Acute Myeloid Leukemia, Brain Glioblastoma, Estrogen Receptor Negative, Extensive Stage Small Cell Lung Carcinoma, Head and Neck Carcinoma, HER2/Neu Negative, Hormone-Resistant Prostate Cancer, Limited Stage Small Cell Lung Carcinoma, Myelodysplastic Syndrome, Progesterone Receptor Negative, Progressive Disease, Recurrent Carcinoma, Stage IIA Pancreatic Cancer, Stage IIA Rectal Cancer, Stage IIB Pancreatic Cancer, Stage IIB Rectal Cancer, Stage IIC Rectal Cancer, Stage IIIA Colon Cancer, Stage IIIA Esophageal Cancer, Stage IIIA Gastric Cancer, Stage IIIA Non-Small Cell Lung Cancer, Stage IIIA Ovarian Cancer, Stage IIIA Rectal Cancer, Stage IIIA Skin Melanoma, Stage IIIB Colon Cancer, Stage IIIB Esophageal Cancer, Stage IIIB Gastric Cancer, Stage IIIB Non-Small Cell Lung Cancer, Stage IIIB Ovarian Cancer, Stage IIIB Rectal Cancer, Stage IIIB Skin Melanoma, Stage IIIC Colon Cancer, Stage IIIC Esophageal Cancer, Stage IIIC Gastric Cancer, Stage III Colon Cancer, Stage IIIC Ovarian Cancer, Stage IIIC Rectal Cancer, Stage IIIC Skin Melanoma, Stage III Esophageal Cancer, Stage III Gastric Cancer, Stage III Non-Small Cell Lung Cancer, Stage III Ovarian Cancer, Stage III Pancreatic Cancer, Stage III Rectal Cancer, Stage III Skin Melanoma, Stage II Pancreatic Cancer, Stage II Rectal Cancer, Stage IVA Bone Sarcoma, Stage IVA Colon Cancer, Stage IVA Rectal Cancer, Stage IVB Bone Sarcoma, Stage IVB Colon Cancer, Stage IV Bladder Cancer, Stage IV Bone Sarcoma, Stage IV Breast Cancer, Stage IVB Rectal Cancer, Stage IV Colon Cancer, Stage IV Esophageal Cancer, Stage IV Gastric Cancer, Stage IV Non-Small Cell Lung Cancer, Stage IV Ovarian Cancer, Stage IV Pancreatic Cancer, Stage IV Rectal Cancer, Stage IV Renal Cell Cancer, Stage IV Skin Melanoma, Stage IV Soft Tissue Sarcoma, Triple-Negative Breast Carcinoma
Conditions
Brief summary
This randomized pilot clinical trial studies health care coach support in reducing acute care use and cost in patients with cancer. Health care coach support may help cancer patients to make decisions about their care that matches what is important to them with symptom management.
Detailed description
PRIMARY OBJECTIVES: I. To reduce acute care utilization by 2-5% for advanced cancer patients by training and deploying health care coaches who help patients and families discuss care goals, virtual modalities, engage in shared-decision-making, and participate in educational activities. SECONDARY OBJECTIVES: I. To improve patients' experience of their care. II. Improve patient understanding of advanced care planning. III. To improve the receipt of goal concordant care. IV. To reduce total healthcare costs. OUTLINE: Patients are randomized to 1 of 2 arms. ARM A: Patients receive usual care. ARM B: Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms. After completion of study, patients are followed up for 6 months.
