Care Coordination Educational Intervention Study for Patients From Rural Areas With Early Stage Cancer
Study Details
Study Description
Brief Summary
Care Coordination is an essential component of cancer care delivery. Many patients experience poor care coordination. In this study, we hypothesize that provision of a video educational intervention to teach patients about cancer, care coordination and self-advocacy will improve patients' perception of care coordination. Cancer patients with early stage disease scheduled to receive adjuvant therapy, and who reside in a rural area, will be enrolled onto the study. Patients will be randomized to receive a table-based educational intervention tool initially (arm1) or after 4 months of therapy (arm2). Assessment of cancer knowledge, self-advocacy and care coordination will be obtained at baseline and after 4-6 months.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Upfront Educational Intervention Participants will receive a video-based intervention after completing baseline survey instruments and prior to retesting after 4-6 months. |
Other: Table-based Educational Intervention
Tablet based educational tool with videos about care coordination, cancer knowledge and self-advocacy.
Other Names:
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Experimental: Delayed Educational Intervention Participants will complete baseline survey instruments and again complete surveys after 4-6 months. They will then receive the video-based educational tablet. |
Other: Table-based Educational Intervention
Tablet based educational tool with videos about care coordination, cancer knowledge and self-advocacy.
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Care Coordination Instrument Score at baseline and 4 months [Baseline and 4 months]
Completion of CCI
Secondary Outcome Measures
- Cancer Knowledge questionnaire [Baseline and 4 months]
Survey completion
- Satisfaction survey [4 months]
Satisfaction survey
- Self-Advocacy questionnaire [Baseline and 4 months]
Self-Advocacy questionnaire
Eligibility Criteria
Criteria
Inclusion Criteria:
- Stage I, II or III cancer To receive adjuvant medical oncology-based care Rural residence location in Vermont Proficient in English
Exclusion Criteria:
- History of prior malignancy treated with chemotherapy in last 3 years Known or suspected neuro-cognitive impairment Patients with current diagnosis other than stage I, II or III breast, colon or lung cancer
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- University of Vermont Medical Center
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
- Okado I, Cassel K, Pagano I, Holcombe RF. Assessing Patients' Perceptions of Cancer Care Coordination in a Community-Based Setting. JCO Oncol Pract. 2020 Aug;16(8):e726-e733. doi: 10.1200/JOP.19.00509. Epub 2020 Mar 27.
- Okado I, Cassel K, Pagano I, Holcombe RF. Development and psychometric evaluation of a questionnaire to measure cancer patients' perception of care coordination. BMC Health Serv Res. 2020 Jan 21;20(1):52. doi: 10.1186/s12913-020-4905-4.
- Okado I, Pagano I, Cassel K, Holcombe RF. Perceptions of care coordination in cancer patient-family caregiver dyads. Support Care Cancer. 2021 May;29(5):2645-2652. doi: 10.1007/s00520-020-05764-8. Epub 2020 Sep 24.
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