CHAMP Assessment for Aging Adults

Overseen By Shabbir Alibhai, MD MSc

Age: 65+

Sex: Any

Trial Phase: Academic

Sponsor: University of Toronto

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 2

210 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to improve surgery preparation for older adults using a tool called CHAMP (Comprehensive Health Assessment for My Plan). CHAMP is a self-reported online assessment that identifies health issues and plans supportive care before surgery. The trial will evaluate CHAMP's practicality and effectiveness in clinics for individuals over 70 planning non-cancer surgeries. Suitable participants are those aged 70 or older, who speak English, and are scheduled for a non-cancer surgery. As an unphased trial, this study offers participants the chance to contribute to innovative research that could enhance surgical outcomes for older adults.

Do I need to stop my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications.

What prior data suggests that the CHAMP tool is safe for older adults?

Research has shown that the Comprehensive Health Assessment for My Plan (CHAMP) tool is easy to use and safe. This online questionnaire helps older adults by identifying their health needs before surgery.

Studies have used the CHAMP tool in cancer care for older adults and found it well-received. Since it is just a questionnaire and not a medical treatment, no negative effects have been reported. It gathers information on physical abilities and nutrition status to aid doctors in making better decisions for older patients.

The tool has been safely used to enhance treatment planning for older adults, particularly those with complex health issues. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the CHAMP tool because it offers a personalized approach to healthcare decisions for older adults. Unlike standard treatments that often focus solely on medical history or symptoms, CHAMP incorporates socio-demographic characteristics, literacy, and technology comfort into its assessments. This comprehensive approach aims to enhance communication between patients and clinicians, potentially leading to more satisfying healthcare experiences and better-informed treatment choices. By tailoring healthcare plans to individual needs, CHAMP could significantly improve outcomes for aging adults.

What evidence suggests that the CHAMP tool is effective for preoperative assessment in older adults?

Research has shown that the Comprehensive Health Assessment for My Plan (CHAMP) tool effectively identifies important health issues in older adults. Early results suggest that CHAMP helps doctors make better treatment decisions by highlighting concerns that might affect surgery outcomes. Studies indicate that CHAMP facilitates access to geriatric assessments for older adults, particularly those who might not otherwise receive this type of care. This tool has already been used successfully in cancer care to adjust treatment plans based on patient needs. Overall, CHAMP aims to ensure older adults receive personalized care before surgery. ^{1 2 6 7 8}

Who Is on the Research Team?

Martine Puts, PhD RN

Principal Investigator

University of Toronto

Are You a Good Fit for This Trial?

This trial is for patients aged 70 or older who are referred to non-oncological surgery, can speak English, and are able to give informed consent. It's not specified who cannot join the trial.

Inclusion Criteria

I am 70 or older and referred for non-cancer surgery.

Able to provide informed consent

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preoperative Assessment

Participants complete the CHAMP tool either at home or in the clinic before their medical appointment

1 week

1 visit (in-person or virtual)

Consultation and Treatment Planning

Clinicians review CHAMP results and discuss treatment plans with participants

1 week

1 visit (in-person)

Follow-up

Participants complete satisfaction surveys and clinicians assess changes in treatment plans and supportive care strategies

1 week

What Are the Treatments Tested in This Trial?

Interventions

• Comprehensive Health Assessment for My Plan (CHAMP)

Trial Overview The CHAMP Implementation Study tests a self-reported online geriatric assessment tool designed to improve preoperative care for aging adults facing surgery by identifying their specific health needs beforehand.

How Is the Trial Designed?

Group I: Older adults completing the CHAMP tool before treatment decision is made Experimental Treatment 1 Intervention

Eligible participants who consent to the study will be asked to complete questionnaires about socio-demographic characteristics, literacy, and technology comfort. Subsequently, participants will be asked to complete the CHAMP tool at home or in the clinic before the participants' medical appointment with the clinician. Next, participants will see the clinician for the consultation. Approximately one week after the consultation, participants will be asked to complete 3 questionnaires about the participants' experience and satisfaction with the CHAMP tool.

