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Completed

NCT Number: NCT03856463

Coaches Activating Reaching and Engaging Patients

The purpose of the Team Based Advance Care Planning CAREPLAN program is to understand if a trained lay navigator who engages with patients with advanced stages of cancer can help patients in advance care planning, improve patient activation, satisfaction, quality of life, and the quality of end of life cancer care while also ensuring goal concordant cancer care at the end of life.

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Key information

Conditions

Cancer Death End-Of-Life Neoplasms Pathologic Processes Pathological Conditions, Signs and Symptoms

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Stanford University School of Medicine

Stanford, California, 94305, United States

About this study

Stanford Cancer Institute plans to implement and evaluate several critical elements to be in alignment with the mission of the organization to provide high value care to their patients. The CAREPLAN (Coaches Activating, Reaching, and Engaging Patients in Their End of Life Care Plan) intervention is an innovative program aimed to strengthen provider-patient relationships and facilitate whole person care about matters important to patients diagnosed with advanced stages of cancer and important to patients' support network and family. The project is intended to help establish patients' Goals of Care Plan with appropriate documentation, develop, deploy, and evaluate a model of care for patients with cancer that is intended to improve clinical outcomes and their experiences with their cancer care. The intervention provides patients with lay navigators who assist them and their families in formulating and discussing their goals of care with their health care teams in hopes to engage in shared-decision making for goal concordant care. The goal of the project is to demonstrate that there is improved documentation of goals of care, patient experiences, patient activation, quality of life, and quality of care and communication and that the program helps to improve goal concordant care receipt at the end of life.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All patients who receive care at Stanford Cancer Institute and have genitourinary cancers and have received greater than 2 prior courses of chemotherapy treatment

Exclusion criteria

  • Patients without capacity to consent

Treatment and study plan

Lay Navigator Intervention

Behavioral

Patients randomized into the intervention will be assigned a lay health worker who will contact the patient to begin the intervention. The intervention includes: education on early advance care planning and documenting goals of care.

Other names: Intervention Group Arm

Usual Care

Other

Usual care as provided by local oncologists

Primary outcomes

  1. Goals of Care Documentation

    Time frame: 12 months after patient enrollment

    Goals of Care documentation for each patient will be abstracted by electronic medical record chart review for each patient at 12 months after enrollment.

Secondary outcomes

  1. Emergency Department Visit using chart abstraction

    Time frame: 12 months after patient enrollment

    Emergency Department Use for each patient will be assessed by electronic health record abstraction from time of enrollment to 12 months after patient enrollment

  2. Hospitalization Visit using chart abstraction

    Time frame: 12 months after patient enrollment

    Hospitalization Visits for each patient will be assessed by electronic health record abstraction from time of enrollment to 12 months after patient enrollment

  3. Palliative care using chart abstraction

    Time frame: 12 months after patient enrollment

    Palliative care use for each patient will be assessed by electronic health record abstraction from time of enrollment to 12 months after patient enrollment

  4. Hospice using chart abstraction

    Time frame: 12 months after patient enrollment

    Hospice for each patient will be assessed by electronic health record abstraction from time of enrollment to 12 months after patient enrollment

Sponsors and collaborators

Lead sponsor

Stanford University

Other

Registry information

Official study title

CAREPlan: Coaches Activating, Reaching, and Engaging Patients in End-of-Life Care Plan

Acronym: CAREPlan

Important dates

Study start
2019
Primary completion
2023
Study completion
2023
First posted
Feb 27, 2019
Registry last updated
Mar 21, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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