Indvirkning af ICCAN på færdiggørelse af kræftbehandling og livskvalitet
Et randomiseret kontrolleret forsøg af ICCAN's indvirkning på kræftbehandlingsafslutning og livskvalitet
The purpose of this study is to see if the ICCAN program is working, and to compare the ICCAN program to the standard hospital services provided in New York City hospitals, like meeting with a Social Worker or a Patient Navigator (a person who provides personal hospital guidance).
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Francesca Gany, MD, MS
- Telefonnummer: 646-888-8054
Undersøgelse Kontakt Backup
- Navn: Jennifer Leng, MD, MPH
- Telefonnummer: 646-888-4243
Studiesteder
-
-
New Jersey
-
Basking Ridge, New Jersey, Forenede Stater, 07920
- Rekruttering
- Memorial Sloan Kettering Basking Ridge (Limited Protocol Activities)
-
Kontakt:
- Francesca Gany, MD, MS
- Telefonnummer: 646-888-8054
-
Middletown, New Jersey, Forenede Stater, 07748
- Rekruttering
- Memorial Sloan Kettering Monmouth (Limited Protocol Activities)
-
Kontakt:
- Fransecsa Gany, MD, MS
- Telefonnummer: 646-888-8054
-
Montvale, New Jersey, Forenede Stater, 07645
- Rekruttering
- Memorial Sloan Kettering Bergen (Limited Protocol Activities)
-
Kontakt:
- Francesca Gany, MD, MS
- Telefonnummer: 646-888-8054
-
-
New York
-
Brooklyn, New York, Forenede Stater, 11220
- Aktiv, ikke rekrutterende
- Lutheran Medical Center
-
Commack, New York, Forenede Stater, 11725
- Rekruttering
- Memorial Sloan Kettering Suffolk- Commack (Limited Protocol Activities)
-
Kontakt:
- Francesca Gany, MD, MS
- Telefonnummer: 646-888-8054
-
Harrison, New York, Forenede Stater, 10604
- Rekruttering
- Memorial Sloan Kettering Westchester (Limited Protocol Activities)
-
Kontakt:
- Francesca Gany, MD, MS
- Telefonnummer: 646-888-8054
-
New York, New York, Forenede Stater, 10065
- Rekruttering
- Memorial Sloan Kettering Cancer Center
-
Kontakt:
- Francesca Gany, MD, MS
- Telefonnummer: 646-888-8054
-
Kontakt:
- Jennifer Leng, MD, MPH
- Telefonnummer: 646-888-4243
-
Ledende efterforsker:
- Francesca Gany, MD, MS
-
New York, New York, Forenede Stater, 10035
- Rekruttering
- Memorial Sloan Kettering at Ralph Lauren Center (Limited Protocol Activities)
-
Kontakt:
- Francesca Gany, MD
- Telefonnummer: 646-888-8054
-
New York, New York, Forenede Stater, 10031
- Rekruttering
- City College of New York (Data Collection AND Data Analysis)
-
Kontakt:
- Adriana Espinosa, MD
- Telefonnummer: 212-650-8404
- E-mail: aespinosa@ccny.cuny.edu
-
Rockville Centre, New York, Forenede Stater, 11553
- Rekruttering
- Memorial Sloan Kettering Nassau (Limited Protocol Activities)
-
Kontakt:
- Franscesca Gany, MD, MS
- Telefonnummer: 646-888-8054
-
The Bronx, New York, Forenede Stater
- Aktiv, ikke rekrutterende
- Lincoln Hospital and Mental Health Center
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Prøveudtagningsmetode
Studiebefolkning
Eligible cancer patients will be recruited in person by multilingual ICCAN Clinical Research Coordinators for participation in the study at Ralph Lauren Center for Cancer Care and Prevention (RLCCP), Lincoln Hospital (LH) and Lutheran Medical Center (LMC). In the event that MSK staff is not present when an eligible patient is identified. Refinement and Pilot RCT participants will be recruited through MSK Manhattan and OneMSK regional sites's.
Beskrivelse
Participant Inclusion Criteria:
Patient is eligible if he/she is
- fluent in English, Spanish, or Mandarin
- between the ages of 21-80 years old
- cancer patients currently receiving chemotherapy (started within the past month) and/or radiation therapy (started within the past week), or
- scheduled to begin chemotherapy and/or radiation therapy within the next 2 months (excluding surgery only patients)
- planning on remaining in the area for at least 1 year
Clinician is eligible if he/she:
- Has an MD or DO degree
- Is the treating physician providing care to a patient enrolled to the study
ICCAN-IO Phase 1: Refinement, participant is eligible if he/she per EMR or self-report:
- Is 18 - 85 years of age
- Has unresectable locally advanced, locally recurrent unresectable, metastatic, or high risk/early stage TNBC or stage I-IV lung cancer
- Eligible for FDA approved immunotherapy in the NYC metropolitan area (per self-report or per MSK patient EMR records).