Who Is Running the Clinical Trial?

University of Toronto

Lead Sponsor

Trials

739

Recruited

1,125,000+

Unity Health

Collaborator

Trials

5

Recruited

22,900+

University Health Network, Toronto

Collaborator

Trials

1,555

Recruited

526,000+

Sunnybrook Health Sciences Centre

Collaborator

Trials

693

Recruited

1,569,000+

Published Research Related to This Trial

A systematic review of 9 studies involving older adults (aged ≥65 years) found that eHealth tools for receiving health test results generally improved satisfaction and quality of life, indicating their potential benefit in cancer treatment decision-making.

Challenges such as poorly designed user interfaces and older adults' lack of confidence in using eHealth tools hindered their uptake, highlighting the need for more intuitive designs tailored to this age group.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Providing Medical Information to Older Adults in a Web-Based Environment: Systematic Review. McLean, B., Hossain, N., Donison, V., et al.[2021]

The Comprehensive Assessment for My Plan (CHAMP) is a self-reported electronic geriatric assessment tool designed to improve cancer treatment decision-making for older adults (≥65 years), developed with input from 17 older adults and 9 oncology clinicians.

Usability testing showed that both older adults and clinicians found CHAMP user-friendly, covering important health domains such as functional status, cognitive impairment, and nutrition, which may enhance access to geriatric assessments in oncology settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The development of an electronic geriatric assessment tool: Comprehensive health assessment for my plan (CHAMP). Cook, S., Munteanu, C., Papadopoulos, E., et al.[2023]

Citations

1. geriatriconcology.net geriatriconcology.net/article/S1879-4068(22)00232-6/abstract

The development of an electronic geriatric assessment tool CHAMP was designed for use by older adults and oncologists and may enhance access to GA for older adults with cancer. The next phase of the ...

2. pubmed.ncbi.nlm.nih.gov pubmed.ncbi.nlm.nih.gov/36216760/

The development of an electronic geriatric assessment tool We developed a self-reported, electronic geriatric assessment tool: Comprehensive Assessment for My Plan (CHAMP).

3. sciencedirect.com sciencedirect.com/science/article/abs/pii/S1879406822002326

The development of an electronic geriatric assessment tool We developed a self-reported, electronic geriatric assessment tool: Comprehensive Assessment for My Plan (CHAMP).

4. clinicaltrials.gov clinicaltrials.gov/study/NCT05499975

Comprehensive Health Assessment for my Cancer ... In this study, our aim is to deploy the CHAMP tool to various oncology clinics across 4 institutions and assess feasibility outcomes, as well as the impact of ...

5. clinicaltrials.gov clinicaltrials.gov/study/NCT06464471

Comprehensive Health Assessment for My Plan: Initial ... Change in proposed treatment plan, The impact of the CHAMP tool on proposed treatment plan will be measured through an adapted questionnaire which the ...

6. connect.careboxhealth.com connect.careboxhealth.com/en-US/trial/listing/503475

Comprehensive Health Assessment for My Plan The CHAMP tool is a self reported online tool that has been developed to increase patients' accessibility to geriatric assessment and improve treatment decision ...

7. researchgate.net researchgate.net/publication/364256960_The_development_of_an_electronic_geriatric_assessment_tool_Comprehensive_health_assessment_for_my_plan_CHAMP

The development of an electronic geriatric assessment tool Domains in the final CHAMP tool (with questions and recommendations) included functional status, falls risk, cognitive impairment, nutrition, ...

8. michigan.gov michigan.gov/mdhhs/doing-business/providers/providers/other/homehelp/agency-providers/champs-instructions-information

CHAMPS Instructions & Information Below are instructional resources designed to assist both new and current Home Help agency providers with completing the CHAMPS application, modifying ...