Brief Summary

The purpose of this study is to understand current practices for engaging with informal (unpaid) caregivers of patients with cancer, characterize the availability of supportive care services, and assess the perspectives of multi-disciplinary oncology health care providers regarding identifying and supporting caregivers.

Trial Health

On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment

910

participants targeted

Target at P75+ for all trials

Timeline

Completed

Started Dec 2018

Geographic Reach

1 country

272 active sites

Status

completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

1.5 years study duration

First Submitted

Initial submission to the registry

November 16, 2018

Completed

3 days until next milestone

First Posted

Study publicly available on registry

November 19, 2018

Completed

21 days until next milestone

Study Start

First participant enrolled

December 10, 2018

Completed

1.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 12, 2020

Completed

Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 12, 2020

Completed

Last Updated

March 2, 2022

Status Verified

February 1, 2022

Enrollment Period

1.5 years

First QC Date

November 16, 2018

Last Update Submit

February 28, 2022

Conditions

Supportive Care

Keywords

CaregiversOncologyCancer

Outcome Measures

Primary Outcomes (7)

Percent of Practices that have Mechanisms in Place to Identify Primary Caregivers
Practices that have a mechanism in place to identify and document a primary, informal caregiver for cancer patients will be identified by using the following Landscape 2017 Survey item: "Does your practice have a mechanism in place to identify and document a primary, informal (unpaid) caregiver for cancer patients?"
Included in One-Time Web-Based Survey; Up to 20 minutes Total
Percent of Practices that have Mechanisms in Place to Provide Psychosocial and/or Needs Assessments for Caregivers
Methods, documentation, settings and timing will be collected and assessed from practices that have mechanisms in place to identify primary caregivers.
Included in One-Time Web-Based Survey; Up to 20 minutes Total
Percent of Practices that have Availability of and Funding Models for Supportive Care Services
Percent of practices that have availability of and funding models for supportive care services provided to patients only, caregivers only, or both patients and caregivers will be assessed using items and content adapted from the Service Availability Measure and the Supportive Care Resources surveys.
Included in One-Time Web-Based Survey; Up to 20 minutes Total
Providers' Perceived Responsibility per SPARCCS
Questions used to collect perceived responsibility are adapted from the Survey of Physician Attitudes Regarding the Care of Cancer Survivors (SPARCCS) on a scale of 0-4, "strongly disagree" to "strongly agree". These questions assess modifiable constructs that can be targeted for systems level interventions including: 1) questions assessing perceived responsibility for assessing caregivers; 2) questions assessing skills and time to support caregivers; and 3) questions assessing awareness of resources for caregivers in practice and community.
Included in One-Time Web-Based Survey; Up to 20 minutes Total
Providers' Perceived Responsibility for Barriers to Meeting Caregiver Needs
Barriers to meeting needs of caregivers will be assessed using a 20-item tool designed by our team in prior research which was adapted for this study. Providers will report the extent to which they believe each barrier (e.g., time, lack of specialized staff, reimbursement) impacts service delivery for caregivers on a scale of 0-3, "not a barrier at all" to "Major barrier".
Included in One-Time Web-Based Survey; Up to 20 minutes Total
Providers' Ratings of Perceived Importance of Skills in Caregiver Communication
Providers' perceived skills in caregiver communication assesses providers' perceived importance, self-efficacy, and need for more training in 4 caregiver communication skills: 1) educating caregivers about ways to support a care recipient during treatment and recovery, 2) detecting when caregivers are anxious, depressed, or overwhelmed, 3) providing information about resources available to support caregivers, 4) assessing problems between caregivers and patients that impact patient treatment or recovery (15 items). These 15 items are adapted from a provider patient communication instrument on a scale of 0-4, "not at all" to "extremely/very much".
Included in One-Time Web-Based Survey; Up to 20 minutes Total
Providers' System Intervention Preferences
Providers' system intervention preferences will be assessed with 13 items assessing providers' preferences for offering different types of system interventions on a scale of 0-4, "not alt all interested" to "extremely interested"; 12 items assessing willingness and preferences for receiving training in each type of systems intervention on a scale of 0-2, "definitely" to "no".
Included in One-Time Web-Based Survey; Up to 20 minutes Total

Study Arms (2)

Supportive Care Leader

A staff member who is knowledgeable about supportive care services for adult oncology patients.

Oncology Providers

Physicians, nurses, physicians assistants, nurse practitioners who routinely provide cancer care to adult oncology patients.

Eligibility Criteria

Age18 Years - 99 Years

Sexall

Healthy VolunteersYes

Age GroupsAdult (18-64), Older Adult (65+)

Sampling MethodProbability Sample

Study Population

This study will be open to all Adult NCORP Components and Sub-components. Participants will include supportive care leaders (staff member who is most knowledgeable about supportive care services) and multidisciplinary oncology providers (physicians, nurses, and physician assistants/nurse practitioners who routinely provide cancer care and have been in practice at component/subcomponent for at least 6 months).

You may qualify if:

NCI Community Oncology Research Program (NCORP) components/subcomponents providing care to adult oncology patients.
NCORP components/subcomponents willing to: a) identify a supportive care leader knowledgeable about supportive care services that may be available to the practice and b) assist with the identification and recruitment of oncology providers for a brief provider survey.
NCORP components/subcomponents who share staff and supportive care services may participate as a single practice group
A staff member at each site who is most knowledgeable about supportive care services for adult oncology patients (e.g., Director of Manger of Psychosocial Oncology, Supportive Care Services, or Cancer Patient Support). If an administrator or leader cannot be identified, the nurse manager or clinic director will be asked to identify a staff member most knowledgeable about psychosocial or supportive care services for adult oncology patients or complete the survey himself or herself.
Must be a physician, nurse, or physician assistant/nurse practitioner, who routinely provides cancer care to adult oncology patients, including medical, radiation and surgical oncologists or physician assistants (PAs), nurse practitioners (NPs), and nurses who work in oncology settings.
Must have been in practice at component/subcomponent for at least 6 months.

You may not qualify if:

Component/subcomponent exclusively care for pediatric oncology patients. Given the distinct caregiver experience and needs of caregivers of pediatric oncology patients, we are not including components/sub-components that exclusively provide care for pediatric oncology patients.
Providers in practice less than 6 months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Wake Forest University Health Scienceslead
National Cancer Institute (NCI)collaborator
Medical University of South Carolinacollaborator

Study Sites (272)

Anchorage Associates in Radiation Medicine

Anchorage, Alaska, 98508, United States

Location

Anchorage Radiation Therapy Center

Anchorage, Alaska, 99504, United States

Location

Alaska Breast Care and Surgery LLC