Community Health Worker Based Intervention to Improve Palliative Care
DeCIDE PC
4 other identifiers
interventional
160
1 country
4
Brief Summary
The study aims to find out if community health worker (CHW) support will improve palliative care outcomes in African American patients with advanced cancer, by comparing the quality of life of patients who are receiving standard care to those whose standard care is supplemented with CHW support.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable cancer
Started Nov 2023
Longer than P75 for not_applicable cancer
4 active sites
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
First Submitted
Initial submission to the registry
June 2, 2022
CompletedFirst Posted
Study publicly available on registry
June 7, 2022
CompletedStudy Start
First participant enrolled
November 2, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
September 1, 2027
April 24, 2026
April 1, 2026
3.6 years
June 2, 2022
April 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Number of participants who completed Advance Directives
Advanced care planning
6 months after enrollment
Secondary Outcomes (6)
Functional Assessment of Chronic Illness Therapy-Palliative Subscale (FACIT-PAL) score
6 months after enrollment
Number of participants who utilize hospice care
6 months after enrollment
Goals of care as assessed by Quality of communication (QOC) scale
6 months after enrollment
Symptom Intensity as assessed by the Edmonton Symptom Assessment Score (ESAS)
6 months after enrollment
Depression as assessed by the Center for Epidemiologic Studies Depression Scale (CES-D)
6 months after enrollment
- +1 more secondary outcomes
Study Arms (2)
Standard care
NO INTERVENTIONStandard cancer care
Standard care + DeCIDE PC intervention
EXPERIMENTALCommunity health worker support and standard cancer care
Interventions
Those in the intervention group will receive support from a dedicated CHW trained in motivational interviewing, components of palliative care communication, and social determinants of health.
Eligibility Criteria
You may qualify if:
- Self-identified African American patients with advanced (AJCC stage III or IV) solid organ malignancy
- \>=18 years old
- English speaking
- Intact cognition and ability to provide informed consent
You may not qualify if:
- Participants \< 18 years of age
- Participants who are already receiving palliative care services
- Adult (\>=18 years old) caregivers providing informal (unpaid) care to an eligible African American cancer patient (related or unrelated)
- English speaking
- Intact cognition and ability to provide informed consent
- Participants \< 18 years of age
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (4)
University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
Johns Hopkins University School of Medicine
Baltimore, Maryland, 21205, United States
TidalHealth Peninsula Regional, Inc.
Salisbury, Maryland, 21801, United States
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, 27157, United States
Related Publications (3)
Johnston FM, Neiman JH, Parmley LE, Conca-Cheng A, Freund KM, Concannon TW, Smith TJ, Cooper LA. Stakeholder Perspectives on the Use of Community Health Workers To Improve Palliative Care Use by African Americans with Cancer. J Palliat Med. 2019 Mar;22(3):302-306. doi: 10.1089/jpm.2018.0366. Epub 2018 Nov 2.
PMID: 30388060BACKGROUNDMonton O, Drabo EF, Masroor T, Fuller S, Woods AP, Siddiqi A, Malone TB, Johnston FM. Economic evaluation of a hybrid type 1 effectiveness-implementation trial comparing a community health worker palliative care intervention to enhanced standard of care in African American patients across four cancer centres in the USA: a study protocol. BMJ Open. 2025 Nov 4;15(11):e096402. doi: 10.1136/bmjopen-2024-096402.
PMID: 41193212DERIVEDSiddiqi A, Monton O, Woods A, Masroor T, Fuller S, Owczarzak J, Yenokyan G, Cooper LA, Freund KM, Smith TJ, Kutner JS, Colborn KL, Joyner R, Elk R, Johnston FM. Dissemination and Implementation of a Community Health Worker Intervention for Disparities in Palliative Care (DeCIDE PC): a study protocol for a hybrid type 1 randomized controlled trial. BMC Palliat Care. 2023 Sep 18;22(1):139. doi: 10.1186/s12904-023-01250-0.
PMID: 37718442DERIVED
MeSH Terms
Conditions
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Fabian M Johnston, MD, MHS
Atrium Health Wake Forest Baptist
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 2, 2022
First Posted
June 7, 2022
Study Start
November 2, 2023
Primary Completion (Estimated)
June 1, 2027
Study Completion (Estimated)
September 1, 2027
Last Updated
April 24, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share