250 Participants Needed

Survivorship Care Planning + Telehealth Education for Cancer

Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Fred Hutchinson Cancer Research Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

What is the purpose of this trial?

This trial studies how well self-generated survivorship care plans and telehealth education works in improving knowledge and self-efficacy in cancer survivors living in rural areas. Patients living in rural areas often face barriers to survivorship care and report unmet needs. A survivorship care plan created by the patient (self-generated) may help them to better transition from oncology to primary care and improve communication between care teams in order to meet these needs and create better health outcomes. Telehealth is a way of delivering health care services from a distance, including patient education. Combining a self-generated survivorship care plan with telehealth education may help to improve knowledge and self-efficacy in cancer survivors.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications. However, it mentions that participants may still be on long-term maintenance therapy, like tamoxifen or aromatase inhibitors, so it seems likely you can continue your current medications.

What data supports the effectiveness of the treatment Survivorship Care Planning + Telehealth Education for Cancer?

Research suggests that survivorship care plans (SCPs) can improve care coordination and outcomes for cancer survivors, and telehealth interventions have been designed to empower post-treatment survivors by integrating care coordination and self-management skills. These approaches may enhance the quality of follow-up care and address the needs of cancer survivors, especially in rural areas.12345

Is Survivorship Care Planning and Telehealth Education safe for humans?

The research does not provide specific safety data for Survivorship Care Planning and Telehealth Education, but these interventions generally focus on improving care coordination and education, which are typically safe for humans.14678

How is the treatment 'Self-generated Survivorship Care Plans' unique for cancer survivors?

This treatment is unique because it combines personalized survivorship care plans with telehealth education, allowing cancer survivors to actively participate in their post-treatment care from home. It focuses on empowering patients through self-management and improving care coordination between oncology and primary care, which is especially beneficial for those in rural areas.12345

Research Team

EC

Eric J. Chow

Principal Investigator

Fred Hutch/University of Washington Cancer Consortium

Eligibility Criteria

This trial is for adult cancer survivors who finished curative therapy within the last 5 years and have a history of lymphoma, breast, colorectal, lung, or prostate cancer. They must be able to do study tasks like questionnaires and agree to randomization. Participants need access to a phone and can receive materials electronically. It excludes those on palliative care or without telephone access.

Inclusion Criteria

I finished my cancer treatment within the last 5 years and may still be on maintenance therapy.
I had cancer (lymphoma, breast, colorectal, lung, or prostate) as an adult.
I can understand and agree to the study's details.
See 6 more

Exclusion Criteria

Lacks mailing address or ability to receive study materials electronically
Currently being followed in a pediatric clinical setting (either for primary care or for cancer care)
I am receiving or considering palliative or hospice care soon.
See 2 more

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Baseline Assessment

Participants complete a baseline questionnaire and have medical records reviewed

1 week
1 visit (in-person or virtual)

Intervention

Participants receive a self-generated SCP and may receive additional educational counseling depending on cohort assignment

Up to 8 weeks

Follow-up

Participants are monitored for outcomes related to survivorship knowledge and self-efficacy

8 weeks

Treatment Details

Interventions

  • Self-generated Survivorship Care Plans
  • Telehealth Education
Trial Overview The IMPACT Study tests if self-generated survivorship care plans combined with telehealth education improve knowledge and self-efficacy in rural cancer survivors. The goal is better transition from oncology to primary care and improved communication between healthcare providers.
Participant Groups
5Treatment groups
Experimental Treatment
Active Control
Group I: Arm V (generic information, patient-generated SCP, counseling)Experimental Treatment4 Interventions
Patients receive generic information on survivorship care as well as a self-generated SCP as in Arm I and a telephone-based educational counseling session as in Arm II on study.
Group II: Arm II (patient-generated SCP, counseling)Experimental Treatment3 Interventions
Patients receive a self-generated SCP as in Arm I. Patients also receive a 30-minute telephone-based educational counseling session on survivorship care administered by trained lay health counselors.
Group III: Arm III (generic information)Active Control2 Interventions
Patients receive generic information on survivorship care on study.
Group IV: Arm IV (generic information, patient-generated SCP)Active Control3 Interventions
Patients receive generic information on survivorship care and a self-generated SCP as in Arm I on study.
Group V: Arm I (patient-generated SCP)Active Control2 Interventions
Patients receive a self-generated SCP (i.e., generated from baseline questionnaire responses).

Find a Clinic Near You

Who Is Running the Clinical Trial?

Fred Hutchinson Cancer Research Center

Lead Sponsor

Trials
444
Recruited
148,000+

Fred Hutchinson Cancer Center

Lead Sponsor

Trials
583
Recruited
1,341,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Findings from Research

Telehealth could significantly improve cancer survivorship care planning by facilitating better communication and coordination between oncology and primary care providers, as well as enhancing access for survivors, based on a mixed-methods study involving interviews and surveys with providers and survivors in Vermont and New Hampshire.
Despite the potential benefits, challenges such as scheduling coordination among clinicians and ensuring payment parity for telehealth services need to be addressed to fully realize the advantages of telehealth in survivorship care.
From active treatment to surveillance: how the barriers and facilitators of implementing survivorship care planning could be an opportunity for telehealth in oncology care for rural patients.Alford-Teaster, J., Vaclavik, D., Imset, I., et al.[2023]
Telehealth could significantly improve cancer survivorship care planning by facilitating better communication and coordination between oncology and primary care providers, as well as enhancing survivor access to care.
Despite its potential, there are important challenges to address, such as scheduling coordination among clinicians and ensuring fair payment for telehealth services, to fully realize the benefits of telehealth in survivorship care.
From active treatment to surveillance: How the barriers and facilitators of implementing survivorship care planning could be an opportunity for telehealth in oncology care for rural patients.Alford-Teaster, J., Vaclavik, DD., Imset, I., et al.[2023]
Survivors of lung and colorectal cancer often face significant post-treatment challenges, including poor quality of life and greater health complications, yet they are underrepresented in research, leading to disparities in care.
This study outlines a new telehealth intervention designed to enhance care coordination between oncology and primary care, aiming to empower cancer survivors through self-management skills and improve their post-treatment outcomes, which will be tested in a randomized controlled trial.
Rationale and Design of a Telehealth Self-Management, Shared Care Intervention for Post-treatment Survivors of Lung and Colorectal Cancer.Sun, V., Reb, A., Debay, M., et al.[2023]

References

From active treatment to surveillance: how the barriers and facilitators of implementing survivorship care planning could be an opportunity for telehealth in oncology care for rural patients. [2023]
From active treatment to surveillance: How the barriers and facilitators of implementing survivorship care planning could be an opportunity for telehealth in oncology care for rural patients. [2023]
Rationale and Design of a Telehealth Self-Management, Shared Care Intervention for Post-treatment Survivors of Lung and Colorectal Cancer. [2023]
The Impact of a Primary Care Education Program Regarding Cancer Survivorship Care Plans: Results from an Engineering, Primary Care, and Oncology Collaborative for Survivorship Health. [2020]
Cancer Survivors and the Patient-Centered Medical Home. [2023]
Results of Engineering, Primary Care, Oncology Collaborative Regarding a Survey of Primary Care on a Re-Engineered Survivorship Care Plan. [2023]
Impact of Survivorship Care Plans and Planning on Breast, Colon, and Prostate Cancer Survivors in a Community Oncology Practice. [2021]
Re-engineering Survivorship Care Plans to Support Primary Care Needs and Workflow: Results From an Engineering, Primary Care and Oncology Collaborative for Survivorship Health (EPOCH). [2023]
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