Reducing Disparities in Rural Advanced Cancer Patients and Caregivers

NCT03456596 | Completed

• 1 other identifier: X140522006
• Study Type: observational
• Target: 4
• Locations: 0 countries
• Sites: N/A

Brief Summary

The Purpose of this project is to implement ENABLE (Educate, Nurture, Advise, Before Life Ends) at four community cancer practices that have a high percentage of rural and/or medically-underserved patients diagnosed with advanced cancer and their family caregivers. The ENABLE principal investigator (PI) and the Coordinating Center team are located at the University of Alabama at Birmingham (UAB). Site teams are - Spartanburg SC/Gibbs Cancer Center, Birmingham VA Medical Center, University of South Alabama/Mitchell Cancer Institute, UAB Division of Gynecologic Oncology and UAB Department of Hematology Oncology.

Conditions

Cancer

Keywords

CBPR; RE-AIM

Outcome Measures

Primary Outcomes (1)

• General Organization Index (GOI) Outcomes Measure

  The General Organizational Index (GOI) is used to describe the organizational strengths of an organization serving healthcare. The total range of the score would be 12 (lowest - no implementation of good organizational structure) to 60 (full implemented organizational structure). The score is derived from 12 categories which are assigned a score of 1 (no implementation) to 5 (fully implemented); hence a total possible score of 12 - 60.

  1 Yr Post Implementation

Study Arms (1)

Institution

Community cancer centers implementing ENABLE

Other: ENABLE

Interventions

ENABLE OTHER

This is an implementation science study in which an evidence-based early palliative care intervention, ENABLE (Educate, Nurture, Advise, Before Life Ends), is being implemented in rural community cancer centers that did not have a palliative care program.

Institution

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The study population is rural community-based cancer centers. According to the 2010 US Census data, nearly 60 million citizens live in rural or non-metropolitan areas;however, less than 10% of the 833 US palliative care programs are located in rural areas. Rural advanced cancer patients are vulnerable and at high risk of experiencing social isolation and disparities in palliative care due to long distances from treatment centers,low population density, and limited clinical expertise. Rural location is related to less and later hospice use.Hence, most rural cancer patients are unlikely to have access to interdisciplinary team-based palliative and hospice care recommended by ASCO and National Comprehensive Cancer Network guidelines.

You may qualify if:

• Rural serving community-based cancer centers that do not have a palliative care program

You may not qualify if:

• none

Sponsors & Collaborators

• University of Alabama at Birmingham: lead
• VA Office of Research and Development: collaborator
• University of South Alabama: collaborator
• Spartanburg Regional Healthcare System: collaborator

MeSH Terms

Conditions

Neoplasms

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 18, 2017
• First Posted: March 7, 2018
• Study Start: July 1, 2013
• Primary Completion: June 30, 2017
• Study Completion: June 30, 2017
• Last Updated: March 7, 2018

Record last verified: 2018-02

Data Sharing

• IPD Sharing: Will not share