Enhancing Primary Care Capacity for Cancer Survivorship Care Delivery in Community Health Clinics
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 5,584
- 试验地点
- 2
- 主要终点
- Proportion of eligible cancer survivors screened for second primary cancers
研究概览
简要总结
The purpose of this study is to implement a clinic-level cancer survivorship care delivery intervention in partnership with community health center clinicians, patients, and community representatives to test effectiveness of the intervention to improve patient and clinician outcomes and to evaluate implementation of the intervention using an iterative, concurrent mixed-methods approach guided by the Practice Change Model.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •(participants):
- •at least one visit to the Community Health Centers (CHCs) in the prior year
排除标准
- •(participants):
- •- no history of cancer recorded in the problem list or past medical history in the medical record
- •Inclusion Criteria (clinicians):
- •employed clinicians (e.g. physicians, nurses, pharmacists, or other allied health professionals) and non-clinician staff of the participating CHC clinics
研究组 & 干预措施
Step 4 (2 clinics)- 24 months control then 12 months intervention
干预措施: Survivorship care delivery intervention (Behavioral)
Step 1 (2 clinics)-6 months control then 12 months intervention
干预措施: Survivorship care delivery intervention (Behavioral)
Step 2 (2 clinics)-12 months control then 12 months intervention
干预措施: Survivorship care delivery intervention (Behavioral)
Step 3 (2 clinics)-18 months control then 12 months intervention
干预措施: Survivorship care delivery intervention (Behavioral)
结局指标
主要结局
Proportion of eligible cancer survivors screened for second primary cancers
时间窗: every 6 months from baseline to end of study (about 36 months from baseline)
Data derived from electronic health records
次要结局
- Change in proportion of primary care clinician knowledge of cancer survivorship care(baseline, six months following end of intervention period)
- Change proportion of survivors that report better experience of provider communication as assessed by the adapted Consumer Assessment of Healthcare Providers and Systems (CAHPS 4.0)(baseline, six months following end of intervention period)
- Change proportion of survivors that report better experience of care coordination as assessed by the adapted Consumer Assessment of Healthcare Providers and Systems (CAHPS 4.0)(baseline, six months following end of intervention period)
- Proportion of survivors who received guideline-recommended surveillance for the most prevalent cancers (breast colorectal, prostate, cervical, and lung)(every 6 months from baseline to end of study (about 36 months from baseline))
研究者
Bijal.A.Balasubramanian
Professor
The University of Texas Health Science Center, Houston