Interventions
OTHERLaboratory Biomarker Analysis
Correlative studies
PROCEDURESupportive Care
Undergo health care coach support
OTHERSurvey Administration
Ancillary studies
OTHERBest Practice
Receive usual care
Sponsors
Stanford University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Newly diagnosed patients for the following conditions * Colon cancer stage III and IV * Rectal cancer stage II, III, IV * Glioblastoma multiforme (brain) -- no stage * Non-small cell lung cancer stage IIIA, IIIB, IV * Small cell lung cancer, limited stage and extensive stage * Castration-resistant prostate cancer * Head and neck cancer stage III and IV * Gastric cancer stage III and IV * Esophageal cancer stage III and IV * Pancreatic cancer stage II, III, IV * Renal cell carcinoma, stage IV * Breast cancer, stage IV, if triple negative ER/PR/H2N negative or on systemic chemotherapy * Sarcoma, stage IV * Bladder carcinoma, stage IV * Acute myeloid leukemia * Melanoma, stage III and IV * Ovarian cancer, stage III and IV * High grade myelodysplastic syndrome (MDS) * Any patient with recurrent or progressive cancer * Patients must have the ability to understand and willingness to sign a written informed consent document * Patient must have ongoing oncologic needs and plan to receive all care at the study institution and not already be in hospice or home-care
Exclusion criteria
* Patients must have capacity to consent * Pregnant patients are excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Emergency Department Visits (Chart Review) | 6 months after patient enrollment | Mean emergency department visits for each patient will be abstracted by electronic medical record chart review for each patient at 6 months after enrollment. We will evaluate comparisons of mean numbers of emergency department visits between study arms. |
| Number of Hospitalization Visits (Chart Review) | 6 months after patient enrollment | Mean Hospitalization use for each patient will be abstracted by electronic medical record chart review for each patient at 6 months after enrollment. We will evaluate comparisons of mean numbers of hospitalizations between the two study arms. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean Emergency Department Visits (Chart Review) | 12 months after patient enrollment | Emergency Department use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of emergency department visits between study arms. |
| Number of People With Emergency Department Visit (Chart Review) | 30 days prior to death | Number of people with Emergency Department use in the 30 days before death will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of the number of people with emergency department visits between study arms. |
| Hospitalization Visits (Chart Review) | 12 months after patient enrollment | Hospital use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of hospitalization use between study arms. |
| Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Change in patient satisfaction with care and decision making from baseline to 6 and 12 months | Each patient will receive a satisfaction with decision-making survey (The Satisfaction with Decision Survey) at baseline, 6 months, and 12 months. Satisfaction with Decision was assessed using the Satisfaction with Decision scale, which measured rating of decision-making. Questions were assessed with responses on a scale of strongly disagree, disagree, neither agree nor disagree, agree, or strongly agree. Results are expressed as proportion of participants who responded strongly agree. |
| Hospice Consult (Chart Review) | 6 months after patient enrollment | Hospice use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of hospice use between study arms. |
| Palliative Care Consult (Chart Review) | 6 months after patient enrollment | Palliative Care consult for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of palliative care use between study arms. |
| Number of Patients With Hospital Use (Chart Review) | 30 days prior to death | Number of patients with hospital use in the 30 days before death will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of proportion of people with hospitalization use between study arms in the 30 days before death. |
| Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Change in patient satisfaction with care from baseline to 6 and 12 months | Each patient will receive a satisfaction with care survey (The Consumer Assessment of Healthcare Providers and Systems-G) at baseline, 6 months, and 12 months. Overall Health and Overall Mental or Emotional health was assessed using the Consumer Assessment of Health Care Providers and Systems-Clinician and Group Survey version 2.0 (cite) questions #26, which measured rating of overall health with responses, excellent, very good, fair, or poor. Questions were assessed with responses never, sometimes, usually, or always, or care rated as worst, fair, good, or best. Results are expressed as proportion of participants who responded always, or best care. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Arm A (Usual Care) Patients receive usual care.
Best Practice: Receive usual care
Laboratory Biomarker Analysis: Correlative studies
Survey Administration: Ancillary studies | 64 |
| Arm B (Health Care Coach Support) Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms.
