Video Education to Improve Rural Cancer Care Delivery

NCT05162404 | Completed DMC

• 1 other identifier: Okado 2021-1
• Study Type: interventional
• Target: 14
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to understand if a video-based education program delivered on a tablet device will improve care coordination experiences for patients with cancer living in rural areas.

Conditions

Cancer

Outcome Measures

Primary Outcomes (1)

• Changes in rural patients' perceptions of cancer care coordination as assessed by the Care Coordination Instrument at 4-6 months post-intervention.

  6 months

Secondary Outcomes (2)

• Rural patient satisfaction with video education materials as assessed by semi-structured telephone interview.

  6 months

• To examine patient demographic and clinical information collected from the background questionnaire as potential correlates of patients' perceptions of cancer care coordination at post-intervention

  6 months

Study Arms (1)

Video Intervention

EXPERIMENTAL

The intervention in this study is a TED-talk style video series designed to provide patient education on cancer, care coordination, and self-advocacy. The content is designed to provide both a background about cancer disease and to address each of the specific domains in care coordination (CCI). The development of video contents was informed by our prior/current research in rural care coordination and components of evidence-based interventions including the patient navigator training by the George Washington University Cancer Institute, Imi Hale (the Native Hawaiian Cancer Network), and a supportive care intervention by Mokuau et al. As the target population of this intervention is rural patients, videos include some rural-specific considerations related to care coordination.

Behavioral: Video Education Program

Interventions

Video Education Program BEHAVIORAL

The following topics are addressed in each module of the videos: 1. Understanding cancer and cancer treatment - including an understanding of stage, site of origin, metastases, treatment options, toxicities and anticipated outcomes. 2. Care coordination basics (CC: Communication) - including navigating care related to appointments, how to handle issues after-hours, and the expected roles of other healthcare providers (e.g., PCPs). 3. How to be a self-advocate (CC: Navigation and Operational) - including how to ask questions, being empowered to talk to your doctor, when a second opinion is needed, when to explore clinical trials, and how to best incorporate a caregiver into your treatment.

Video Intervention

Eligibility Criteria

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

You may qualify if:

• Patients must have a newly diagnosed Stage I, II, or III disease at the time of enrollment.
• Patients to be treated with adjuvant chemotherapy or recent initiation of (within 1 month of starting) adjuvant chemotherapy.
• Patients with a history of previous malignancy treated with chemotherapy within the last 3 years are not eligible, as their perceptions of care coordination may be impacted by their previous treatment.
• Patients must be ≥ 18 years of age.
• Patients must be able to read, write, and speak English. Study materials and telephone calls are only available in English.
• Patients must be residents of Hawaii, Kauai, or Maui counties
• Patients must be informed of the investigational nature of this study and must sign and give written informed consent in accordance with institutional and federal guidelines.

Sponsors & Collaborators

• University of Hawaii: lead
• The Hope Foundation for Cancer Research: collaborator

Study Sites (1)

University of Hawaii Cancer Center

Honolulu, Hawaii, 96813, United States

Location

Related Publications (1)

• Okado I, Braun-Inglis C, Matsumoto K, Elhajj C, Cassel K, Berenberg J, Holcombe RF. Feasibility of a Remote Patient Video Education Intervention to Improve Care Coordination for Rural Cancer Patients. J Cancer Educ. 2025 Aug;40(4):594-599. doi: 10.1007/s13187-024-02550-6. Epub 2024 Dec 5.

  PMID: 39636502 DERIVED

MeSH Terms

Conditions

Neoplasms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 27, 2021
• First Posted: December 17, 2021
• Study Start: January 5, 2022
• Primary Completion: February 28, 2023
• Study Completion: July 1, 2023
• Last Updated: December 11, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)