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Patient Navigation for Improving Transition Success Among Multiply Disadvantaged Young Adult Survivors of Childhood Cancer
Sponsor: Children's Hospital Los Angeles
Summary
The goal of this clinical trial is to improve the successful healthcare transition from pediatric to adult-focused care for childhood cancer survivors. The main questions it aims to answer are * Receipt of the intervention (vs. standard of care control) will increase the proportion of CCS achieving transition success to adult-focused survivorship care from 50% to 70%. * Receipt of the intervention (vs. standard of care control) will significantly reduce patients' unmet HRSN. * Intervention effectiveness will be moderated by sociodemographic factors (gender, race/ethnicity, insurance status), medical risk for late effects, HRSN burden, and patient-reported outcomes (quality of life, self-efficacy). Researchers will compare those that receive intervention versus standard of care. Patients are randomized to either an intervention group, receiving structured PN-led sessions and tailored support for care transitions, or a control group receiving standard follow-up by a nurse case manager. High-HRSN patients in the intervention arm get monthly check-ins and coordinated handoffs to adult care providers for continuity.
Key Details
Gender
All
Age Range
20 Years - 29 Years
Study Type
INTERVENTIONAL
Enrollment
190
Start Date
2026-07-01
Completion Date
2030-09-01
Last Updated
2026-06-05
Healthy Volunteers
No
Conditions
Interventions
Navigation
Follow Up
Control
Standard of Care
Locations (1)
Children's Hospital Los Angeles
Los Angeles, California, United States