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Care Coordination Educational Intervention Study for Patients from Rural Areas with Early Stage Cancer

Not Applicable
Recruiting
Conditions
Cancer
Interventions
Other: Table-based Educational Intervention
Registration Number
NCT05723250
Lead Sponsor
University of Vermont Medical Center
Brief Summary

Care Coordination is an essential component of cancer care delivery. Many patients experience poor care coordination. In this study, we hypothesize that provision of a video educational intervention to teach patients about cancer, care coordination and self-advocacy will improve patients' perception of care coordination. Cancer patients with early stage disease scheduled to receive adjuvant therapy, and who reside in a rural area, will be enrolled onto the study. Patients will be randomized to receive a table-based educational intervention tool initially (arm1) or after 4 months of therapy (arm2). Assessment of cancer knowledge, self-advocacy and care coordination will be obtained at baseline and after 4-6 months.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • 18+ years of age
  • Breast, lung, or colon cancer diagnosis
  • Stage I, II or III cancer
  • Adjuvant chemotherapy started < 30 days or planned within the next 30 days
  • Rural residence location in Vermont (outside Chittenden County)
  • Proficient in English
Exclusion Criteria
  • History of prior malignancy treated with chemotherapy in last 3 years
  • Known or suspected neuro-cognitive impairment
  • Resident of Chittenden County, Vermont
  • Patients with current diagnosis other than stage I, II or III breast, colon or lung cancer

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Upfront Educational InterventionTable-based Educational InterventionParticipants will receive a video-based intervention after completing baseline survey instruments and prior to retesting after 4-6 months.
Delayed Educational InterventionTable-based Educational InterventionParticipants will complete baseline survey instruments and again complete surveys after 4-6 months. They will then receive the video-based educational tablet.
Primary Outcome Measures
NameTimeMethod
Care Coordination Instrument ScoreBaseline and 4 months

Participants complete the Care Coordination Instrument (CCI), a 29-item questionnaire. Each item is rated on a Likert scale (Strongly Agree = 3 to Strongly Disagree = 0). A total score is generated by summing the item scores; possible total scores range from 0-87. Higher scores represent a greater perception of care coordination.

Secondary Outcome Measures
NameTimeMethod
Self-Advocacy ScoreBaseline and 4 months

Participants complete the Cancer Self-Advocacy Scale, a 20-item questionnaire. Each item is rated on a Likert scale (Strongly Agree = 6 to Strongly Disagree = 1). A total score is generated by summing the item scores; possible total scores range from 20-120. Higher scores represent greater self-advocacy skills.

Cancer KnowledgeBaseline and 4 months

Participants complete the Cancer Knowledge Assessment Test (C-KAT). The test includes 5 multiple choice items. A total score is generated by summing the number of correct responses; total scores range from 0-5. Higher scores represent greater cancer knowledge.

Satisfaction with Educational Videos4 months

Participants in the baseline intervention group complete the Satisfaction and Acceptability Questionnaire. This 5-item questionnaire assesses how helpful and easily accessible the educational videos were. There is also an open-ended question for other feedback. Answering yes to the items indicates greater satisfaction and ease of use.

Trial Locations

Locations (1)

University of Vermont Cancer Center

🇺🇸

Burlington, Vermont, United States

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