Breast Cancer Clinical Trial
Survivorship Care Plans and Telehealth Education for the Improvement of Access to Cancer Survivorship, the IMPACT Study
Summary
This trial studies how well self-generated survivorship care plans and telehealth education works in improving knowledge and self-efficacy in cancer survivors living in rural areas. Patients living in rural areas often face barriers to survivorship care and report unmet needs. A survivorship care plan created by the patient (self-generated) may help them to better transition from oncology to primary care and improve communication between care teams in order to meet these needs and create better health outcomes. Telehealth is a way of delivering health care services from a distance, including patient education. Combining a self-generated survivorship care plan with telehealth education may help to improve knowledge and self-efficacy in cancer survivors.
Full Description
OUTLINE:
Patients complete a questionnaire at baseline (paper, online, or telephone-based) and medical records are reviewed.
Patients are then randomized to 1 of 2 arms.
ARM I: Patients receive a self-generated SCP (i.e., generated from baseline questionnaire responses).
ARM II: Patients receive a self-generated SCP as in Arm I. Patients also receive a 30-minute telephone-based educational counseling session on survivorship care.
PRIMARY CARE PROVIDERS: Primary care providers complete a questionnaire about perceptions of the SCP and self-efficacy in providing survivorship care.
After completion of study, patients are followed up at approximately 8 weeks.
Eligibility Criteria
Inclusion Criteria:
Cancer survivors who have completed curative therapy within the past 5 years (may still currently be on long-term/targeted non-cytotoxic agent maintenance therapy, e.g., tamoxifen or aromatase inhibitors for breast cancer survivors; androgen deprivation therapy for prostate cancer survivors)
History of either adult-onset (age >= 18) lymphoma, breast, colorectal, lung, or prostate cancer
Able to perform all study requirements, including responding to questionnaires
Willing to be randomized
Capable of providing informed consent
Consent to release oncology and primary care medical records
English or Spanish speakers
PRIMARY CARE PROVIDERS: PCPs responsible for delivering primary care to IMPACT study participants at Washington, Wyoming, Alaska, Montana and Idaho-region Practice and Research Network (WPRN) clinics will be contacted about participating in the study after participant enrollment into the study.
Exclusion Criteria:
Currently on palliative or hospice care, or considering transferring to such care within the next 3 months
Lacks telephone access
Lacks mailing address or ability to receive study materials electronically
Currently being followed in a pediatric clinical setting (either for primary care or for cancer care)
History of having had > 1 cancer type diagnosed and treated (exception is for skin cancers treated with surgical excision alone; also, individuals who only have had relapse of their initial cancer remain eligible so long as they have completed curative therapy and meet all other eligibility criteria)
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There is 1 Location for this study
Seattle Washington, 98109, United States
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