Laboratory Biomarker Analysis: Correlative studies
Supportive Care: Undergo health care coach support
Survey Administration: Ancillary studies | 64 |
| Total | 128 |
Baseline characteristics
| Characteristic | Total | Arm B (Health Care Coach Support) | Arm A (Usual Care) |
|---|---|---|---|
| Age, Continuous | 67 years | 70 years | 67 years |
| Anatomic Site of Cancer Diagnosis Breast | 9 Participants | 4 Participants | 5 Participants |
| Anatomic Site of Cancer Diagnosis Gastrointestinal | 49 Participants | 20 Participants | 29 Participants |
| Anatomic Site of Cancer Diagnosis Genitourinary | 8 Participants | 5 Participants | 3 Participants |
| Anatomic Site of Cancer Diagnosis Glioblastoma | 6 Participants | 2 Participants | 4 Participants |
| Anatomic Site of Cancer Diagnosis Gynecology | 11 Participants | 7 Participants | 4 Participants |
| Anatomic Site of Cancer Diagnosis Head and Neck | 6 Participants | 5 Participants | 1 Participants |
| Anatomic Site of Cancer Diagnosis Malignant Hematologic | 10 Participants | 5 Participants | 5 Participants |
| Anatomic Site of Cancer Diagnosis Melanoma | 4 Participants | 2 Participants | 2 Participants |
| Anatomic Site of Cancer Diagnosis Thoracic | 24 Participants | 14 Participants | 10 Participants |
| Anatomic Site of Cancer Diagnosis Unknown Primary | 1 Participants | 0 Participants | 1 Participants |
| Cancer-Directed Treatment Chemotherapy | 120 participants | 60 participants | 60 participants |
| Cancer-Directed Treatment Radiation | 53 participants | 25 participants | 28 participants |
| Cancer-Directed Treatment Surgery | 29 participants | 19 participants | 10 participants |
| Cancer Stage at Diagnosis 3 | 21 Participants | 12 Participants | 9 Participants |
| Cancer Stage at Diagnosis 4 | 97 Participants | 48 Participants | 49 Participants |
| Cancer Stage at Diagnosis Not applicable (i.e., Leukemia, Glioblastoma) | 10 Participants | 4 Participants | 6 Participants |
| Education Level 4-Year College Graduate | 19 Participants | 8 Participants | 11 Participants |
| Education Level High School Graduate or GED | 13 Participants | 8 Participants | 5 Participants |
| Education Level Less than 8th Grade | 1 Participants | 0 Participants | 1 Participants |
| Education Level More than 4-Year College Graduate | 20 Participants | 14 Participants | 6 Participants |
| Education Level Prefer Not To Answer | 31 Participants | 13 Participants | 18 Participants |
| Education Level Some College or 2-Year Degree | 42 Participants | 20 Participants | 22 Participants |
| Education Level Some High School | 2 Participants | 1 Participants | 1 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 23 Participants | 12 Participants | 11 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 105 Participants | 52 Participants | 53 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants |
| Insurance Status Medicaid | 6 Participants | 3 Participants | 3 Participants |
| Insurance Status Medicare | 41 Participants | 21 Participants | 20 Participants |
| Insurance Status Private | 78 Participants | 38 Participants | 40 Participants |
| Insurance Status Uninsured | 3 Participants | 2 Participants | 1 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 2 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Asian | 11 Participants | 4 Participants | 7 Participants |
| Race (NIH/OMB) Black or African American | 5 Participants | 2 Participants | 3 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 0 Participants | 2 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 20 Participants | 10 Participants | 10 Participants |
| Race (NIH/OMB) White | 86 Participants | 46 Participants | 40 Participants |
| Recurrent Cancer - no | 52 Participants | 23 Participants | 29 Participants |
| Sex/Gender, Customized Gender Identity Female | 61 Participants | 30 Participants | 31 Participants |
| Sex/Gender, Customized Gender Identity Male | 64 Participants | 32 Participants | 32 Participants |
| Sex/Gender, Customized Gender Identity Non-binary | 3 Participants | 2 Participants | 1 Participants |
| Symptom Burden | 13 score on a scale STANDARD_DEVIATION 11.3 | 13.3 score on a scale STANDARD_DEVIATION 10.5 | 12.8 score on a scale STANDARD_DEVIATION 11.5 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 26 / 64 | 32 / 64 |
| other Total, other adverse events | 0 / 64 | 0 / 64 |
| serious Total, serious adverse events | 0 / 64 | 0 / 64 |
Outcome results
Primary
Number of Emergency Department Visits (Chart Review)
Mean emergency department visits for each patient will be abstracted by electronic medical record chart review for each patient at 6 months after enrollment. We will evaluate comparisons of mean numbers of emergency department visits between study arms.