- Is treated in the NY metropolitan area
- Self-identifies as Black or Hispanic, and/or is low-SES (low SES will be defined as household income < 200% of federal poverty level)
- Has English or Spanish proficiency
- Agrees to be audio-recorded
ICCAN-IO Phase 2: Pilot RCT, participant is eligible if he/she per EMR or self-report:
- Is 18 - 85 years of age
- Has stage II-III TNBC
- Treated at MSK Manhattan or OneMSK regional sites
- Self identifies as Black or Hispanic, and/or is low SES (low SES will be defined as household income < 200% of federal poverty level)
- Has English or Spanish proficiency
- Agrees to be audio-recorded
ICCAN-IO process evaluation study team participants only:
- Staff member who serves as an Access Facilitator
- Agrees to be audio-recorded
CCAN-GBM
- Over the age of 18 (per EMR)
- Diagnosed with Glioblastoma (per EMR)
- Has not yet started radiation and concurrent temozolomide treatment (per EMR)
- Has a primary neuro-oncologist at MSK (per EMR)
- Will be undergoing radiation at MSK (per EMR)
- Treatment plan consists of a 6-week or 3-week (hypofractionated) course of radiation and chemotherapy (per EMR)
- Participant or caregiver is fluent in English or Spanish
- Planning on remaining in the tri-state area during the 6 weeks or 3 weeks of radiation and chemotherapy (per self-report)
- Screens positive on SDOH screening tool, referred by the clinical team through traditional screening tools for SDOH assistance (per EMR or self-report), demonstrates financial need per MSK guidelines (up to 500% of the federal poverty limit), and/or requests help with SDOH resources or navigation
Participant Exclusion Criteria:
Patient is ineligible if he/she is:
- Diagnosed with Stage IV disease
- Presence of untreated psychiatric disturbance (i.e. acute psychiatric symptoms which require individual treatment) and/or cognitive impairment disorder (e.g., delirium or dementia) verified by medical record sufficient to preclude completion of the assessment measures, interview or informed consent
- Has another family member already enrolled in ICCAN (as determined by patient report)
ICCAN-IO Phase 1: Refinement, participant is ineligible if he/she per EMR or self-report:
- Presence of untreated psychiatric disturbance (e.g., acute psychiatric symptoms which require individual treatment) and/or cognitive impairment disorder (e.g., delirium or dementia) sufficient to preclude completion of the assessment measures, interview or informed consent
- Participants or family members who are participating in MSK IHCD studies related to social determinants of health
ICCAN-IO Phase 2: Pilot RCT, participant is ineligible if he/she per EMR or self-report:
- Presence of untreated psychiatric disturbance (e.g, acute psychiatric symptoms which require individual treatment) and/or cognitive impairment disorder (e.g., delirium or dementia) sufficient to preclude completion of the assessment measures, interview or informed consent
- Participants or family members who are participating in MSK IHCD studies related to social determinants of health at the PI's discretion
ICCAN-GBM
- No recurrences - must be newly diagnosed glioblastoma (per EMR)
- Patients undergoing different treatment regimens from the 15 fraction/3 week or 30 fraction/6 week course of radiation (i.e. patients undergoing 10 fractions of palliative radiation due to poor functional status) (per EMR)
- Presence of untreated psychiatric disturbance (i.e. acute psychiatric symptoms that require individual treatment) (per EMR or self-report)
- Severe cognitive impairment or fluent aphasia as not to understand the assessment measures, interview, or informed consent, without a health care proxy or caregiver that can assist as indicated by clinician or per judgement of study staff. Completion of assessments with the help of caregivers is acceptable. (per EMR or self-report)
- Has another family member or household member already enrolled in ICCAN (per self-report)
- Already participated in or already completed the ICCAN program (per self-report)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Observationsmodeller: COHORT
- Tidsperspektiver: PROSPECTIVE
Antal grupper/kohorter
Kohorter og interventioner
Gruppe / kohorteGruppe / kohorte |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Phase I: Refinement
10 Black, Hispanic, and/or low-SES patients with TNBC (5 Spanish-speaking), will be recruited from MSK |
Patients will receive written materials on social and economic resources and services. Treatment Outcomes Survey at Intake, 3 mo, 6 mo, and 1 year. Chart review at 3 mo, 6 mo and 1 year, and as needed. Plus Initial needs assessment. Assistance with high priority social and economic needs.Monthly follow-up with ICCAN Access Facilitator to address ongoing needs in addition to as-needed assistance. |
|
Phase II, Arm 1: Usual and Customary Care (U&C)
Participants in this group will receive the same referrals on social and economic resources as ICCAN group. |
Patients will receive written materials on social and economic resources and services. Treatment Outcomes Survey at Intake, 3 mo, 6 mo, and 1 year. Chart review at 3 mo, 6 mo and 1 year, and as needed. |
|
Phase II, Arm 2: ICCAN-IO
Arm 2 will consist of everything in Arm 1 |
Patients will receive written materials on social and economic resources and services. Treatment Outcomes Survey at Intake, 3 mo, 6 mo, and 1 year. Chart review at 3 mo, 6 mo and 1 year, and as needed. Plus Initial needs assessment. Assistance with high priority social and economic needs.Monthly follow-up with ICCAN Access Facilitator to address ongoing needs in addition to as-needed assistance. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Treatment completion/adherence
Tidsramme: 1 year
|
The primary outcome, cancer treatment completion, will be determined by chart review at 3, 6, and 12 months after enrollment. |
1 year
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Quality of life
Tidsramme: 1 year
|
depression, and stress (measured through validated scales included in the Cancer Treatment Outcomes |
1 year
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Efterforskere
Efterforskere
- Ledende efterforsker: Francesca Gany, MD, MS, Memorial Sloan Kettering Cancer Center
Publikationer og nyttige links
Hjælpsomme links
Datoer for undersøgelser
Studer store datoer
Studiestart
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 12-223
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