Stage III Lung Cancer, Stage II Lung Cancer, Stage IV Lung Cancer
Conditions
Brief summary
Clinical trial that tests the feasibility of a web based caregiver support resource, along with caregiver navigation sessions for caregivers of patients with stage II-IV lung cancer. The Caregiver Oncology Needs Evaluation Tool (CONNECT) is a novel web-based intervention designed for the community oncology setting, to systematically connect lung cancer caregivers with tailored supportive care resources. Lung cancer caregivers provide critical and challenging care for their loved ones and are at risk for their own negative psychosocial and physical outcomes. Implementing the CONNECT program along with caregiver navigation may provide additional support to caregivers of patients with stage II-IV lung cancer.
Detailed description
This study is a multi-site randomized pilot trial enrolling 120 lung cancer caregiver-patient dyads (i.e., lung cancer caregivers (n=120) and their care-recipients (n=120)) across approximately 8-12 practices to assess the multi-site feasibility of a caregiver technology-based intervention (CONNECT) to identify caregivers' needs and connect them with supportive care resources. Caregivers will be randomized 1:1:1 to either the CONNECT intervention, usual care comparison group or generic resource list comparison group. CONNECT is a web-based intervention that empowers and educates caregivers about the benefits of supportive care services and systematically identifies unmet needs to connect lung cancer caregivers with tailored supportive care resources. The Central Caregiver Navigator will assist caregivers with resolving barriers to accessing resources and work with the Local Practice Referral Coordinator to process referrals. Caregivers and patients will complete measures at baseline (prior to caregiver randomization), and 12 and 24 weeks after baseline. Feasibility measures (retention, accrual rates, and participation) will be evaluated to inform the future trial. The Local Practice Referral Coordinator for each practice will report on time needed for practice participation, referral processes, and communication processes with the Central Caregiver Navigator. Participants (i.e., patients or care-recipients) will be asked to complete study surveys at three time points: * After consenting and before randomization of participant and caregiver. (Initial survey) * Approximately 12 weeks after completing the first survey (12-week survey) * Approximately 24 weeks after completing the first survey (24-week survey) Each survey will take about 30-45 minutes to complete. The forms will ask about things such as demographics (sex, race, etc.), cancer symptoms, satisfaction with cancer care and health behaviors. You don't have to answer any question that makes you feel uncomfortable. These surveys can be done remotely over the internet, in the clinic, by phone or by mail. Caregivers will also complete surveys at three time points and will be assigned to 1 of 3 study groups: * Group 1 will be given the usual care provided at your clinic. At the completion of the study, this group will be given the generic supportive care resource list for their use that Group 2 received. * Group 2 will be provided with a generic supportive care resource list. * Group 3 will be asked to watch a brief video and complete the web-based CONNECT program either in the clinic or on your own device. The CONNECT program is designed to help identify any unmet needs and connect the caregiver with tailored supportive care resources, based on specific needs. The CONNECT Navigator will follow-up with within 2 business days of completion of the program and again 4 weeks later. Caregiver Participants (Group 1, 2 and 3) will be asked to complete study surveys at three time points: * After consenting and before randomization of participant and caregiver. (Initial survey) * Approximately 12 weeks after completing the first survey (12-week survey) * Approximately 24 weeks after completing the first survey (24-week survey) Each survey will take about 35-45 minutes to complete. The forms will ask about things such as demographics (sex, race, etc.), caregiving experience, use of supportive care resources, quality of life, mood, and social needs (housing, transportation, utilities, etc). You don't have to answer any question that makes you feel uncomfortable.
