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ACTIVE NOT RECRUITING

NCT04062552

Learning Collaborative Versus Technical Assistance in Delivering a Palliative Care Program to Patients With Advanced Cancer and Their Caregivers

Sponsor: University of Rochester NCORP Research Base

View on ClinicalTrials.gov

Summary

This trial studies the delivery of the ENABLE palliative care program by two different methods called a Virtual Learning Collaborative or Technical Assistance for patients with advanced cancer and their caregivers. Palliative care is specialized medical care for people with a serious illness that occurs at the same time as other medical treatment. The purpose of palliative care is to provide relief from symptoms and stress of serious illness, to help patients and their families clarify goals of care, and to focus on social support and spiritual well-being. The focus of the ENABLE palliative care program is on living well, managing stress, patient communication of their personal values and hopes for care, social support, and symptom management. This study may help doctors find the best ways to include palliative care services into their practices and the impact of palliative care on cancer patients and their caregivers' quality of life.

Official title: Implementing Palliative Care: Learning Collaborative vs. Technical Assistance

Key Details

Gender

All

Age Range

18 Years - Any

Study Type

INTERVENTIONAL

Enrollment

208

Start Date

2021-03-09

Completion Date

2026-08-23

Last Updated

2026-01-13

Healthy Volunteers

Yes

Conditions

Advanced Malignant Solid Neoplasm Metastatic Malignant Solid Neoplasm Recurrent Malignant Solid Neoplasm

Interventions

OTHER

Behavioral, Psychological or Informational Intervention

Receive ENABLE palliative care information

OTHER

Educational Intervention

Participate in VLC group-based learning sessions

OTHER

Educational Intervention

Participate in consultation with ENABLE/TA expert

PROCEDURE

Medical Examination Assessment

Undergo palliative care assessment

OTHER

Quality-of-Life Assessment

Ancillary studies

OTHER

Survey Administration

Complete surveys

BEHAVIORAL

Telephone-Based Intervention

Receive monthly phone calls

Inclusion Criteria: * PRACTICE SITE: All participating practice clusters will be asked to identify one (or more) ENABLE coach as part of study eligibility to deliver the ENABLE program. * PRACTICE SITE: Commitment of the ENABLE coach(es) to be trained to conduct the palliative care assessment (and ENABLE sessions if the practice plans to implement them). * PRACTICE SITE: Desire to implement ENABLE, including presence of an investigator (e.g., primary affiliate principal investigator \[PI\], oncology physician, Cancer Care Delivery Research \[CCDR\] Lead) and/or program administrator/supervisor who are willing to be key contacts. * PRACTICE SITE: Demonstrated support/buy-in from oncology physicians who are willing to enroll patients. * PRACTICE SITE: Agreement of practice leadership and other individuals at the practice cluster to support/participate in the study activities. * PRACTICE SITE: If necessary, willingness to participate in a phone interview to determine capacity to implement the ENABLE program. * INDIVIDUALS AT THE PARTICIPATING PRACTICE: The ENABLE implementation team at each participating practice will include at minimum one ENABLE coach and a coordinator. Other members of the team can include the primary affiliate PI, an oncology physician or investigator, CCDR lead (if different than the coordinator, and/or the program administrator/supervisor) and other professional individuals. * ONCOLOGY PHYSICIAN: Eligible providers at practices sites are oncology physicians (i.e., medical oncologists or radiation oncologists including trainees) caring for oncology patients. If no oncology physicians are available at the practice, other providers (e.g., advanced practice providers \[APPs\]) may take on the responsibilities of the oncology physician as laid out in this protocol. We do not require that all physicians at a practice setting agree to participate. Oncology physicians must work at a participating practice cluster with no plans to leave that practice site or retire at the time of enrollment into the study. Physicians (oncologists) may serve in the ENABLE coach role and perform the palliative care assessment, ENABLE sessions and/or monthly follow-up calls per practice discretion if they have completed appropriate training. * ENABLE COACH: All participating practice clusters will be required to identify one (or more) ENABLE coaches as part of study eligibility to deliver the ENABLE program. The ENABLE coach is responsible for ensuring the ENABLE sessions and follow-up calls are completed per protocol specifications. * ENABLE COACH: A registered nurse or advanced practice provider (including a nurse practitioner or physician assistant), a physician (e.g., medical and radiation oncologists, including oncology trainees), or other professionals (e.g., social workers, chaplains) with appropriate credentials and experience to deliver ENABLE * ENABLE COACH: Individuals with an appropriate clinical license (i.e., a registered nurse, advanced practice provider, or physician, as defined above) may perform the palliative care assessment and any ENABLE sessions and follow-up calls the practice chooses to deliver * ENABLE COACH: Other professionals (e.g., social workers, chaplains) may deliver ENABLE sessions and monthly follow-up calls for which their credentials and experience are appropriate * ENABLE COACH: ENABLE coaches complete appropriate study training for any content delivered. * PATIENTS: English-speaking as not all patient measures have been validated in other languages. * PATIENTS: Age \>= 18 * PATIENTS: Willing to complete palliative care assessment and ENABLE sessions. * PATIENTS: Diagnosed within the last 90 days with an advanced cancer (defined as a newly diagnosed stage III/IV, recurrence, or progressive solid tumor cancer). Patients can receive any cancer treatment for their advanced cancer while participating in this study. * The 90-day interval refers to when the patient was made aware of their diagnosis. * PATIENTS: Expected survival of at least 6 months. * PATIENTS: Have access to telephone that can receive incoming calls. * PATIENTS: Able to provide informed consent. Exclusion Criteria: * PATIENTS: Received previous palliative care services. (Concurrent palliative care is allowed.)

Locations (113)

Mercy Hospital Fort Smith

Fort Smith, Arkansas, United States

MedStar Washington Hospital Center

Washington D.C., District of Columbia, United States

Holy Cross Hospital

Fort Lauderdale, Florida, United States

Island Urology-Hilo

Hilo, Hawaii, United States

Hawaii Cancer Care Inc - Waterfront Plaza