Breast Cancer Clinical Trial
Official title:
Integrated Actionable Aging Assessment for Cancer Patients Pilot
Aging is the greatest risk factor for cancer incidence and mortality. Geriatric screening is recommended to help with treatment discussions, inform intensity of treatment, and identify supportive care needs. Despite a strong evidence base, geriatric assessments are not implemented routinely in oncologic clinics. Similarly, important information on social determinants of health, mental health, and health behaviors are inconsistently assessed, and almost never in an integrated fashion. In an effort to support clinicians delivering the recommended goal-concordant care, the investigators will integrate assessment of geriatric issues, health behaviors, mental health, and social determinants of health into an efficient, actionable contextual assessment system for older cancer patients called Integrated Aging Assessment for Action for Cancer Patients (IA3-CP). The investigators will use D&I strategies including co-creation engagement approaches and form-function methods to develop workflow processes that feasibly integrate the IA3-CP into usual initial assessment with the oncology team. Our objective is to develop and conduct a randomized pilot of the IA3-CP system and hypothesize that our results will show it can be implemented consistently, acted on, improve quality of care, and enhance patient-provider interactions.
Status | Recruiting |
Enrollment | 35 |
Est. completion date | December 2026 |
Est. primary completion date | December 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years to 111 Years |
Eligibility | Inclusion Criteria: - Age > /= 65 - Patient must agree to participate in all study-related activities - English or Spanish speaking - Attending initial visit to oncology Exclusion criteria - age < 65 - primary language other than English or Spanish |
Country | Name | City | State |
---|---|---|---|
United States | University of Colorado Hospital | Aurora | Colorado |
Lead Sponsor | Collaborator |
---|---|
University of Colorado, Denver | National Cancer Institute (NCI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Patient reported receipt of quality illness care | Measured by the Patient Assessment of Chronic illness Care (PACIC). The score ranges from 1-5 where higher scores mean a better outcome | 12 weeks | |
Primary | Number of referrals made and completed for geriatric, health behavior and SDoH issues | Measured by data abstraction from EHR | 16 weeks | |
Secondary | Discussion of IA3-CP related issues in oncologist-patient encounter | Measured by checklist adapted from the Roter interaction analysis system (RIAS) completed from recorded observation of patient-oncologist meeting | 7 months | |
Secondary | Oncologist utility | Did IA3-CP change your care plan? (yes/no) How helpful was it? (6 pt. scale) | 7 months | |
Secondary | Proportion of patients that use IA3-CP screening tool | Measured by clinic leadership report & observation | 7 months |
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