Cancer
Conditions
Keywords
healthcare delivery, care coordination, early stage cancer, educational intervention
Brief summary
Care Coordination is an essential component of cancer care delivery. Many patients experience poor care coordination. In this study, we hypothesize that provision of a video educational intervention to teach patients about cancer, care coordination and self-advocacy will improve patients' perception of care coordination. Cancer patients with early stage disease scheduled to receive adjuvant therapy, and who reside in a rural area, will be enrolled onto the study. Patients will be randomized to receive a table-based educational intervention tool initially (arm1) or after 4 months of therapy (arm2). Assessment of cancer knowledge, self-advocacy and care coordination will be obtained at baseline and after 4-6 months.
Interventions
OTHERTable-based Educational Intervention
Tablet based educational tool with videos about care coordination, cancer knowledge and self-advocacy.
Sponsors
University of Vermont Medical Center
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
* 18+ years of age * Breast, lung, or colon cancer diagnosis * Stage I, II or III cancer * Adjuvant chemotherapy started \< 30 days or planned within the next 30 days * Rural residence location in Vermont (outside Chittenden County) * Proficient in English
Exclusion criteria
* History of prior malignancy treated with chemotherapy in last 3 years * Known or suspected neuro-cognitive impairment * Resident of Chittenden County, Vermont * Patients with current diagnosis other than stage I, II or III breast, colon or lung cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Care Coordination Instrument Score | Baseline and 4 months | Participants complete the Care Coordination Instrument (CCI), a 29-item questionnaire. Each item is rated on a Likert scale (Strongly Agree = 3 to Strongly Disagree = 0). A total score is generated by summing the item scores; possible total scores range from 0-87. Higher scores represent a greater perception of care coordination. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cancer Knowledge | Baseline and 4 months | Participants complete the Cancer Knowledge Assessment Test (C-KAT). The test includes 5 multiple choice items. A total score is generated by summing the number of correct responses; total scores range from 0-5. Higher scores represent greater cancer knowledge. |
| Satisfaction with Educational Videos | 4 months | Participants in the baseline intervention group complete the Satisfaction and Acceptability Questionnaire. This 5-item questionnaire assesses how helpful and easily accessible the educational videos were. There is also an open-ended question for other feedback. Answering yes to the items indicates greater satisfaction and ease of use. |
| Self-Advocacy Score | Baseline and 4 months | Participants complete the Cancer Self-Advocacy Scale, a 20-item questionnaire. Each item is rated on a Likert scale (Strongly Agree = 6 to Strongly Disagree = 1). A total score is generated by summing the item scores; possible total scores range from 20-120. Higher scores represent greater self-advocacy skills. |
Countries
United States
Contacts
CONTACTRandall F Holcombe
Outcome results
None listed