Adolescents and Young Adults With Cancer: Their Preferred Involvement in Decision Making

Not Applicable

Recruiting

• Conditions: Adolescent Behavior

• Registration Number: NCT07035418
• Lead Sponsor: Stanford University

Brief Summary

The purpose of this mixed-methods study is to determine Adolescent and Young Adult (AYAs) decision making preferences post cancer diagnosis using vignettes designed to assess their preferred involvement in decisions about their cancer treatment and variables associated with these treatment decision-making (TDM) preferences.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-08-23
• Status Verified: 2025-06
• Study First Submitted: 2025-06-06
• Study First Submitted QC: 2025-06-15
• Last Update Submitted: 2025-06-15
• Study First Posted: 2025-06-25
• Last Update Posted: 2025-06-25
• Primary Completion: 2025-12
• Study Completion: 2025-12-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 100

Inclusion Criteria

• Age (15-29 years)
• Cancer diagnosis and on therapy, end-of-life or survivors (within 1 year)
• Speaks English
• Reads English
• Cognitively and physically able to participate

Exclusion Criteria

• Unable to participate in study due to developmental delay or developmental disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Distribution of Decision-Making Roles in Clinical Scenarios	Within 2 weeks of survey link delivery	Proportion of participants who select an active, collaborative, or passive role in hypothetical clinical decision-making scenarios. Each role will be counted and compared across participant subgroups.

Secondary Outcome Measures

Name	Time	Method
Association Between Sociodemographic Characteristics and Decision-Making Role	At time of electronic survey completion	This outcome assesses the association between sociodemographic characteristics (e.g., age, race/ethnicity, gender, education level, and employment status) and adolescents' and young adults' preferred treatment decision-making role. Role preference (active, collaborative, or passive) is assessed using the modified Control Preferences Scale. Sociodemographic variables are self-reported via electronic questionnaire. The unit of measure is the chi-square test statistic or ANOVA output, depending on the variable type.
Concordance Between Interview Responses and Scenario-Based Decision-Making Roles	At time of interview, within 4 weeks of survey completion	Proportion of interview responses that align with or differ from role preferences identified in hypothetical scenarios. Qualitative responses will be coded and categorized into roles for comparison.
Correlation Between Healthcare Encounters and Decision-Making Role Preference	At time of interview, within 4 weeks of survey completion	This outcome measures the correlation between the number of cancer-related healthcare encounters and adolescents' and young adults' preferred treatment decision-making role. Healthcare encounters will be abstracted from the electronic health record and include clinic visits, procedures, hospitalizations, ICU stays, and emergency department visits. Decision-making role preference (active, collaborative, or passive) will be assessed using the modified Control Preferences Scale. The unit of measure is the Pearson correlation coefficient.

Trial Locations

Locations (1)

Stanford University; 🇺🇸 Palo Alto, California, United States