Effectiveness of the CHESS eHealth Cancer Support Intervention in Population-based Care

Using Technology to Enhance Cancer Communication and Improve Clinical Outcome: Effectiveness of the CHESS Ehealth Cancer Support Intervention in Population-Based Care Study

The study's aim is to provide information about the clinical and business cases for comprehensive interactive cancer communication systems (ICCS) in the context of real world use for cancer care.

This study will be conducted within the Kaiser Permanente Northwest (KPNW) healthcare system. Outcomes for this study include amount of ICCS use and women's ratings of cancer information competence, perceived social support, and emotional well being. Secondary outcomes will include healthcare utilization, cost-effectiveness, and clinician ratings of healthcare visits.

Study Overview

• Status: Completed
• Conditions: Primary Breast Cancer
• Intervention / Treatment: Behavioral: Enhanced ICCS with KPNW web resources and the Comprehensive Health Enhancement Support System (CHESS.)

• Study Type: Interventional
• Enrollment (Actual): 368
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Oregon
    • Portland, Oregon, United States, 97227
      • Kaiser Permanente Northwest

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• All subjects must be within 2 months of their primary breast cancer diagnosis,
• All subjects must be at least 18 years of age

Exclusion Criteria:

• Illiterate
• Homeless

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
No Intervention: Usual Care; A group using a Basic ICCS provided by KPNW
Experimental: Intervention; A group using an enhanced ICCS with KPNW web resources and the Comprehensive Health Enhancement Support System (CHESS.)	Behavioral: Enhanced ICCS with KPNW web resources and the Comprehensive Health Enhancement Support System (CHESS.); Half of the participating women will be randomly assigned to use an informative but static website (Basic ICCS), and half will be offered a fully interactive CHESS (Enhanced ICCS + the Basic ICCS). Study outcome data will be gathered from patients, clinicians, and the healthcare system (i.e., from the electronic medical record: EMR) for at least 8 months after study entry. We propose that the Enhanced ICCS relative to the Basic ICCS, will: Improve patients' sense of cancer information competence (perceived ability to obtain and use relevant information); Reduce patients' negative affect and increase their emotional well being; Improve patients' sense of social support; Improve patients' health self-efficacy; Improve patients' ratings of experience with cancer specialty care services; Improve patients' health related quality of life (HRQL); Improve clinicians' ratings of quality of patient contacts; Reduce healthcare utilization and costs (obtained via the EMR)

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Amount of ICCS use and women's ratings of cancer information competence, perceived social support, and emotional well being. Secondary outcomes will include healthcare utilization, cost-effectiveness, and clinician ratings of healthcare visits.	12 Months

Collaborators and Investigators

• Sponsor: University of Wisconsin, Madison
• Collaborators: National Cancer Institute (NCI)
• Investigators: Principal Investigator: Timothy Baker, University of Wisconsin, Madison

Publications and helpful links

Helpful Links

• University of Wisconsin Carbone Cancer Center

Study record dates

Study Major Dates

• Study Start: November 1, 2009
• Primary Completion (Actual): August 1, 2013
• Study Completion (Actual): August 1, 2013

Study Registration Dates

• First Submitted: December 14, 2009
• First Submitted That Met QC Criteria: December 15, 2009
• First Posted (Estimate): December 16, 2009

Study Record Updates

• Last Update Posted (Actual): November 18, 2019
• Last Update Submitted That Met QC Criteria: November 14, 2019
• Last Verified: February 1, 2016

More Information

Terms related to this study

• Other Study ID Numbers: H-2008-0222; SMPH/MEDICINE/MEDICINE*G (Other Identifier: UW Madison); A534253 (Other Identifier: UW- Madison); 5P50CA095817 (U.S. NIH Grant/Contract); XP08323 (Other Identifier: University of Wisconsin Carbone Cancer Center); NCI-2013-01101 (Registry Identifier: NCI Trial ID)