Time frame: 6 months after patient enrollment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm A (Usual Care) | Number of Emergency Department Visits (Chart Review) | 1.33 visits | Standard Deviation 2.53 |
| Arm B (Health Care Coach Support) | Number of Emergency Department Visits (Chart Review) | 0.41 visits | Standard Deviation 1.02 |
95% CI: [0.2, 0.47]Regression, Cox
Primary
Number of Hospitalization Visits (Chart Review)
Mean Hospitalization use for each patient will be abstracted by electronic medical record chart review for each patient at 6 months after enrollment. We will evaluate comparisons of mean numbers of hospitalizations between the two study arms.
Time frame: 6 months after patient enrollment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm A (Usual Care) | Number of Hospitalization Visits (Chart Review) | 0.91 visits | Standard Deviation 1.98 |
| Arm B (Health Care Coach Support) | Number of Hospitalization Visits (Chart Review) | 0.44 visits | Standard Deviation 1.28 |
95% CI: [0.3, 0.75]Regression, Cox
Secondary
Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G.
Each patient will receive a satisfaction with care survey (The Consumer Assessment of Healthcare Providers and Systems-G) at baseline, 6 months, and 12 months. Overall Health and Overall Mental or Emotional health was assessed using the Consumer Assessment of Health Care Providers and Systems-Clinician and Group Survey version 2.0 (cite) questions #26, which measured rating of overall health with responses, excellent, very good, fair, or poor. Questions were assessed with responses never, sometimes, usually, or always, or care rated as worst, fair, good, or best. Results are expressed as proportion of participants who responded always, or best care.
Time frame: Change in patient satisfaction with care from baseline to 6 and 12 months
Population: Participants who completed the survey at each respective time point are included in the analysis.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did you get an answer to your medical question the same day during office hours? | 21 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did this provider's team spend enough time with you? | 30 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did this provider's team listen carefully to you? | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did your provider's office follow up to give you the results of a test? | 37 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month : How often did you get an answer to your medical question the same day after office hours? | 6 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did your provider's office follow up to give you the results of a test? | 35 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did this provider's team listen carefully to you? | 37 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did your provider's office follow up to give you the results of a test? | 28 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did you get an answer to your medical question the same day after office hours? | 11 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: I am satisfied with the care I received at St. Joseph Heritage Health Care? | 47 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did this provider's team listen carefully to you? | 28 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: I am satisfied with the care I received at St. Joseph Heritage Health Care? | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did your provider team explain things in a way that was easy to understand? | 34 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: I am satisfied with the care I received at St. Joseph Heritage Health Care? | 27 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did this provider's team show respect for what you had to say? | 42 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: Received the best care? | 30 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did you get an answer to your medical question the same day during office hours? | 15 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: Received the best care? | 27 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did this provider's team show respect for what you had to say? | 38 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: Received the best care? | 21 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month : How often did your provider team explain things in a way that was easy to understand? | 35 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: In general, how would you rate your overall health? | 12 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did this provider's team show respect for what you had to say? | 30 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: In general, how would you rate your overall health? | 10 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did you get an answer to your medical question the same day after office hours? | 9 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: In general, how would you rate your overall health? | 9 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did this provider's team spend enough time with you? | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: In general, how would you rate your overall mental or emotional health? | 31 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did your provider team explain things in a way that was easy to understand? | 27 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: In general, how would you rate your overall mental or emotional health? | 13 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did this provider's team spend enough time with you? | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: In general, how would you rate your overall mental or emotional health? | 9 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did you get an answer to your medical question the same day during office hours? | 22 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: In general, how would you rate your overall mental or emotional health? | 18 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did you get an answer to your medical question the same day during office hours? | 22 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did you get an answer to your medical question the same day during office hours? | 34 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did you get an answer to your medical question the same day during office hours? | 17 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did you get an answer to your medical question the same day after office hours? | 9 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did you get an answer to your medical question the same day after office hours? | 13 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month : How often did you get an answer to your medical question the same day after office hours? | 10 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did your provider team explain things in a way that was easy to understand? | 38 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month : How often did your provider team explain things in a way that was easy to understand? | 42 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did your provider team explain things in a way that was easy to understand? | 24 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did this provider's team listen carefully to you? | 46 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did this provider's team listen carefully to you? | 42 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did this provider's team listen carefully to you? | 26 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did this provider's team show respect for what you had to say? | 47 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did this provider's team show respect for what you had to say? | 43 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did this provider's team show respect for what you had to say? | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did this provider's team spend enough time with you? | 41 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did this provider's team spend enough time with you? | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did this provider's team spend enough time with you? | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: How often did your provider's office follow up to give you the results of a test? | 39 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: How often did your provider's office follow up to give you the results of a test? | 38 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: How often did your provider's office follow up to give you the results of a test? | 24 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: I am satisfied with the care I received at St. Joseph Heritage Health Care? | 50 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: I am satisfied with the care I received at St. Joseph Heritage Health Care? | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: I am satisfied with the care I received at St. Joseph Heritage Health Care? | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: Received the best care? | 37 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: Received the best care? | 33 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: Received the best care? | 22 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: In general, how would you rate your overall health? | 12 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: In general, how would you rate your overall health? | 12 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 12 Month: In general, how would you rate your overall health? | 9 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | Baseline: In general, how would you rate your overall mental or emotional health? | 34 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G. | 6 Month: In general, how would you rate your overall mental or emotional health? | 28 Participants |
Secondary
Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale
Each patient will receive a satisfaction with decision-making survey (The Satisfaction with Decision Survey) at baseline, 6 months, and 12 months. Satisfaction with Decision was assessed using the Satisfaction with Decision scale, which measured rating of decision-making. Questions were assessed with responses on a scale of strongly disagree, disagree, neither agree nor disagree, agree, or strongly agree. Results are expressed as proportion of participants who responded strongly agree.
Time frame: Change in patient satisfaction with care and decision making from baseline to 6 and 12 months
Population: Participants who completed the survey at each respective time point are included in the analysis.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I am satisfied that I am adequately informed about the treatment decisions available to me | 47 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I am satisfied that I am adequately informed about the treatment decisions available to me | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I am satisfied that I am adequately informed about the treatment decisions available to me | 29 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I made the best decisions possible about my treatment options | 47 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I made the best decisions possible about my treatment options | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I made the best decisions possible about my treatment options | 29 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I believe that my decisions were consistent with what's important to me | 47 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I believe that my decisions were consistent with what's important to me | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I believe that my decisions were consistent with what's important to me | 29 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I expect to successfully carry out (or continue to carry out) the decision I made | 47 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I expect to successfully carry out (or continue to carry out) the decision I made | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I expect to successfully carry out (or continue to carry out) the decision I made | 29 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I was encouraged by the Cancer Center staff to speak up about my treatment preferences | 47 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I was encouraged by the Cancer Center staff to speak up about my treatment preferences | 40 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I was encouraged by the Cancer Center staff to speak up about my treatment preferences | 29 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I am satisfied with the care I received at St. Joseph Heritage Healthcare | 46 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I am satisfied with the care I received at St. Joseph Heritage Healthcare | 39 Participants |
| Arm A (Usual Care) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I am satisfied with the care I received at St. Joseph Heritage Healthcare | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I was encouraged by the Cancer Center staff to speak up about my treatment preferences | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I am satisfied that I am adequately informed about the treatment decisions available to me | 50 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I expect to successfully carry out (or continue to carry out) the decision I made | 50 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I am satisfied that I am adequately informed about the treatment decisions available to me | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I am satisfied with the care I received at St. Joseph Heritage Healthcare | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I am satisfied that I am adequately informed about the treatment decisions available to me | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I expect to successfully carry out (or continue to carry out) the decision I made | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I made the best decisions possible about my treatment options | 50 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I was encouraged by the Cancer Center staff to speak up about my treatment preferences | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I made the best decisions possible about my treatment options | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I expect to successfully carry out (or continue to carry out) the decision I made | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I made the best decisions possible about my treatment options | 28 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I am satisfied with the care I received at St. Joseph Heritage Healthcare | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I believe that my decisions were consistent with what's important to me | 50 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I was encouraged by the Cancer Center staff to speak up about my treatment preferences | 50 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 6 Month: I believe that my decisions were consistent with what's important to me | 44 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | Baseline: I am satisfied with the care I received at St. Joseph Heritage Healthcare | 50 Participants |
| Arm B (Health Care Coach Support) | Change in Patient Satisfaction With Care and Decision Making Among Patients Undergoing Health Care Coach Support as Assessed by Consumer Assessment of Healthcare Providers and Systems-G and Patient Satisfaction With Decision Scale | 12 Month: I believe that my decisions were consistent with what's important to me | 28 Participants |
Secondary
Hospice Consult (Chart Review)
Hospice use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of hospice use between study arms.
