Lung Cancer Clinical Trial
Early Integrated Telehealth Versus In-Person Palliative Care for Patients With Lung Cancer
Summary
This research study is evaluating ways to provide palliative care to patients who have recently been diagnosed with lung cancer and their families.
Full Description
Patients with serious cancers, like advanced lung cancer, often experience physical symptoms, such as pain or shortness of breath. In addition, both patients and their loved ones (family and friends) often feel worried or sad about the cancer diagnosis.
Research has shown that early involvement of a team of clinicians that specialize in lessening (or "palliating") many of these distressing physical and emotional symptoms and in helping patients and their families cope with a serious illness improves patients' and their loved ones' experience with their cancer. This team is called "palliative care," and consists of physicians and advanced practice nurses (or "nurse practitioners") who work closely and collaboratively with the oncology team to care for the participant and the participant's loved ones. Research shows that when the palliative care team works closely with the oncology team to care for patients with advanced cancer, they have better symptom control, quality of life, and mood, and their loved ones feel less distressed. the investigators call this model of care, "early integrated palliative care."
While the investigators know that having palliative care clinicians work closely with the oncology team is helpful for patients and their loved ones, many patients do not have access to these specialists because hospitals and cancer clinics lack enough staff and because some patients and family members live in distant regions that make attending clinic visits difficult and expensive. One way to overcome these barriers is to have patients meet with palliative care clinicians using secure video-conferencing technology.
The purpose of this study is to determine if meeting with a palliative care clinician through video-conferencing is just as beneficial for patients and their families as meeting with a palliative care clinician in person. Specifically, this study will compare these two different strategies for meeting with the palliative care clinician. The first strategy is to schedule the participant to meet with the palliative care clinician regularly each month in person at the clinic. The investigators call this strategy "In-person palliative care."
The second strategy is to schedule the participant to meet with the palliative care clinician regularly each month using secure video-conferencing, such as through a smart phone or tablet computer. If the participant do not have this form of technology, the investigators will provide it for the participant. The investigators call this strategy "telehealth palliative care." The primary goals of this study are to learn if telehealth palliative care is just as effective as in-person palliative care for improving quality of life, mood symptoms, and satisfaction with care for patients with advanced lung cancer and their families.
Eligibility Criteria
Inclusion Criteria:
Patient Eligibility Criteria
Diagnosed with advanced non-small cell lung cancer being treated with non-curative intent, and informed of advanced disease within the prior twelve weeks
Eastern Cooperative Oncology Group (ECOG) Performance Status from 0 (asymptomatic) to 3 (symptomatic and in bed >50% of the day)
The ability to read and respond to questions in English or Spanish
Receiving primary cancer care at one of the participating sites
Age > or = 18 years
Lives in a state where their institutions' palliative care clinicians are licensed to practice
Caregiver Eligibility Criteria
Relative or friend who is identified by the patient participant and lives with the patient or has contact with them at least twice per week.
The ability to read and respond to questions in English or Spanish
Age > or = 18 years
Exclusion Criteria:
Patient Exclusion Criteria
Already receiving outpatient PC or hospice services
Cognitive or psychiatric conditions as determined by the treating oncologist to prohibit study consent or participation
Caregiver Exclusion Criteria --Cognitive or psychiatric conditions as determined by the treating oncologist to prohibit study consent or participation
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There are 23 Locations for this study
Birmingham Alabama, 35294, United States
Los Angeles California, 91010, United States
San Francisco California, 94121, United States
Aurora Colorado, 80045, United States
Atlanta Georgia, 30322, United States
Chicago Illinois, 60611, United States
Chicago Illinois, 60612, United States
Westwood Kansas, 66205, United States
Baltimore Maryland, 21201, United States
Boston Massachusetts, 02114, United States
Boston Massachusetts, 02215, United States
Ann Arbor Michigan, 48109, United States
Rochester Minnesota, 55905, United States
Lebanon New Hampshire, 03756, United States
Chapel Hill North Carolina, 27514, United States
Winston-Salem North Carolina, 27157, United States
Cleveland Ohio, 44195, United States
Philadelphia Pennsylvania, 19111, United States
Nashville Tennessee, 37204, United States
Austin Texas, 78712, United States
Dallas Texas, 75390, United States
Charlottesville Virginia, 22908, United States
Madison Wisconsin, 53792, United States
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