N/A
N=213
Engagement of Patients With Advanced Cancer
End of Life · Advanced Cancer · Lung Neoplasm · Gastric Cancer · Colon Cancer
Bottom Line
View on ClinicalTrials.gov: NCT02966509 ↗Enrolled (actual)
213
Serious AEs
0.0%
Results posted
Dec 2017
Primary outcome: Primary: Number of Participants With Completed Goals of Care Documentation. We Will Evaluate if 75% of Patients in the Intervention Arm Have a Documented Goals of Care Titled Medical Note Within 6 Months of Patient Enrollment in the Study. — 98; 26 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- EPAC (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Stanford University
- Primary completion
- Dec 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Completed Goals of Care Documentation. We Will Evaluate if 75% of Patients in the Intervention Arm Have a Documented Goals of Care Titled Medical Note Within 6 Months of Patient Enrollment in the Study. |
98; 26 | — |
| SECONDARY Emergency Department Visit (Chart Review) |
1.03; 1.20 | — |
| SECONDARY Emergency Department Visit (Chart Review) |
1.03; 1.20 | — |
| SECONDARY Hospitalization Visits (Chart Review) |
0.75; 0.88 | — |
| SECONDARY Hospitalization Visits (Chart Review) |
0.75; 0.88 | — |
| SECONDARY Hospice Referral (Chart Review) |
32; 16 | — |
| SECONDARY Palliative Care Referral (Chart Review) |
31; 23 | — |
| SECONDARY Palliative Care Referral (Chart Review) |
31; 23 | — |
| SECONDARY Change in Patient Satisfaction With Care Using the Consumer Assessment of Health Care Providers and Systems -General Survey |
-0.54; -0.99 | — |
| SECONDARY Patient Satisfaction With Decision-Making Using the Satisfaction With Decision Survey |
4.73; 4.15 | — |
Summary
The Engagement of Patients with Advanced Cancer is an intervention that utilizes well-trained lay health coaches to engage patients and their families in goals of care and shared decision-making after a diagnosis of advanced cancer. Although lay health workers have never been tested in this role, we hypothesize that lay health workers can feasibly improve goals of care documentation and help to reduce unwanted healthcare utilization at the end of life for Veterans diagnosed with new advanced stages of cancer and those diagnosed with recurrent disease.
Eligibility Criteria
Inclusion Criteria
- Newly diagnosed stage III or IV cancer
- Recurrent disease (any stage)
- Ability to consent to study
Exclusion Criteria
- Patients who are unable to consent to study procedures
Data sourced from ClinicalTrials.gov (NCT02966509). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.