Interventions
OTHERSupport for Caregiver - Generic List
Receive a generic resource list
OTHERSupport for Caregiver - Personalized List
Receive personalized resource list
OTHERInternet-Based Intervention - CONNECT
Receive access to CONNECT tool
BEHAVIORALPatient Navigation
Complete calls with caregiver navigator
Sponsors
Wake Forest University Health Sciences
National Cancer Institute (NCI)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Patient Inclusion Criteria: * Must be ≥ 18 years of age, as this study is focused on the experience of adult patient-caregiver dyads * Must have a current diagnosis of new (i.e., initial diagnosis) or recurrent stage II-IV lung cancer * Must be enrolled after the start of anticancer systemic therapy (+/- radiation therapy) with at least 9 weeks of any planned anticancer treatment remaining * Must be ambulatory and up (i.e., not bedridden) more than 50% of waking hours * Must self-report receiving informal (i.e., not professional) care from a caregiver who meets the study caregiver criteria and who is willing to participate Caregiver Inclusion Criteria: * Must be ≥18 years of age, as this study is focused on the experience of adult patient-caregiver dyads * Must self-report providing informal (i.e. not professional) care during cancer treatment for a patient who meets the patient criteria and who is willing to participate * Must have access to the internet at home or be willing to use CONNECT in the clinic * Must have access to telephone to complete sessions with the central caregiver navigator Patient
Exclusion criteria
* Patients who have completed treatment for their lung cancer at the time of study enrollment * Enrolled in hospice care * Unable to read and English and not willing to have someone read surveys for them Caregiver
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Caregiver retention at 12 weeks | At 12 weeks | Calculated as the following: Number of caregivers who complete at least 75% of the 12-week assessments divided by the number randomized. Retention will be estimated and reported along with an exact 95% confidence interval. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average time (minutes) spent by the Central Caregiver Navigator and Local Practice Referral Coordinators with each caregiver in the CONNECT arm | Up to completion of practice intervention activities, an average of 18 months | Will be summarized across practices using mean, median, standard deviation and interquartile range. |
| Modality of contact (e.g. phone, virtual web meeting, email) made by the Central Caregiver Navigator and Local Practice Referral Coordinators with each caregiver in the CONNECT arm | Up to completion of practice intervention activities, an average of 18 months | Will be summarized using appropriate descriptive statistics. |
| Number of contacts made by the Central Caregiver Navigator and Local Practice Referral Coordinators with each caregiver in the CONNECT arm | Up to completion of practice intervention activities, an average of 18 months | Will be summarized across practices using mean, median, standard deviation and interquartile range. |
| Number of referrals facilitated by the Local Practice Referral Coordinator and Central Caregiver Navigator | Up to completion of practice intervention activities, an average of 18 months | Will be summarized across practices using mean, median, standard deviation and interquartile range. |
| Type of referrals (e.g., in person, online) facilitated by the Local Practice Referral Coordinator and Central Caregiver Navigator | Up to completion of practice intervention activities, an average of 18 months | Will be summarized using appropriate descriptive statistics. |
| Average time (minutes) needed to communicate for Central Caregiver Navigator and Local Practice Referral Coordinator | Up to completion of practice intervention activities, an average of 18 months | Will be summarized across practices using mean, median, standard deviation and interquartile range. |
| Modalities used for communication (e.g., phone, virtual web meeting, email) for Central Caregiver Navigator and Local Practice Referral Coordinator | Up to completion of practice intervention activities, an average of 18 months | Will be summarized using appropriate descriptive statistics. |
| Improvements for the future trial from Local Practice Referral Coordinator's perspectives from a survey at the end of the study | At completion of practice intervention activities, an average of 18 months | Will be summarized using appropriate descriptive statistics. |
| Average time (minutes) needed for training for Local Practice Referral Coordinator | At completion of training, up to 6 months | Will be summarized across practices using mean, median, standard deviation and interquartile range. |
| Desired modality for training (e.g., live webinar, recorded video, paper materials) for Local Practice Referral Coordinator | At completion of training, up to 6 months | Will be summarized using appropriate descriptive statistics. |
| Average time (minutes) needed to identify and enter local resources into the Caregiver Oncology Needs Evaluation Tool (CONNECT) database | At conclusion of practice intervention activities, an average of 18 months | Will be summarized across practices using mean, median, standard deviation and interquartile range. |
| Caregiver accrual rate | Upon completion of recruitment, approximately 12 months | Number of caregivers who agree to participate divided by the number of months of recruitment |
| Caregiver participation | Upon completion of recruitment, approximately 12 months | Proportion of eligible caregivers who agreed to participate |
| Caregiver retention at 24 weeks | At 24 weeks | Number of caregivers who complete at least 75% of the 24-week assessments divided by the number randomized. |
| Frequency of needed resource updates in the CONNECT database | Up to completion of practice intervention activities, an average of 18 months | Will be summarized across practices using mean, median, standard deviation and interquartile range |
| Caregiver acceptability | At 12 weeks | Self-report survey developed for this study to assess the degree to which caregivers found different aspects of CONNECT, the generic resource list, or usual care helpful using a Likert response from 0 (Not at all) to 5 (Very Much) |
Countries
United States
Contacts
STUDY_CHAIRKathryn Weaver, PhD
Wake Forest University Health Sciences
Outcome results
None listed