NCT06654245

Assessing and Addressing Follow-up Care Needs That Will Facilitate Care Transitions for Cancer Survivors

Toward an Integrated Approach to Assessing and Addressing Follow-Up Care Needs That Will Facilitate Care Transitions for Cancer Survivors: A Pilot Study

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 5 (actual)
• Sponsor: Wake Forest University Health Sciences · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This clinical trial evaluates whether a shared response plan (SHAREDCare) improves follow-up care for lung cancer survivors. As the number of cancer survivors increases, there is a new need for high-quality chronic illness care. High-quality chronic illness care can be difficult to deliver and involves working with the patient to be certain they have what they need to be actively involved with their care to meet their needs. SHAREDCare allows the patient to work with a navigator to review identified distress and social needs. The patient and navigator discuss the needs and develop a shared response plan to address the needs in ways that consider the patient's current behaviors, beliefs, and motivation. The plan also establishes specific patient goals, anticipates barriers, and establishes how the navigator will follow-up on the needs and adjust care and assistance when needed. Using a shared response plan may improve follow-up care for lung cancer survivors.

Detailed description

Primary Objective: Pilot and qualitatively assess the acceptability of SHAREDCare through semi- structured interviews Secondary Objectives: * Describe quantitative assessments of intervention acceptability, appropriateness, and feasibility. * Describe survivor level of unmet needs13 using a validated measure to collect data before and/or after completion of the SHAREDCare intervention. * Track clinical referrals and other actions made as a result of patient responses on the Electronic Distress Screening (EDS) and the percentage of referrals that have been "completed" (i.e. those referrals where a patient completed the relevant medical or social needs-related visit). * Track recruitment, assessment completion, and any related adverse events. OUTLINE: Patients receive a SHAREDCare call with a navigator to discuss identified distress and social needs and develop/deploy a shared response plan to address identified needs on study. Patients also receive standard of care automated referrals on study. Two weeks following the initial call, patients receive a second SHAREDCare call with a navigator to follow-up on the shared response plan. After completion of study intervention, patients are followed up 4 weeks after initial call.

Conditions

• Stage I Lung Cancer
• Stage II Lung Cancer
• Stage III Lung Cancer
• Stage IV Lung Cancer

Interventions

Type	Name	Description
BEHAVIORAL	Telephone based interview	Receive SHAREDCare navigator calls
OTHER	Survey using a questionnaire.	Ancillary studies
OTHER	Electronic health record review	Ancillary studies
OTHER	Referral	Receive standard of care automated referrals

Timeline

• Start date: 2025-06-11
• Primary completion: 2026-01-12
• Completion: 2026-01-12
• First posted: 2024-10-23
• Last updated: 2026-01-30

Locations

1 site across 1 country: United States