ALIGN - A Palliative Care Social Work Intervention for Cancer Patients Discharging to a Skilled Nursing Facility
Overview
- Phase
- Early Phase 1
- Intervention
- Not specified
- Conditions
- Cancer
- Sponsor
- University of Colorado, Denver
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Subject retention
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
This is a single arm, pre-post, pilot study assessing the feasibility and acceptability of the ALIGN intervention in metastatic adult cancer patients discharging to local area SNFs.
Detailed Description
A novel approach for delivering high quality palliative care for cancer patients discharging to a skilled nursing facility (SNF) is critically needed. This investigator plans to test a palliative care social work led intervention called ALIGN (Assessing and Listening to Individual Goals and Needs) that aims to define patient and caregiver goals, facilitate communication between patients and their care teams, and develop a patient-centered plan that accompanies the patient across all future health system transitions. The central hypothesis is that implementation of ALIGN is feasible and acceptable for cancer patients and their caregivers and SNF staff.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Stage II - IV solid tumor malignancy
- •Discharging from an acute care hospital to a SNF in the metro Denver area
- •Decisional capacity to consent
- •English speaking
- •(During COVID requirements) Either internet access through a computer, tablet, or smartphone OR cellular service with adequate allowance of cellular minutes to allow virtual visits (by participant's assessment)
Exclusion Criteria
- •Discharging with hospice as their goal of care
Outcomes
Primary Outcomes
Subject retention
Time Frame: Two Years
This investigator anticipates the study to be feasible if enrollment and retention rates of patients and caregivers are within 60% of the goal and if, of those enrolled, 70% of patients and caregivers complete the intervention.
Secondary Outcomes
- Qualitative interviews of ALIGN participants(1.5 years)
- Qualitative interviews of SNF staff(1.5 years)