NCT03104543

Communicating Health Information and Improving Coordination With Primary Care

Communicating Health Information and Improving Coordination With Primary Care - an Ancillary Study of the Childhood Cancer Survivor Study

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 347 (actual)
• Sponsor: Fred Hutchinson Cancer Center · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Survivors of childhood cancer are known to be at higher risk of developing premature, serious cardiovascular disease compared with the general population. Hypertension, dyslipidemia, and diabetes increase this risk beyond that attributable to one's original cancer therapy exposures. Research has shown that childhood cancer survivors also have a high burden of underdiagnosis and undertreatment of these potentially modifiable conditions. The goal of this study is to: 1. To determine the prevalence of underdiagnosis and undertreatment of common cardiometabolic conditions (i.e., hypertension, dyslipidemia, diabetes) in survivors of childhood cancer at high-risk of future serious cardiovascular disease. 2. Among survivors who are found to be underdiagnosed or undertreated, to determine (via randomized clinical trial) the efficacy of an educational intervention to improve control of these cardiometabolic conditions. 3. Determine barriers on among survivors enrolled on the randomized trial and their primary healthcare providers that contribute to undertreatment of the study's targeted cardiometabolic conditions.

Detailed description

What is the CHIIP Study? The CHIIP Study is for Long-Term Follow-Up (LTFU) Study participants who are more likely to experience heart problems because of their cancer treatment. We want to figure out how common high blood pressure, high blood cholesterol, and high blood sugar are among LTFU Study participants. What will be asked of participants? LTFU Study participants who choose to enroll in this study will be asked to: * Answer one or two short questionnaires about their medical history, current health, mood, lifestyle, and healthcare access. * Schedule a one-time visit for an examiner to come to their home (or another location chosen by the participant) to measure blood pressure, height, weight, waist circumference, and to draw blood to test their cholesterol and blood sugar. * If all the test results are normal, the participant will be done with the study. If the participant has a higher than normal test result, they will remain in the study and be randomly assigned to one of two groups to learn how to improve health. A year later, participants in both groups will be asked to repeat the tests mentioned above. What's in it for participants? Participants will have some basic health measurements done for free, including height, weight, blood pressure, and blood levels of cholesterol and sugar. The participant and their primary care provider will receive a copy of all these test results free of cost. We hope the information we gather will provide future benefits for people who were treated for cancer as children.

Conditions

• Hypertension
• Dyslipidemias
• Diabetes
• Childhood Cancer

Interventions

Type	Name	Description
BEHAVIORAL	Education	30 minute education session; 15 minute booster session at 4 months
BEHAVIORAL	Test results only	The control group will receive a copy of test results upfront but not experimental educational materials; those will be available at 1 year

Timeline

• Start date: 2017-03-01
• Primary completion: 2022-12-01
• Completion: 2022-12-01
• First posted: 2017-04-07
• Last updated: 2024-03-06
• Results posted: 2024-01-22

Locations

1 site across 1 country: United States