NCT06688513

Brief Summary

SNAP ON II is a two-arm, parallel-group, multi-center, randomized trial for patients diagnosed with cancer who are planning to undergo expected uncomplicated surgical intervention for their cancer. The study seeks to test whether a mobile app (developed by PistevoDecision) that identifies and connects patients to resources to meet their basic needs (e.g., housing, food, transportation, etc) ccan improve patient outcomes. Prior to their scheduled surgery, patients will download a mobile/web app that asks about their social needs. Then, the treatment group will be connected to community-based resources through FindHelp and the control group will receive access to the Centers for Disease Control tool called Lets Talk: Sharing Info About Your Family Cancer Risk.

Trial Health

55
Monitor

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
722

participants targeted

Target at P75+ for not_applicable cancer

Timeline
Completed

Started Oct 2024

Shorter than P25 for not_applicable cancer

Geographic Reach
1 country

3 active sites

Status
enrolling by invitation

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

Study Start

First participant enrolled

October 1, 2024

Completed
17 days until next milestone

First Submitted

Initial submission to the registry

October 18, 2024

Completed
27 days until next milestone

First Posted

Study publicly available on registry

November 14, 2024

Completed
8 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2025

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

August 31, 2025

Completed
Last Updated

November 14, 2024

Status Verified

November 1, 2024

Enrollment Period

9 months

First QC Date

October 18, 2024

Last Update Submit

November 13, 2024

Conditions

Keywords

cancerSocial SupportMobile ApplicationsAppsSocial Determinants of HealthSDH

Outcome Measures

Primary Outcomes (2)

  • 30-day Readmission post-surgery

    30 Days

  • Time to Social Determinants of Health Needs Addressed

    Time to event analysis of social determinants of health needs addressed from surgery

    90 Days

Study Arms (2)

Let's Talk: Sharing information about Family Cancer Risk

SHAM COMPARATOR

Participants in the control group will complete questions about their SDH needs in the Carealth mobile app but will not have any helpful resources attached to it that meet these needs. Instead, as an attention control, control group participants will be sent to an interactive tool created and validated by the Centers for Disease Control called Let's Talk: Sharing Info About Your Family Cancer Risk. This is an interactive tool that patients can use to learn about how to talk with their family members about the family member's cancer risk.

Behavioral: Let's Talk: Sharing information about Family Cancer Risk

Carealth App

EXPERIMENTAL

Participants in the treatment group will complete questions about their SDH needs in the Carealth app. Those with SDH needs will be referred to resources to meet those needs through Findhelp embedded into the app. Participants in the treatment group will complete this information pre-surgery, which will be considered a baseline measurement at the start of their participation in the trial. Participants in the treatment group will also receive reminders based on the post-surgery discharge instructions.

Device: Carealth Phone App

Interventions

The goal for this study is to assess Carealth app's ability to connect patients to resources to meet patient's identified SDH needs, with the end goal of assessing reduction in 30-day readmission and missed visits by connecting patients to resources to meet their social needs in a way that enables them to receive care earlier or avoid complications.

Carealth App

An interactive tool that patients can use to learn about how to talk with their family members about the family member's cancer risk

Let's Talk: Sharing information about Family Cancer Risk

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years or older
  • ECOG Performance Status11 score of 2 or less
  • Diagnosed with cancer (e.g., head and neck; lung; breast; genitourinary; pancreatic; gastrointestinal; gynecological)
  • Requires surgery, with an overnight stay in the hospital, as part of the treatment for their cancer.
  • Surgery is considered low risk of major complication, as determined by the surgeon.
  • Must be in one of the following categories: 1) have no evidence or suspicion of metastatic disease at time of consult, 2) metastatic in first-line treatment, or 3) metastatic with a 6-month or greater survival expectancy
  • Not scheduled for surgery within 2 weeks
  • Able to read and respond in English
  • Have access to a smartphone, tablet, computer, or other device with an internet connection and web browser, ability and willingness to download the Carealth app
  • Able to provide consent to the study

You may not qualify if:

  • Diagnosis of cancers in the central nervous system, as these patients may experience cognitive function changes pre- or post-diagnosis that might influence their ability to use the app
  • Diagnosis of cancers of the upper extremities, as they may experience limited physical function that may make it challenging to use a mobile app

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Johns Hopkins University

Baltimore, Maryland, 21231, United States

Location

Northwell Health Cancer Institute

Lake Success, New York, 11042, United States

Location

The University of Tennessee Health Science Center

Memphis, Tennessee, 38163, United States

Location

MeSH Terms

Conditions

Neoplasms

Study Officials

  • Lorraine Dean, ScD

    Johns Hopkins University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 18, 2024

First Posted

November 14, 2024

Study Start

October 1, 2024

Primary Completion

July 1, 2025

Study Completion

August 31, 2025

Last Updated

November 14, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will share

* Presentations at national scientific meetings: This will include scientific meetings where the content centers on SDHs. It will also include national meetings where content interest relates to cancer care and delivery care processes including the annual meetings of the American Society of Clinical Oncology. * Presentations at local conferences at Johns Hopkins University and other hospital partner sites: These will include departmental grand rounds and presentations at lecture series. * Presentations to local community groups focused on cancer patient needs, including patient advocacy groups associated with each partnering hospital. * We will also develop a tutorial session for presentation via webinars illustrating the technology and intended use, and final webinar presentations to the NCI Evaluation Panel.

Shared Documents
STUDY PROTOCOL, SAP
Time Frame
Approximately 6 months after the end of the trial
Access Criteria
Undecided

Locations