

The pilot observational study is based on three distinct stages: (1) the definition of care coordination in oncology using a literature review and a Delphi consensus study; (2) the description of practices, contexts, perceptions and attitudes related to care coordination occupations in oncology using a qualitative and a cross-sectional quantitative survey; (3) the comparison of the practices to the theoretical model to propose a modeling of care coordination occupations in oncology.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 960
• Est. completion date: October 30, 2019
• Est. primary completion date: October 2, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• For health institutions: public or private institutions in which nurses contributing to care coordination. Each institution will be associated with one type of coordination occupation, even if other healthcare workers contribute to care coordination in the same institution.

• For professionals of care coordination: nurses contributing to care coordination in oncology (IDEC , IDE TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD or IDE ETP)

• For professionals working with professionals of care coordination:

• Medical and non-medical healthcare professionals (oncologist, surgeon, nurses…), administrative professionals (secretary…), professionals of supportive care (psychologists, social workers…) and volunteers in patient organizations.

• Private practitioners: general practitioner, private nurses, pharmacist

• For the patients : adults under supervision of the selected professionals of care coordination for at least four weeks and able to express themselves

• For the caregivers: family caregivers of the selected patients.

Exclusion Criteria:

• For health institutions: private healthcare networks, territorial support platforms, home-based care providers, healthcare houses

• For professionals of care coordination: coordinating medical doctors of care networks, coordinating medical doctors of hospital care at home, practitioners of regional cancer networks.

• For the patients: <18 years old

Related Conditions & MeSH terms

• Care Coordination in Oncology
• Neoplasms

Intervention

Behavioral:
• Care coordination
Care coordination and associated emerging occupations by comparing theoretical expected outcomes to professionals, patients and caregivers representations

Locations

Country	Name	City	State
France	Institut Sainte Catherine	Avignon
France	CHU de Bordeaux	Bordeaux
France	Clinique Tiivoli Ducos	Bordeaux
France	CH Sud Gironde	Langon
France	CH de Libourne	Libourne
France	Institut Curie	Paris
France	Institut de Cancérologie de la Loire	Saint-Priest
France	HAD Bagatelle	Talence
France	CHU de Toulouse	Toulouse
France	Institut Claudius Regaud	Toulouse

Sponsors (1)

Lead Sponsor	Collaborator
University Hospital, Bordeaux

Country where clinical trial is conducted

France, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Modeling of care coordination in Oncology in France	Constitutive elements of modelling of care coordination in oncology in France (qualitative analysis)	During the whole period (36 months: from Month 1 to Month 36)
Secondary	Care coordination profesionals quality of life	Three scores : perceived organizational support, role conflict and commitment to the organization	Quantitative cross sectional survey (from Month 10 to Month 29)
Secondary	Satisfaction with care coordination for profes professionals working with professionals of care coordination	Score of satisfaction	Quantitative cross sectional survey (from Month 10 to Month 29)
Secondary	Patients quality of life and satisfaction with care coordination	Score of satisfaction and score of quality of life (measured with the European Organization for Research and Treatment (EORTC) quality of life questionnaire)	Quantitative cross sectional survey (from Month 10 to Month 29)
Secondary	Caregivers burden with care coordination	Score of burdean (Zarit Burden Interview) with care coordination	Quantitative cross sectional survey (from Month 10 to Month 29)
Secondary	Caregivers satisfaction with care coordination	Score of satisfaction with care coordination	Quantitative cross sectional survey (from Month 10 to Month 29)