- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06412029
Understanding and Enhancing Health-Related Social Needs (HRSN) Screening Among Community Oncology Practices (HRSN)
Study Overview
Detailed Description
The primary objective of this study is to assess current processes around health related social needs (HRSN) screening among NCORP clinics and categorize clinics based on their implementation of HRSN screening. The primary endpoint will be a detailed understanding of current processes, with attention to variability by key clinic characteristics.
There are 3 parts of the study in which participants can participate in one or all parts (3 total).
Part 1: Participants attend training, complete clinic assessments and observations and may complete an interview on study.
Part 2: Identified clinic staff will be interviewed to discuss factors that influence HRSN screening at their clinic and help develop generalized guidance.
Part 3: Participants attend a co-design workshop and complete surveys on study feasibility.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Karen Craver
- Phone Number: 336-716-0891
- Email: NCORP@wakehealth.edu
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
Part 1
NCORP PRACTICES:
- Must be an affiliate or sub-affiliate of an NCORP Community or Minority Underserved Community site
- Must provide outpatient oncology care
- Must be a NCORP practice (defined as one or more NCORP affiliates/sub-affiliates, that have a common administrative structure and share providers and/or patients)
- Must have identified two or more Practice Staff that are available and willing to participate on the Practice Interest Form
- Must have identified at least 1-3 outpatient oncology clinics willing to participate on the Practice Interest Form
CLINICS:
- 1-3 clinics within the practice should be selected
- Clinics may or may not be located in different physical locations
- The investigators will encourage NCORP practices to select clinics within a practice that differ in current or potential implementation of health related social needs (HRSN) screening (e.g., different clinic workflow or staff, different screening triggers, different tools), so that heterogeneity within NCORP practices can be captured
- Clinics must be willing to allow Practice Staff participants to observe the clinical operations in-person
PRACTICE STAFF:
- Must be willing and able to take time to observe in person and document 1-3 selected clinics within the practice (approximately 2-3 hours per clinic)
- Must be staff at the selected and enrolled practice. Suggestions of appropriate staff are cancer care delivery research (CCDR) Lead, research nurse, clinical research coordinator or NCORP Administrators. Staff members with primary clinical roles may also be appropriate, if available
- Must be willing and able to participate in two 1.5 hour virtual training sessions
- Must be willing to interview Clinic Key Informants (approximately 30 minutes per interview; in-person or remotely over the internet or by phone)
- If the clinic is chosen for Part 2, must be willing to schedule an interview between Clinic Key Informant and Wake Forest health HRSN Study Team or designee
- If the clinic is chosen for Part 3, must be willing to participate in a three hour or two 1.5 hour in-person (if possible) workshop(s). If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend
- Must be willing to be recorded when participating in interviews and the workshop.
CLINIC KEY INFORMANT:
- Must be willing to participate in Part 1 Operational Assessment, which involves a semistructured interview (approximately 30 minutes; in-person or remotely over the internet or by phone)
- If the clinic is chosen for Part 2, must be willing to participate in an additional 45 minute interview (remotely over the internet or by phone)
- If the clinic is chosen for Part 3, must be willing to participate in a three hour or two 1.5 hour in-person (if possible) workshop(s). If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend
Part 3
STAFF WORKSHOP PARTICIPANT:
- Must be a clinic stakeholder (e.g., providers, practice managers, etc.) of the selected clinic
- Must be willing and able to participate in a three hour or two 1.5 hour in-person (if possible) recorded workshop. If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend
- Must be willing to be recorded when participating in interviews and the workshop.
PATIENT WORKSHOP PARTICIPANT:
- Must be a prospective clinic stakeholder (e.g., patient representative) of the selected clinic
- Must be willing and able to participate in a three hour or two 1.5 hour in-person (if possible) recorded workshop. If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend
- Must have received cancer treatment at the selected clinic within the last five years
- Must be willing to be recorded when participating in interviews and the workshop.
Exclusion Criteria:
Part 1
PRACTICE STAFF:
** Unable to understand, read and communicate in English, as the trainings and observations will be documented in English
Part 3
STAFF WORKSHOP PARTICIPANT:
** Unable to understand, read and communicate in English, as the workshop will be conducted in English
PATIENT WORKSHOP PARTICIPANT:
** Unable to understand, read and communicate in English, as the workshop will be conducted in English
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Part 1
Part 1: Participants attend training, complete clinic assessments and observations and may complete an interview on study.
|
Non-interventional study
|
Part 3
Part 3: Participants attend a co-design workshop and complete surveys on study feasibility.
|
Non-interventional study
|
Part 2
Part 2: Identified clinic staff will be interviewed to discuss factors that influence health related social needs (HRSN) screening at their clinic and help develop generalized guidance.
|
Non-interventional study
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Barriers and facilitators influencing HRSN screening implementation
Time Frame: From study enrollment to time completion of key informant interviews, approximately within 6 months
|
Synthesize themes to create a list of barriers and facilitators influencing HRSN screening implementation within high-implementation clinics, moderate-implementation clinics, and low-implementation clinics.
|
From study enrollment to time completion of key informant interviews, approximately within 6 months
|
Generation of a tailored implementation plan for each participating clinic
Time Frame: Between time of clinic selection and co-design workshop completion, to be no more than 6 months
|
Generation (defined for each clinic as completed or not completed) of a tailored implementation plan for each participating clinic in Part 3 that includes (1) adaptations to current HRSN screening and follow-up processes, and (2) potential implementation strategies to enhance HRSN screening implementation.
|
Between time of clinic selection and co-design workshop completion, to be no more than 6 months
|
HRSN screening reach (Part 1)
Time Frame: From study enrollment to approximately 4 and 16 weeks post initial study training
|
Determining the perception of the proportion of patients at clinics who are screened for health related social needs (HRSN).
|
From study enrollment to approximately 4 and 16 weeks post initial study training
|
Collaborators and Investigators
Collaborators
Investigators
- Study Chair: Kathryn Weaver, PhD, Wake Forest University Health Sciences
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- WF-2303CD (Other Identifier: Lead Organization Identifier)
- NCI-2024-02411 (Other Identifier: NCI Trial Identifier)
- 5UG1CA189824 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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