Community Health Worker Based Intervention to Improve Palliative Care
Overview
- Phase
- Not Applicable
- Intervention
- Standard care
- Conditions
- Cancer
- Sponsor
- Wake Forest University Health Sciences
- Enrollment
- 160
- Locations
- 6
- Primary Endpoint
- Number of participants who completed Advance Directives
- Status
- Enrolling By Invitation
- Last Updated
- 8 days ago
Overview
Brief Summary
The study aims to find out if community health worker (CHW) support will improve palliative care outcomes in African American patients with advanced cancer, by comparing the quality of life of patients who are receiving standard care to those whose standard care is supplemented with CHW support.
Detailed Description
This research is being done to establish the effectiveness of a Community Health Worker based palliative care intervention among African American patients with advanced solid organ malignancies and their care givers. The investigators' long-term goal is to reduce the research-to-practice gap in utilization of evidence-based palliative care (PC) in African Americans with advanced cancer. The objectives of this study are to establish the effectiveness of a CHW-based palliative care intervention and develop generalizable knowledge on how contextual factors influence implementation.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patient Inclusion Criteria:
- •Self-identified African American patients with advanced (AJCC stage III or IV) solid organ malignancy
- •\>=18 years old
- •English speaking
- •Intact cognition and ability to provide informed consent
Exclusion Criteria
- •Participants \< 18 years of age
- •Participants who are already receiving palliative care services
- •Caregiver Inclusion Criteria:
- •Adult (\>=18 years old) caregivers providing informal (unpaid) care to an eligible African American cancer patient (related or unrelated)
- •English speaking
- •Intact cognition and ability to provide informed consent
- •Caregiver Exclusion Criteria:
- •Participants \< 18 years of age
Arms & Interventions
Standard care
Standard cancer care
Standard care + DeCIDE PC intervention
Community health worker support and standard cancer care
Intervention: Community Health Worker (CHW) based palliative care
Outcomes
Primary Outcomes
Number of participants who completed Advance Directives
Time Frame: 6 months after enrollment
Advanced care planning
Secondary Outcomes
- Functional Assessment of Chronic Illness Therapy-Palliative Subscale (FACIT-PAL) score(6 months after enrollment)
- Number of participants who utilize hospice care(6 months after enrollment)
- Goals of care as assessed by Quality of communication (QOC) scale(6 months after enrollment)
- Symptom Intensity as assessed by the Edmonton Symptom Assessment Score (ESAS)(6 months after enrollment)
- Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)(6 months after enrollment)
- Quality of life assessed by the 5-Level EuroQol 5-Dimensional (EQ-5D-5L)(6 months after enrollment)