Patient Navigation for Improving Transition Success Among Multiply Disadvantaged Young Adult Survivors of Childhood Cancer
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 190
- 试验地点
- 1
研究概览
简要总结
The goal of this clinical trial is to improve the successful healthcare transition from pediatric to adult-focused care for childhood cancer survivors. The main questions it aims to answer are
- Receipt of the intervention (vs. standard of care control) will increase the proportion of CCS achieving transition success to adult-focused survivorship care from 50% to 70%.
- Receipt of the intervention (vs. standard of care control) will significantly reduce patients' unmet HRSN.
- Intervention effectiveness will be moderated by sociodemographic factors (gender, race/ethnicity, insurance status), medical risk for late effects, HRSN burden, and patient-reported outcomes (quality of life, self-efficacy).
Researchers will compare those that receive intervention versus standard of care.
Patients are randomized to either an intervention group, receiving structured PN-led sessions and tailored support for care transitions, or a control group receiving standard follow-up by a nurse case manager. High-HRSN patients in the intervention arm get monthly check-ins and coordinated handoffs to adult care providers for continuity.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 29 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •diagnosed between the ages of 0-19 years with cancer or with any condition treated with cancer-like therapy.
- •currently in follow up at survivorship clinic or had a survivorship launch visit during the 12 months prior to study activation.
- •current age 20-29 (>95% of patients will be age 20-21)
- •meet LIFE Clinic transition readiness criteria, as clinically applied:
- •at least 5 years off treatment
- •medically stable
- •demonstrate a workable understanding of transition
- •have an identified primary care provider
- •able to speak and read English or Spanish
- •can provide informed consent.
排除标准
- •do not meet transition criteria
- •speak a language other than English or Spanish
- •are significantly impaired and cannot provide informed consent.
研究组 & 干预措施
Control
Recontacting patients by a nurse case manager after transition launch to determine transition success.
干预措施: Control (Behavioral)
Navigation
Patients in the intervention have phone or video session with patient navigator at enrollment, 6, 12 and 18 months, or more frequently as dictated by high-risk social needs.
干预措施: Navigation (Behavioral)
研究者
David Freyer, DO, MS
Medical Staff/USC Faculty CWR
Children's Hospital Los Angeles