120 Participants Needed

Patient Priorities Care for Breast Cancer Survivors

Recruiting at 3 trial locations
DE
Overseen ByDana E. Giza, MD
Age: 65+
Sex: Female
Trial Phase: Phase 2
Sponsor: The University of Texas Health Science Center, Houston
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Prior Safety DataThis treatment has passed at least one previous human trial

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores a special care plan for breast cancer survivors to determine if it improves health management after treatment. It targets older adults who have completed treatment, using the Adapted Patient Priorities Care (PPC) approach. This involves discussing personal health priorities with a facilitator before regular doctor visits. The trial includes two groups: one receiving this additional support and one receiving usual care. Suitable participants have had breast cancer, completed treatment at least three months ago, and manage several health issues or medications. As a Phase 2 trial, it measures the effectiveness of this care plan in an initial, smaller group, allowing participants to contribute to important research.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications. It seems likely that you can continue them, as the study focuses on adapting care for breast cancer survivors.

What prior data suggests that the Adapted Patient Priorities Care (PPC) approach is safe for breast cancer survivors?

Research has shown that the Patient Priorities Care (PPC) approach for older adults with breast cancer can make healthcare more focused on what matters most to patients. Although earlier studies lack specific safety data on this adapted PPC approach, it is important to note that it is a care method, not a drug or medical procedure. This means it emphasizes personalized conversations and planning rather than introducing new medications or treatments.

Since this trial is in its second phase, the approach is likely considered safe enough for testing with more participants. No negative effects have been reported, as this method focuses on communication and setting priorities, which are generally well-received. The goal of this approach is to improve care by concentrating on patients' health goals and preferences, without the risks associated with new medications.12345

Why are researchers excited about this trial?

Researchers are excited about the Adapted Patient Priorities Care (PPC) approach because it tailors healthcare to what matters most to breast cancer survivors, rather than just following a one-size-fits-all plan. Unlike standard care, which typically involves routine visits to discuss general survivorship issues, this approach includes a dedicated session with a facilitator to identify and prioritize each patient's unique health goals before they meet with their doctors. This personalized strategy could lead to more meaningful and satisfying healthcare experiences for survivors, potentially improving their overall quality of life.

What evidence suggests that the Adapted Patient Priorities Care approach is effective for breast cancer survivorship?

Research has shown that the Adapted Patient Priorities Care (PPC) approach, which participants in this trial may receive alongside usual care, can enhance care for older breast cancer survivors by focusing on their priorities. This method aligns medical care with their personal health goals and preferences. Studies have found that PPC may increase satisfaction with care and improve quality of life. Early findings suggest this approach facilitates collaborative health decision-making between patients and doctors. Although more information is needed, initial results appear promising for improving care after cancer treatment.12678

Who Is on the Research Team?

DE

Dana E. Giza, MD

Principal Investigator

The University of Texas Health Science Center, Houston

Are You a Good Fit for This Trial?

This trial is for older adults who have survived breast cancer. Participants should be interested in a care approach that focuses on their personal health priorities. Specific eligibility details are not provided, so it's best to contact the study team for more information.

Inclusion Criteria

I have 3 or more health conditions, take 10 or more medications, or have had multiple hospital visits.
Able to provide consent
My breast cancer is at stage I, II, or III.
See 1 more

Exclusion Criteria

I am currently undergoing treatment for cancer.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Adaptation and Iteration

Participants and their physicians help to refine and modify the Patient Priorities Care (PPC) framework for breast cancer survivorship

6 months

Evaluation

Feasibility and effectiveness of the adapted PPC framework are evaluated

12 months

Follow-up

Participants are monitored for adherence to survivorship recommendations and health status

12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Adapted Patient Priorities Care (PPC) approach
Trial Overview The study is testing an adapted Patient Priorities Care (PPC) framework against usual care practices. It aims to tailor survivorship care based on feedback from patients and physicians, focusing on what matters most to the patient.
How Is the Trial Designed?
2Treatment groups
Experimental Treatment
Active Control
Group I: Adapted Patient Priorities Care (PPC) approach plus Usual CareExperimental Treatment2 Interventions
Group II: Usual CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

The University of Texas Health Science Center, Houston

Lead Sponsor

Trials
974
Recruited
361,000+

National Center for Advancing Translational Sciences (NCATS)

Collaborator

Trials
394
Recruited
404,000+

National Institute on Aging (NIA)

Collaborator

Trials
1,841
Recruited
28,150,000+

Published Research Related to This Trial

The study developed a natural language processing (NLP) model that accurately identifies when clinicians document patient priorities in electronic health records, achieving a high accuracy of 0.92 during validation.
Out of 778 patient notes analyzed, 75.7% contained patient priorities language, demonstrating the model's effectiveness in measuring the adoption of the Patient Priorities Care (PPC) model in clinical settings.
Measuring Adoption of Patient Priorities-Aligned Care Using Natural Language Processing of Electronic Health Records: Development and Validation of the Model.Razjouyan, J., Freytag, J., Dindo, L., et al.[2021]

Citations

Patient Priorities Care for older breast cancer survivorsThis quality improvement project aims to use PPC and patient's self-defined goals to improve the quality of survivorship care for older adults breast cancer ...
Patient Priorities for Survivorship Care in Older Breast ...The objective of this study is to adapt the Patient Priorities Care (PPC) framework to breast cancer survivorship via a user-centered approach, ...
Patient Priorities Survivorship Care for Older Women with ...In the proposed project, I will use a Patient Priorities Care framework to explore older breast cancer survivors' priorities and health care preferences for ...
Patient Priorities Care for Breast Cancer SurvivorsThe Adapted Patient Priorities Care (PPC) approach is unique because it focuses on aligning care with the individual priorities and preferences of breast cancer ...
Patient Priorities Care for older breast cancer survivorsThis quality improvement project aims to use PPC and patient's self-defined goals to improve the quality of survivorship care for older adults breast cancer ...
A scoping review to identify preference‐sensitive decisionsOpportunities for personalised follow‐up care among patients with breast cancer: A scoping review to identify preference‐sensitive decisions - PMC.
Survivorship Care for People Affected by Advanced or ...These standards were designed to support the optimization of care experiences and health outcomes by providing practice recommendations within ...
Patient Priorities–Aligned Care for Older Adults With ...These findings suggest that aligning care with health priorities may help improve some important health outcomes for older adults.
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