Improving Communication for Cancer Treatment: Addressing Concerns of Older Cancer Patients and Caregivers
Overview
- Phase
- N/A
- Intervention
- Geriatric Assessment
- Conditions
- Cancer
- Sponsor
- M.D. Anderson Cancer Center
- Enrollment
- 479
- Locations
- 1
- Primary Endpoint
- Reach of Geriatric Assessment (GA) implementation in routine medical practice as measured by applying the reach formula (# people served divided by potential # of people) to the following four metrics:
- Status
- Active, Not Recruiting
- Last Updated
- 16 days ago
Overview
Brief Summary
To improve patient-centered outcomes for older patients with cancer considering or receiving chemotherapy and their caregivers. To do this, the project team will (a) establish the effectiveness of GA on communication about age-related concerns, patient and caregiver satisfaction with communication about age-related concerns, quality of life, and patient-reported side effects of chemotherapy; (b) evaluate the success of the implementation strategies on the adoption, reach, and fidelity of implementing the GA in community oncology practices; and (c) identify the resources needed to implement GA and the GA-guided recommendations in community oncology practices for older patients considering or receiving chemotherapy.
Detailed Description
Objectives: * Establish the effectiveness of GA on patient and caregiver satisfaction and communication about age-related concerns for older patients receiving chemotherapy in community oncology practices. * Evaluate the success of our implementation strategies on the reach, adoption, and fidelity of implementing the GA in community oncology practices. * Identify the resources needed to implement GA and the GA-guided recommendations in community oncology practices for older patients receiving chemotherapy.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Practice Staff Participants
- •Inclusion Criteria:
- •Aged 18 years or older
- •A practicing clinician (e.g., oncologist, nurse practitioners, physician assistant, advanced practice nurse, registered nurse, medical assistant) or other practice staff (e.g., administrators and IT)
- •Fluent in English (reading and speaking)
- •Have access to computer, laptop, tablet, or smart phone
Exclusion Criteria
- •Have plans to leave the practice in six months (e.g., retiring or changing organizations)
- •Unable to provide consent
- •Patient Participants
- •Inclusion Criteria:
- •Aged 65 and older
- •Considering a new chemotherapy plan
- •Exclusion Criteria:
- •Have been diagnosed with a health condition that precludes their ability to participate in informed consent or in the intervention (e.g., dementia which limits decision-making capacity).
- •Care Partner/Caregiver Participants (Care partners can be any partner, spouse, family member, and/or friend that has been identified by the patient and/or clinical team that supports the patient through treatment.)
- •Inclusion Criteria:
Arms & Interventions
Geriatric Assessment (GA)
Clinical staff undergo training in GA and are provided with facilitation and support for one year as they implement GA among older adult patients (65+) considering chemotherapy and their care partners/caregivers.
Intervention: Geriatric Assessment
Outcomes
Primary Outcomes
Reach of Geriatric Assessment (GA) implementation in routine medical practice as measured by applying the reach formula (# people served divided by potential # of people) to the following four metrics:
Time Frame: monthly over 12 months of implementation, and 6 months after implementation
a) patients per month who received the Geriatric Assessment (GA), b) patients per month who received Geriatric Assessment (GA)-guided recommendations, c) total patients per month age 65+, d) total patients per month who were age 65+ and receiving new chemotherapy or deciding to start chemotherapy.
Reach of Geriatric Assessment (GA) implementation in routine medical practice
Time Frame: monthly over 12 months of implementation, and 6 months after implementation