Time frame: 12 months after patient enrollment
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Hospice Consult (Chart Review) | 10 Participants |
| Arm B (Health Care Coach Support) | Hospice Consult (Chart Review) | 20 Participants |
Secondary
Hospice Consult (Chart Review)
Hospice use for each patient will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of hospice use between study arms.
Time frame: 30 days prior to death
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Hospice Consult (Chart Review) | 9 Participants |
| Arm B (Health Care Coach Support) | Hospice Consult (Chart Review) | 16 Participants |
Secondary
Hospice Consult (Chart Review)
Hospice use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of hospice use between study arms.
Time frame: 6 months after patient enrollment
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Hospice Consult (Chart Review) | 10 Participants |
| Arm B (Health Care Coach Support) | Hospice Consult (Chart Review) | 20 Participants |
Secondary
Hospitalization Visits (Chart Review)
Hospital use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of hospitalization use between study arms.
Time frame: 12 months after patient enrollment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm A (Usual Care) | Hospitalization Visits (Chart Review) | 1.63 visits | Standard Deviation 3.03 |
| Arm B (Health Care Coach Support) | Hospitalization Visits (Chart Review) | 0.82 visits | Standard Deviation 1.68 |
95% CI: [0.36, 0.7]
Secondary
Mean Emergency Department Visits (Chart Review)
Emergency Department use for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of emergency department visits between study arms.
Time frame: 12 months after patient enrollment
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Arm A (Usual Care) | Mean Emergency Department Visits (Chart Review) | 2.02 mean visits per year | Standard Deviation 3.86 |
| Arm B (Health Care Coach Support) | Mean Emergency Department Visits (Chart Review) | 0.92 mean visits per year | Standard Deviation 1.67 |
95% CI: [0.33, 0.62]
Secondary
Number of Patients With Hospital Use (Chart Review)
Number of patients with hospital use in the 30 days before death will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of proportion of people with hospitalization use between study arms in the 30 days before death.
Time frame: 30 days prior to death
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Number of Patients With Hospital Use (Chart Review) | 3 Participants |
| Arm B (Health Care Coach Support) | Number of Patients With Hospital Use (Chart Review) | 0 Participants |
Secondary
Number of People With Emergency Department Visit (Chart Review)
Number of people with Emergency Department use in the 30 days before death will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of the number of people with emergency department visits between study arms.
Time frame: 30 days prior to death
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Number of People With Emergency Department Visit (Chart Review) | 4 Participants |
| Arm B (Health Care Coach Support) | Number of People With Emergency Department Visit (Chart Review) | 0 Participants |
Secondary
Palliative Care Consult (Chart Review)
Palliative Care consult for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of palliative care use between study arms.
Time frame: 6 months after patient enrollment
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Palliative Care Consult (Chart Review) | 37 Participants |
| Arm B (Health Care Coach Support) | Palliative Care Consult (Chart Review) | 55 Participants |
95% CI: [1.88, 10.55]
Secondary
Palliative Care Consult (Chart Review)
Palliative Care consult for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment. We will evaluate comparisons of palliative care use between study arms.
Time frame: 12 months after patient enrollment
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Palliative Care Consult (Chart Review) | 37 Participants |
| Arm B (Health Care Coach Support) | Palliative Care Consult (Chart Review) | 55 Participants |
Secondary
Palliative Care Consult (Chart Review)
Palliative Care consult for each patient will be abstracted by electronic medical record chart review for each patient who has died. We will evaluate comparisons of palliative care use between study arms.
Time frame: 30 days prior to death
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Arm A (Usual Care) | Palliative Care Consult (Chart Review) | 17 Participants |
| Arm B (Health Care Coach Support) | Palliative Care Consult (Chart Review) | 26 Participants |