Patient Navigation to Improve Patient-Centered Cancer Care

NCT03226405 | Unknown

• 1 other identifier: 17-183
• Study Type: interventional
• Target: 400
• Locations: 1 country
• Sites: 1

Brief Summary

The MGH Cancer Center's patient navigation (PN) program, utilizes specially trained community-based personnel to improve cancer care in underserved communities by increasing cancer screening and removing barriers to timely care. This program incorporate rigorous evaluation to demonstrate the impact of innovation in healthcare delivery.

Conditions

Cancer

Keywords

Cancer

Outcome Measures

Primary Outcomes (2)

• Adherence With Cancer Treatment

  Adherence with cancer treatment will be measured as no-show rate to scheduled oncology appointments.

  2 years

• The Time From Cancer Diagnosis To First Oncology Appointment

  Length of time in days from cancer diagnosis to first completed oncology appointment.

  2 Years

Secondary Outcomes (11)

• Health Related Quality Of Life

  2 years

• Overall Survival

  2 years

• Proportion Of Patients Enrolled In Clinical Trials

  2 years

• Overall Missed Health Care Visits

  2 years

• Emergency Department Visits

  2 years

Study Arms (2)

Patient Navigation Program

EXPERIMENTAL

* The study team will identify, track, and provide navigation for all adult patients referred to Cancer Center from the CHC and community partners for cancer treatment. * The Patient Navigation Program include * Education, * Appointment reminders, * Help with insurance, * Transportation, * Navigating the Cancer Center, * Assisting in finding appropriate child care, * Interpreting, * Connecting the patient to psychosocial and/or palliative care teams, * Physically escorting the patient to appointments

Other: Patient Navigation Program

Standard of Care

ACTIVE COMPARATOR

* The patients will receive enhanced usual care, * This consist of personal phone call reminders about upcoming appointments at the MGH Cancer Center

Other: Usual Care

Interventions

Patient Navigation Program OTHER

PN program improve access, timeliness and adherence with cancer treatment

Patient Navigation Program

Usual Care OTHER

the standard of care provided by the institution

Standard of Care

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult patients (age 18 and older)
• Newly diagnosed with cancer referred from Massachusetts General Hospital (MGH) community health centers in
• Revere
• Chelsea
• Charlestown
• surrounding communities referred to receive cancer treatment at the MGH Cancer Center

You may not qualify if:

• Patients that primary care providers exclude

Sponsors & Collaborators

• Massachusetts General Hospital: lead

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02215, United States

RECRUITING

MeSH Terms

Conditions

Neoplasms

Interventions

Patient Navigation

Intervention Hierarchy (Ancestors)

Patient-Centered Care; Primary Health Care; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Sanja Percac-Lima, MD, PhD

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Emma Whited

CONTACT

617-724-1968; ewhited@mgh.harvard.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 19, 2017
• First Posted: July 21, 2017
• Study Start: November 1, 2017
• Primary Completion: October 2, 2020
• Study Completion: October 2, 2023
• Last Updated: April 21, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)