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NCT Number: NCT07027449

Connecting People With Cancer to Employment Support

The goal of this clinical trial is to learn if a clinical workflow that screens adult patients with cancer for challenges at work and refers them to supportive resources is feasible, appropriate, and acceptable to patients and staff members in 2 cancer care settings. The main questions it aims to answer are:

Is the clinical workflow feasible and acceptable to participants? Are study procedures feasible and acceptable to participants?

Patient participants will complete 2 surveys: 1 at the time of enrollment and 1 six months later.

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Key information

Conditions

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

About this study

Investigators will conduct a prospective single-arm study at 2 sites to pilot and iteratively adapt a clinical workflow intervention, implementation strategies, and associated study procedures. Investigators will implement the clinical workflow intervention across each study site, then recruit consecutive patients (n=50) to complete patient-reported measures at 2 time points (T1: enrollment; T2: 6-month follow-up. Investigators will recruit staff members (n=20) to complete survey measures at 2 time points (T1: beginning of pilot study period; T2: end of pilot study period).

Who can participate

Healthy volunteers accepted: No

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

Eligible Patients:

  • visiting a participating medical or radiation oncology clinic for new diagnosis, treatment, or follow-up of any type of cancer;
  • employed at the time of cancer diagnosis;
  • age 18 or older;
  • able to give full informed consent;
  • able to communicate in English or Spanish.

Eligible Staff:

  • age 18 or older;
  • employed at one of the participating clinical sites.

Treatment and study plan

Screening and Referral Workflow

Behavioral

The Screening and Referral Workflow intervention will include screening eligible patients for employment-related needs and referring those who require support to community-based employment resources.

Primary outcomes

  1. Enrollment Rate

    Time frame: Baseline

    T1 survey enrollment rate among eligible patients and staff

  2. Follow-up Survey Completion Rate

    Time frame: 6 months

    Rate of study survey completion within 18 days of the 6-month follow-up timepoint

  3. Staff-reported Feasibility of Intervention

    Time frame: Approximately 9 months

    Proportion of staff disagreeing with one or more Feasibility of Intervention Measure items

  4. Acceptability of Intervention: Staff

    Time frame: Approximately 9 months

    Proportion of staff disagreeing with one or more Acceptability of Intervention Measure items

  5. Acceptability of Intervention: Patients

    Time frame: Baseline; 6 months

    Proportion of patients providing negative ratings for one or more Theoretical Framework of Acceptability questionnaire items

  6. Employment Concerns Screening

    Time frame: Baseline

    Proportion of eligible patients screened for employment concerns

Secondary outcomes

  1. Employment status

    Time frame: Baseline; 6 months

    Patient-reported employment status using the US Census Bureau's American Community Survey employment status items

  2. Sick leave duration

    Time frame: Baseline; 6 months

    Patient-reported sick leave duration reported in days

  3. Health-related quality of life

    Time frame: Baseline; 6 months

    Patient-reported quality of life using the EQ-5D-5L scale. Scores range 1-5, with higher scores indicating poorer quality of life (worse outcome).

  4. Health insurance status

    Time frame: Baseline; 6 months

    Patient-reported health insurance status using the US Census Bureau's American Community Survey health insurance status items

  5. Self-efficacy

    Time frame: Baseline; 6 months

    Patient-reported self-efficacy using the General Self-Efficacy Scale. Scores range 10-40, with higher scores indicating more self-efficacy (better outcome).

  6. Financial toxicity

    Time frame: Baseline; 6 months

    Patient-reported financial toxicity using the COST measure. Scores range 0-48, with higher scores indicating more financial toxicity (worse outcome).

Study contacts

Contact information is provided by the study sponsor or research team.

Rachel C. Forcino, PhD, MSc

CONTACT

[email protected]

913-588-4742

Sponsors and collaborators

Lead sponsor

University of Kansas Medical Center

Other

Registry information

Official study title

Implementing Pathways to Identify and Address Employment Concerns Among People With Cancer Across Diverse Clinical Settings

Important dates

Study start
2028
Primary completion
2029
Study completion
2029
First posted
Jun 18, 2025
Registry last updated
Jun 18, 2025

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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