Breast Cancer, Gastrointestinal Cancer, Oral Cancer Directed Therapy, Oral Chemotherapy
Conditions
Keywords
Oral Cancer Directed Therapy, Breast Cancer, Gastrointestinal Cancer, oral chemotherapy
Brief summary
This is research study is for participants with advanced breast or gastrointestinal cancer who have been taking oral chemotherapy medication (Oral Cancer Directed Therapy). This study is to help researchers better understand gaps in assessing oral chemotherapy patient toxicity at home, adherence to treatment and integrate toxicity/adherence reporting.
Detailed description
For patients with advanced breast or gastrointestinal cancer prescribed Oral Cancer Directed Therapy. * Participants will complete ePRO clinic for all medical oncology scheduled provider appointments during the study period per standard practice * Participants between clinic visits, will be asked to complete the oral weekly survey at home via the mobile or web based patient portal. The survey can be completed on a computer, tablet or smartphone at home or on a tablet at the time of scheduled visit. * The first 100 participants to complete the survey will receive a passive care team alert for responses (per DFHCC policy) * The second 100 participants to complete the survey will receive an active care team alert for responses.
Interventions
OTHERActive Care Team Alert
2\) Active care team alert via office practice nurse monitoring of ePRO oral responses scored at 3, indicating moderate-severe (grade ≥3) toxicity. Office practice nurses will monitor ePRO oral responses and respond to those scored at 3 per disease center symptom management protocol. The ePRO oral responses from the remaining participants will additionally be monitored by office practice nurses who will respond to ePRO responses with scores of 3, indicating a moderate-severe toxicity (grade 3 or higher).
OTHERPassive Care Team Alert
Primary care teams are assigned an EHR inBasket pool through which PP messages are delivered. Providers will be responsible for reviewing ePRO responses via inBasket, selecting mark as reviewed button as mandated for all clinical messages within 48 hours per policy.
Sponsors
Dana-Farber Cancer Institute
Study design
Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
Hybrid type 3 implementation study
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult age 18 or older * Male or Female * Scheduled visit at DF/HCC within the BOC or GCC * Diagnosis of advanced breast cancer or gastrointestinal cancer * Prescribed any OCDT within prior 5 days of screening * English as the primary language (as documented in the EHR, written or spoken, and patient interpreter needed flag = no) * Mobile number listed in EHR to allow participation in ePP portion of the study * Women of any pregnancy status * Patients diagnosed with an advanced cancer will be eligible to participate in the study until discontinuation of OCDT or death, whichever occurs first
Exclusion criteria
* Adults unable to provide verbal consent * Pediatric patients * Patients without access to a electronic device (including tablet, computer, aptop or smartphone)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ePRO Oral Response Rate | 30 days | proportion of participants responding to at least 50% of ePRO oral questionnaires at 30 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ePRO Oral Response Rate | 60 days | proportion of participants responding to at least 50% of ePRO oral questionnaires at 60 days |
| Average number of ePRO oral questionnaires completed per week | 90 Days | average number of ePRO oral questionnaires completed per week until discontinuation of OCDT or end of study (whichever occurs first) |
| Proportion of Participants reporting ePRO grade 3+ toxicity | 90 Days | proportion of participants reporting grade 3+ toxicity on at least one ePRO oral questionnaire among participants who responded to at least one ePRO oral questionnaire |
| ePRO oral ease of use | 90 Days | Proportion of participants reporting that ePRO oral was either easy or very easy to use among participants who responded to at least one ePRO oral questionnaire |
| Participant Report of OCDT Frequency | 90 Days | proportion of participants who reported missing \>20% of prescribed OCDT doses for reasons other than toxicity on at least one ePRO oral report among participants who responded to at least one ePRO oral questionnaire; measured by participant weekly report of dates and time (AM, PM) of missed doses of the prescribed OCDT regimen |
| ePRO oral willingness | 90 Days | proportion of participants reporting that they were willing or very willing to use ePRO oral again in the future among participants who responded to at least one ePRO oral questionnaire |
| Proportion of Participants with an ePRO Intervention | 90 Days | proportion of participants who were called by an office practice nurse for toxicity, had an OCDT dose modification, urgent clinic visit, ED visit or unplanned hospitalization among participants who responded to at least one ePRO oral questionnaire |
Countries
United States
Outcome results
None listed