This randomized pilot clinical trial studies health care coach support in reducing acute care use and cost in patients with cancer. Health care coach support may help cancer patients to make decisions about their care that matches what is important to them with symptom management.
I. To reduce acute care utilization by 2-5% for advanced cancer patients by training and
deploying health care coaches who help patients and families discuss care goals, virtual
modalities, engage in shared-decision-making, and participate in educational activities.
I. To improve patients' experience of their care. II. Improve patient understanding of
advanced care planning. III. To improve the receipt of goal concordant care. IV. To reduce
total healthcare costs.
OUTLINE: Patients are randomized to 1 of 2 arms.
ARM A: Patients receive usual care.
ARM B: Patients undergo health care coach support with a baseline introduction (either
telephonic or in-person) of the program followed by a visit (telephonic or in-person) with
the health care coach after the first oncology appointment to discuss goals of care. The
health care coach will contact patient based on patients' ongoing needs (weekly to monthly)
and will conduct symptom assessments based on patients' treatment plans and symptoms.
After completion of study, patients are followed up for 6 months.
|Overal Status||Start Date||Phase||Study Type|
|Recruiting||December 15, 2016||N/A||Interventional|
Primary Outcome 1 - Measure: Emergency Department Visit (Chart Review)
Primary Outcome 1 - Time Frame: 6 months after patient enrollment
Primary Outcome 2 - Measure: Hospitalization Visits (Chart Review)
Primary Outcome 2 - Time Frame: 6 months after patient enrollment
Primary Outcome 3 - Measure: Hospice Consult (Chart Review)
Primary Outcome 3 - Time Frame: 6 months after patient enrollment
Primary Outcome 4 - Measure: Palliative Care Consult (Chart Review)
Primary Outcome 4 - Time Frame: 6 months after patient enrollment
- Newly diagnosed patients for the following conditions
- Colon cancer stage III and IV
- Rectal cancer stage II, III, IV
- Glioblastoma multiforme (brain) -- no stage
- Non-small cell lung cancer stage IIIA, IIIB, IV
- Small cell lung cancer, limited stage and extensive stage
- Castration-resistant prostate cancer
- Head and neck cancer stage III and IV
- Gastric cancer stage III and IV
- Esophageal cancer stage III and IV
- Pancreatic cancer stage II, III, IV
- Renal cell carcinoma, stage IV
- Breast cancer, stage IV, if triple negative ER/PR/H2N negative or on systemic
- Sarcoma, stage IV
- Bladder carcinoma, stage IV
- Acute myeloid leukemia
- Melanoma, stage III and IV
- Ovarian cancer, stage III and IV
- High grade myelodysplastic syndrome (MDS)
- Any patient with recurrent or progressive cancer
- Patients must have the ability to understand and willingness to sign a written
informed consent document
- Patient must have ongoing oncologic needs and plan to receive all care at the study
institution and not already be in hospice or home-care
- Patients must have capacity to consent
- Pregnant patients are excluded
Minimum Age: 18 Years
Maximum Age: N/A
Healthy Volunteers: No
Name: Manali Patel
Role: Principal Investigator
Affiliation: Stanford University