NCT02966509

Engagement of Patients With Advanced Cancer

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 213 (actual)
• Sponsor: Stanford University · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

The Engagement of Patients with Advanced Cancer is an intervention that utilizes well-trained lay health coaches to engage patients and their families in goals of care and shared decision-making after a diagnosis of advanced cancer. Although lay health workers have never been tested in this role, we hypothesize that lay health workers can feasibly improve goals of care documentation and help to reduce unwanted healthcare utilization at the end of life for Veterans diagnosed with new advanced stages of cancer and those diagnosed with recurrent disease.

Detailed description

VAPAHCS proposes to implement and evaluate several critical elements to be in alignment with the VHA's Strategic Goal and priority areas for FY2013. The Engagement of Patients with Advanced Cancer project is an innovative program that will strengthen provider-patient relationship and facilitate whole person care about matters important to Veterans with cancer and important to support network and family. The project is intended to help establish Goals of Care Plan with appropriate documentation, develop, deploy, and evaluate a model of care for persons with cancer that is intended to improve clinical outcomes and experience of care for individuals with advanced cancer who have advanced cancer (stages III, IV or recurrent disease). The intervention provides patients with lay health coaches who assist patients and their families in discussing goals of care and engage in shared-decision making. The goal of the project is to demonstrate that there is improved patient experiences, outcomes, and that the program helps to reduce utilization of health care resources at the end of life.

Conditions

• End of Life
• Advanced Cancer
• Lung Neoplasm
• Gastric Cancer
• Colon Cancer
• Glioblastoma Multiforme
• Head and Neck Neoplasms
• Rectum Cancer
• Melanoma
• Kidney Cancer
• Prostate Cancer
• Testicular Neoplasms
• Liver Cancer
• Cancer of Unknown Origin

Interventions

Type	Name	Description
BEHAVIORAL	EPAC	Each patient will receive a lay health worker who will engage and educate patients on goals of care documentation and will continue to address goals of care for at least 6 months with patients after enrollment in the study.

Timeline

• Start date: 2013-08-01
• Primary completion: 2016-12-01
• Completion: 2016-12-01
• First posted: 2016-11-17
• Last updated: 2018-10-31
• Results posted: 2017-12-18