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Clinical Trial Summary

This randomized pilot clinical trial studies health care coach support in reducing acute care use and cost in patients with cancer. Health care coach support may help cancer patients to make decisions about their care that matches what is important to them with symptom management.


Clinical Trial Description

PRIMARY OBJECTIVES: I. To reduce acute care utilization by 2-5% for advanced cancer patients by training and deploying health care coaches who help patients and families discuss care goals, virtual modalities, engage in shared-decision-making, and participate in educational activities. SECONDARY OBJECTIVES: I. To improve patients' experience of their care. II. Improve patient understanding of advanced care planning. III. To improve the receipt of goal concordant care. IV. To reduce total healthcare costs. OUTLINE: Patients are randomized to 1 of 2 arms. ARM A: Patients receive usual care. ARM B: 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. After completion of study, patients are followed up for 6 months. ;


Study Design


Related Conditions & MeSH terms

  • Acute Myeloid Leukemia
  • Brain Glioblastoma
  • Breast Neoplasms
  • Carcinoma
  • Carcinoma, Non-Small-Cell Lung
  • Carcinoma, Ovarian Epithelial
  • Carcinoma, Renal Cell
  • Colonic Neoplasms
  • Disease Progression
  • Esophageal Neoplasms
  • Estrogen Receptor Negative
  • Extensive Stage Small Cell Lung Carcinoma
  • Glioblastoma
  • Head and Neck Carcinoma
  • HER2/Neu Negative
  • Hormone-Resistant Prostate Cancer
  • Limited Stage Small Cell Lung Carcinoma
  • Lung Neoplasms
  • Melanoma
  • Myelodysplastic Syndrome
  • Myelodysplastic Syndromes
  • Osteosarcoma
  • Ovarian Neoplasms
  • Pancreatic Neoplasms
  • Progesterone Receptor Negative
  • Progressive Disease
  • Rectal Neoplasms
  • Recurrent Carcinoma
  • Sarcoma
  • Skin Neoplasms
  • Small Cell Lung Carcinoma
  • Stage II Pancreatic Cancer
  • Stage II Rectal Cancer
  • Stage IIA Pancreatic Cancer
  • Stage IIA Rectal Cancer
  • Stage IIB Pancreatic Cancer
  • Stage IIB Rectal Cancer
  • Stage IIC Rectal Cancer
  • Stage III Colon Cancer
  • Stage III Esophageal Cancer
  • Stage III Gastric Cancer
  • Stage III Non-Small Cell Lung Cancer
  • Stage III Ovarian Cancer
  • Stage III Pancreatic Cancer
  • Stage III Rectal Cancer
  • Stage III Skin Melanoma
  • Stage IIIA Colon Cancer
  • Stage IIIA Esophageal Cancer
  • Stage IIIA Gastric Cancer
  • Stage IIIA Non-Small Cell Lung Cancer
  • Stage IIIA Ovarian Cancer
  • Stage IIIA Rectal Cancer
  • Stage IIIA Skin Melanoma
  • Stage IIIB Colon Cancer
  • Stage IIIB Esophageal Cancer
  • Stage IIIB Gastric Cancer
  • Stage IIIB Non-Small Cell Lung Cancer
  • Stage IIIB Ovarian Cancer
  • Stage IIIB Rectal Cancer
  • Stage IIIB Skin Melanoma
  • Stage IIIC Colon Cancer
  • Stage IIIC Esophageal Cancer
  • Stage IIIC Gastric Cancer
  • Stage IIIC Ovarian Cancer
  • Stage IIIC Rectal Cancer
  • Stage IIIC Skin Melanoma
  • Stage IV Bladder Cancer
  • Stage IV Bone Sarcoma
  • Stage IV Breast Cancer
  • Stage IV Colon Cancer
  • Stage IV Esophageal Cancer
  • Stage IV Gastric Cancer
  • Stage IV Non-Small Cell Lung Cancer
  • Stage IV Ovarian Cancer
  • Stage IV Pancreatic Cancer
  • Stage IV Rectal Cancer
  • Stage IV Renal Cell Cancer
  • Stage IV Skin Melanoma
  • Stage IV Soft Tissue Sarcoma
  • Stage IVA Bone Sarcoma
  • Stage IVA Colon Cancer
  • Stage IVA Rectal Cancer
  • Stage IVB Bone Sarcoma
  • Stage IVB Colon Cancer
  • Stage IVB Rectal Cancer
  • Stomach Neoplasms
  • Triple-Negative Breast Carcinoma

NCT number NCT03154190
Study type Interventional
Source Stanford University
Contact
Status Active, not recruiting
Phase N/A
Start date August 8, 2017
Completion date August 30, 2022

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