Adherence to Survivorship Care Guidelines in Health Care Providers for Non-Small Cell Lung Cancer and Colorectal Cancer Survivor Care

Sponsor

Fox Chase Cancer Center (Other)

Overall Status

Completed

CT.gov ID

NCT01726296

Collaborator

(none)

1,440

Enrollment

Location

Arm

29.9

Duration (Months)

48.1

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This clinical trial studies adherence to survivorship care guidelines in health care providers for non-small cell lung cancer or colorectal cancer survivor care. The completion of an educational intervention by health care providers may increase compliance and adherence to National Comprehensive Cancer Network guidelines for survivorship care.

Condition or Disease	Intervention/Treatment	Phase
Adenocarcinoma of the Lung Mucinous Adenocarcinoma of the Colon Mucinous Adenocarcinoma of the Rectum Signet Ring Adenocarcinoma of the Colon Signet Ring Adenocarcinoma of the Rectum Squamous Cell Lung Cancer Stage I Colon Cancer Stage I Rectal Cancer Stage IA Non-small Cell Lung Cancer Stage IB Non-small Cell Lung Cancer Stage IIA Colon Cancer Stage IIA Non-small Cell Lung Cancer Stage IIA Rectal Cancer Stage IIB Colon Cancer Stage IIB Non-small Cell Lung Cancer Stage IIB Rectal Cancer Stage IIC Colon Cancer Stage IIC Rectal Cancer Stage IIIA Colon Cancer Stage IIIA Non-small Cell Lung Cancer Stage IIIA Rectal Cancer Stage IIIB Colon Cancer Stage IIIB Non-small Cell Lung Cancer Stage IIIB Rectal Cancer Stage IIIC Colon Cancer Stage IIIC Rectal Cancer	Other: educational intervention Other: medical chart review	N/A

Detailed Description

PRIMARY OBJECTIVES:

To evaluate adherence of oncology health care providers to National Comprehensive Cancer Network (NCCN) guidelines for cancer survivorship care in colorectal cancer (CRC) and non-small cell lung cancer (NSCLC) cancers.

SECONDARY OBJECTIVES:

To develop and assess a targeted educational initiative to improve compliance with NCCN CRC and NSCLC survivorship guidelines for oncology health care providers in academic and community practice.
To evaluate the impact of this educational initiative on documented adherence and compliance with NCCN guidelines for NSCLC and CRC survivorship care by oncology health care providers.

OUTLINE:

Health care providers complete an educational intervention based on NCCN guidelines in CRC and NSCLC survivorship care comprising a power point presentation reviewing evidence and guidelines; a USB drive of the NCCN guidelines with paper copy of pages addressing survivorship care; an electronic and paper copy of a sample survivorship clinic template note with prompts for addressing survivorship care components; and an electronic paper copy sample survivorship care plan that can be adapted and distributed at each participating site.

Study Design

Study Type:

Interventional

Actual Enrollment :

1440 participants

Allocation:

N/A

Intervention Model:

Single Group Assignment

Masking:

None (Open Label)

Primary Purpose:

Health Services Research

Official Title:

Adherence to NCCN Survivorship Care Guidelines in Non-Small Cell Lung Cancer and Colorectal Cancer Survivor Care

Study Start Date :

Jan 1, 2013

Actual Primary Completion Date :

Jul 1, 2015

Actual Study Completion Date :

Jul 1, 2015

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Health services research (educational intervention) Health care providers complete an educational intervention based on NCCN guidelines in CRC and NSCLC survivorship care comprising a power point presentation reviewing evidence and prompts for addressing survivorship care components; and an electronic paper copy sample survivorship care plan that can be adapted and distributed at each participating site.	Other: educational intervention Complete an educational intervention based on NCCN guidelines and disease-specific issues related to survivorship care Other Names: intervention, educational Other: medical chart review Complete patient medical chart audit Other Names: chart review

Arm

Intervention/Treatment

Experimental: Health services research (educational intervention)

Health care providers complete an educational intervention based on NCCN guidelines in CRC and NSCLC survivorship care comprising a power point presentation reviewing evidence and prompts for addressing survivorship care components; and an electronic paper copy sample survivorship care plan that can be adapted and distributed at each participating site.

Other: educational intervention

Complete an educational intervention based on NCCN guidelines and disease-specific issues related to survivorship care

Other Names:

intervention, educational

Other: medical chart review

Complete patient medical chart audit

Other Names:

chart review

Outcome Measures

Primary Outcome Measures

Percentage of eligible CRC and NSCLC survivors with medical record documentation of compliance with NCCN guidelines [Up to 6 months]
A test of the binomial proportion will have 99% power with 1% type I error to make this distinction.

Secondary Outcome Measures

Change in percentage of eligible survivors with documentation of compliance with NCCN survivorship guidelines after conducting the targeted educational initiative at participating sites [Baseline and up to 6 months]
This two-sample test of binomial proportions will have 99% power with 1% type I error.

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

HEALTH CARE PROVIDER INCLUSION CRITERIA:
Any health care provider (physician, advanced practice clinician) at a study site (Fox Chase Cancer Center [FCCC] and Fox Chase Cancer Center Partners [FCCCP]) who provides care for NSCLC and/or CRC survivors
CHART AUDIT INCLUSION CRITERIA (BASELINE):
Cancer Registry cases include stage I-III colon cancer (adenocarcinoma histology), stage I-III rectal cancer (adenocarcinoma histology), stage I-III non-small cell lung cancer (squamous or adenocarcinoma histology)
Patients must have completed all therapy for curative intent at least six months prior to chart audit
Undergoing routine oncology care and surveillance at the chosen site (defined as receiving follow-up care with FCCC or FCCCP site health care providers and have an active medical chart)
No evidence of metastatic disease
Patients must have been seen for a visit for cancer surveillance between 2009 and 2013
Health care providers at the participating site must be willing and able to participate in the educational initiative
CHART AUDIT INCLUSION CRITERIA (POST-INTERVENTION)
Charts eligible for audit after completion of the educational initiative will be for those CRC and NSCLC survivors presenting for follow-up after the initiative has been completed by site health care providers

Exclusion Criteria:

CHART AUDIT EXCLUSION CRITERIA:
Cancer Registry cases for diseases other than colon or rectal adenocarcinoma and non-small cell lung cancer (squamous or adenocarcinoma histology)
Patients currently receiving active therapy for any cancer, including CRC or NSCLC
Patients who do not undergo routine oncologic care at the chosen Partners site or Fox Chase Cancer Center
Stage IV cancer or evidence of metastatic disease at any time point
Patients who have not undergone a visit for cancer surveillance since 2009
Fox Chase Cancer Partners sites who do not agree to chart audit procedures or providers are unable or unwilling to participate in the educational initiative