Expanding Rural Health Cancer Control Capacity

Expanding Rural Health Cancer Control Capacity: Focus on Cancer Survivorship

Status

Active, not recruiting

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04765072

Enrollment

Registered

2021-02-21

Start date

2021-02-26

Completion date

2029-02-28

Last updated

2024-11-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Cancer

Brief summary

Through this pilot study, investigators will test an innovative approach to implement survivorship care planning at three sites located in or adjacent to rural counties. The pilot data will inform a subsequent multi-site Hybrid Type 3 Implementation-Effectiveness study that will assess both implementation and clinical effectiveness outcomes.

Detailed description

Study Aims: * Pilot test the implementation of guideline-based survivorship care planning in a rural setting using patient navigation plus telehealth among underserved rural cancer survivors. Investigators will collect feasibility data on patient recruitment rates and the ability to measure clinical effectiveness outcomes using the electronic health record and patient reports (survivor adherence to recommended disease surveillance, health assessment and cancer prevention/early detection practices). * Identify the facilitators and barriers to future larger scale implementation of guideline-based survivorship care planning in rural settings to optimize the implementation strategies. Through a mixed methods approach, investigators will address implementation research questions focused on real world implementation of the guideline-based intervention in rural areas, including barriers/facilitators and translation to other rural settings. This will allow us to optimize the implementation strategies that will be further evaluated in the future large-scale implementation trial

Interventions

BEHAVIORALSurvivorship Patient Navigation Intervention

Patient navigator assistance for navigating the healthcare system and locating and utilizing beneficial resources

BEHAVIORALTelehealth Survivorship Visit Intervention

Individualized survivorship care plan

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* Cancer patient at least 18 years of age at time of cancer therapy * English-speaking with the ability to provide informed consent * Received treatment for Stage 0 - III cancer with curative intent * Completed cancer therapy within the previous 12 months (i.e., 12 months prior to consenting) and in complete remission

Design outcomes

Primary

Measure	Time frame
Rate of improvement in adherence to survivorship plan (Survivorship Care Planning Experience Satisfaction Survey (1-5 Excellent - Poor)	Approximately 12 months
Measure effectiveness of Telehealth on survivorship care	Approximately 12 months
Estimate the facilitators to a future larger-scale implementation of guideline-based survivorship care planning in rural settings	Approximately 1 year
Estimate the barriers to a future larger-scale implementation of guideline-based survivorship care planning in rural settings	Approximately 1 year

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026