Comparative Effectiveness Trial of Two Supportive Cancer Care Delivery Models for Adults With Cancer

PRIMARY OBJECTIVES:

I. Greater intervention effects on health-related quality of life

SECONDARY OBJECTIVES:

I. Greater intervention effects on patient activation II. Greater satisfaction with care and decision-making III. Greater documentation of goals of care and symptoms IV. To lower acute care V. Greater palliative care and hospice

OUTLINE: Sites are randomized to 1 of 2 arms.

ARM A: Patients receive educational materials to assist with advance care planning and symptom management through a technology-based supportive cancer care weekly during months 1-4 and every other week during months 5-12.

ARM B: Patients are paired with a lay health worker who will discuss the same educational materials from ARM A either in person or by telephone discussions weekly during months 1-4 and every other week during months 5-12.

All participants complete a baseline interview upon enrollment during the initial consent phone contact and then a survey at 3-, 6-and 12-months post enrollment.

• Change in health-related quality of life as assessed by the Functional Assessment of Cancer Therapy (FACT-G). [Срок оценки: Change in health-related quality of life from baseline to 6, and 12 months]
• Change in patient activation using the Patient Activation Measure (PAM-13). [Срок оценки: Change in patient activation from baseline to 3, 6, and 12 months]
• Change in satisfaction with care using the Consumer Assessment of Health Care (Providers and Systems (CAHPS) Cancer Care Survey Questions #39 and #42. [Срок оценки: Change in satisfaction with care from baseline to 3, 6, and 12 months]
• Change in satisfaction with decision using the Satisfaction with Decision Scale (SWD) [Срок оценки: Change in satisfaction with decision from baseline to 3, 6, and 12 months]
• Palliative Care Use (Self-reported and Chart Review) [Срок оценки: 3, 6, and 12 months after patient enrollment]
• Hospice Care Use (Self-reported and Chart Review) [Срок оценки: 3, 6, and 12 months after patient enrollment]
• Emergency Department Visits (Self-reported and Chart Review) [Срок оценки: 3, 6, and 12 months after patient enrollment]
• Hospitalization Visits (Self-reported and Chart Review) [Срок оценки: 3, 6, and 12 months after patient enrollment]
• Documentation of goals of care discussions (Chart Review) [Срок оценки: 3, 6, and 12 months after patient enrollment]
• Documentation of symptom discussions (Chart Review) [Срок оценки: 3, 6, and 12 months after patient enrollment]