Esophageal Cancer Clinical Trial
Mobile Health Application (PACT) to Improve Engagement in Advance Care Planning
This clinical trial tests a new mobile health application (app) called Planning Advance Care Together (PACT) to help people with cancer talk about and plan for advance care planning (the care they would want if they were unable to communicate) with their loved ones and doctors. The development of the PACT mobile app may help future patients incorporate their social network (typically, but not exclusively, family) into the advance care planning process.
OUTLINE: Patients and caregivers are randomized to 1 of 2 arms.
ARM I: Participants use PACT mHealth app.
ARM II: Participants engage in standard care with no modifications.
After completion of study intervention, participants are followed up at 3 and 6 months.
PATIENT: Diagnosis of poor prognosis advanced cancer defined as locally advanced or metastatic cancer (e.g., pancreaticobiliary, esophagogastric, hepatocellular carcinoma, lung, or gynecological cancer) and/or disease progression following at least first line chemotherapy.
PATIENT: Access to a mobile device; the principal investigator (PI) will ensure that those who have access to a mobile device have access to a mobile device with internet access to ensure they can complete study procedures.
PATIENT: The ability to provide informed consent.
PATIENT: Identification and enrollment of a loved one/informal caregiver.
PATIENT: 18 years of age or older.
CAREGIVER: The person (family member or friend) whom the patient indicates being an informal caregiver.
CAREGIVER: English speaking.
CAREGIVER: 18 years of age or older and able to provide informed consent.
PATIENT: Not fluent in English.
PATIENT: Severely cognitively impaired (as measured by Short Portable Mental Status Questionnaire scores of >= 6) to be delivered by trained study research staff during screening.
PATIENT: Too ill or weak to complete the interviews (as judged by the interviewer).
PATIENT: Currently receiving hospice at the time of enrollment.
PATIENT: Children and young adults under age 18.
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There are 4 Locations for this study
Manhasset New York, 11030, United States More Info
New York New York, 10029, United States More Info
New York New York, 10065, United States More Info
Seattle Washington, 98109, United States More Info
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