Aging, Cancer, Communication
Conditions
Brief summary
To improve patient-centered outcomes for older patients with cancer considering or receiving chemotherapy and their caregivers. To do this, the project team will (a) establish the effectiveness of GA on communication about age-related concerns, patient and caregiver satisfaction with communication about age-related concerns, quality of life, and patient-reported side effects of chemotherapy; (b) evaluate the success of the implementation strategies on the adoption, reach, and fidelity of implementing the GA in community oncology practices; and (c) identify the resources needed to implement GA and the GA-guided recommendations in community oncology practices for older patients considering or receiving chemotherapy.
Detailed description
Objectives: * Establish the effectiveness of GA on patient and caregiver satisfaction and communication about age-related concerns for older patients receiving chemotherapy in community oncology practices. * Evaluate the success of our implementation strategies on the reach, adoption, and fidelity of implementing the GA in community oncology practices. * Identify the resources needed to implement GA and the GA-guided recommendations in community oncology practices for older patients receiving chemotherapy.
Interventions
BEHAVIORALGeriatric Assessment
Clinical staff receive (a) training in GA and workflow management strategies (\<60 minutes) at baseline, (b) monthly facilitation and technical support calls (15-30 minutes) for 12 months, and (c) a group-based quarterly call for 12 months. For 12 months, clinical staff implement GA strategies during visits with older adult (65+) patients planning to receive new chemotherapy regimen and their care partners/caregivers.
Sponsors
M.D. Anderson Cancer Center
Patient-Centered Outcomes Research Institute
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Practice Staff Participants Inclusion Criteria: * Aged 18 years or older * A practicing clinician (e.g., oncologist, nurse practitioners, physician assistant, advanced practice nurse, registered nurse, medical assistant) or other practice staff (e.g., administrators and IT) * Fluent in English (reading and speaking) * Have access to computer, laptop, tablet, or smart phone
Exclusion criteria
* Have plans to leave the practice in six months (e.g., retiring or changing organizations) * Unable to provide consent Patient Participants Inclusion Criteria: * Aged 65 and older * Considering a new chemotherapy plan
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Reach of Geriatric Assessment (GA) implementation in routine medical practice | monthly over 12 months of implementation, and 6 months after implementation | — |
| Reach of Geriatric Assessment (GA) implementation in routine medical practice as measured by applying the reach formula (# people served divided by potential # of people) to the following four metrics: | monthly over 12 months of implementation, and 6 months after implementation | a) patients per month who received the Geriatric Assessment (GA), b) patients per month who received Geriatric Assessment (GA)-guided recommendations, c) total patients per month age 65+, d) total patients per month who were age 65+ and receiving new chemotherapy or deciding to start chemotherapy. |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORLisa Marie Lowenstein, PhD, MPH
M.D. Anderson Cancer Center
Outcome results
None listed