Impact of Project ECHO on Improving the Quality of Palliative Care in Patients With Advanced Cancer and Their Caregivers in Underserved Areas of Kenya, Nigeria, Ghana, South Africa, India, and Ethiopia
ECHO Telementoring to Improve Quality Palliative Care in Underserved Areas of Kenya, Nigeria, Ghana, South Africa, India, and Ethiopia
2 other identifiers
interventional
312
1 country
1
Brief Summary
This trial investigates the experience and satisfaction of care in patients with cancer that has spread to other places in the body (advanced) and their caregivers living in underserved areas of Kenya, Nigeria, Ghana, South Africa, India and Ethiopia as part of Project Extension for Community Healthcare Outcomes (ECHO). Project ECHO is a model of medical education and care management that empowers clinicians to provide better care to more people where they live. Understanding the experiences and satisfaction of patients and caregivers may help improve healthcare workforce capacity and increase access to specialty care for the world's rural and underserved populations.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Aug 2020
Longer than P75 for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 24, 2020
CompletedFirst Submitted
Initial submission to the registry
August 27, 2020
CompletedFirst Posted
Study publicly available on registry
July 30, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 31, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2026
March 5, 2026
March 1, 2026
6.4 years
August 27, 2020
March 3, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
Change in patients' quality of life
Measured by Functional Assessment of Cancer Illness Therapy FACT-General (FACT-G). A 27-item compilation of general questions divided into four primary domains: Physical Well-Being, Social/Family Well-Being, Emotional Well-Being, and Functional Well-Being. Each question is assessed using a Likert scale ranging from 0 to 4. The FACT-G total score is the sum of the domain scores..
Baseline up to 12 months
Secondary Outcomes (8)
Change in patients' symptom distress
Baseline up to 2 years
Patients' satisfaction of care
Baseline up to 2 years.
Caregivers' satisfaction of care
Baseline up to 2 years
Providers' efficacy in knowledge of delivering palliative care
Baseline
Providers' efficacy in knowledge of delivering palliative care
Up to 2 years
- +3 more secondary outcomes
Study Arms (3)
Arm I: ECHO Participants (ECHO clinics, workshop, education)
EXPERIMENTALParticipants participate in online ECHO clinics over 1 hour twice monthly for 12 months and in-country workshops twice per year. Participants also receive 5 core lectures through an internet-based professional education curriculum.
Arm II: Patients (questionnaire, medical chart review)
EXPERIMENTALPatients complete 3 in-person or phone questionnaires over a total of 20 minutes every 3 months for 2 years about their symptoms, emotional and physical well-being, and their experience and satisfaction with outpatient oncology care. Patients' medical charts are reviewed for data collection. Patients complete a 15 minute interview in person or phone about the care they received by their physician at baseline, end of month 4 and month 12.
Arm III: Caregivers (questionnaire)
EXPERIMENTALCaregivers complete an in-person or phone questionnaire over 5 minutes up to 8 times about their experience and satisfaction with the cancer care their family member has received. Caregivers complete a 15-minute interview in person or by phone their family member received by their physician.
Interventions
Participate in ECHO clinics presenting cases for guidance and feedback
In-Country Workshops Participate in hands-on training and workshops
Receive 5 core online lectures
Medical charts are reviewed for data collection
Complete questionnaire(s)
Eligibility Criteria
You may qualify if:
- PATIENT: Scheduled to receive treatment at participating primary care practice for advanced cancer
- PATIENT: 18 years or older
- PATIENT: Willing to be accessible to the research team for follow-up by telephone or in person
- PATIENT: Prognosis of at least 1 year as ascertained by the treating physician
- PATIENT: Able to read and understand English as assessed by the treating physician
- CAREGIVER: Identified or self-identified as primary caregiver of the patient
- CAREGIVER: Willing to be accessible to the research team for follow-up by telephone or in person
- CAREGIVER: 18 years or older
- CAREGIVER: Able to read and understand English as assessed by the treating physician
- ECHO PARTICIPANT: Participant must be a health care provider interested to participate in the study for 2 years and understand the protocol and provide consent
- ECHO PARTICIPANT: Able to read and understand English as assessed by principal investigator (PI)
You may not qualify if:
- Unable to understand and sign consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
M D Anderson Cancer Center
Houston, Texas, 77030, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Sriram Yennu
M.D. Anderson Cancer Center
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NON RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 27, 2020
First Posted
July 30, 2021
Study Start
August 24, 2020
Primary Completion (Estimated)
December 31, 2026
Study Completion (Estimated)
December 31, 2026
Last Updated
March 5, 2026
Record last verified: 2026-03