This study will assess if the CARES (Cancer Advocacy, Resources, Education and Support) intervention improves time to start of treatment after diagnosis and time to treatment completion for solid tumors (ex: lung, head, neck, thyroid, cervical, breast, bladder, colon, and rectal cancers) in rural patients.
This is a randomized study. 320 participants will be enrolled to the CARES intervention or usual care arms. All participants will complete surveys to assess Quality of Care and Patient Reported outcomes at baseline, 3 months and 6 months. The CARES intervention will include a maximum of 10 navigation and 10 counseling sessions delivered over approximately a 6- month period delivered by oncology nurse navigators and master's level counselors. Sessions will be scheduled to correspond with key transition points during treatment and may be held in person, virtually, or by phone. Patients enrolled to the usual care arm will receive a standardized list of resources. Participation will last 6 months.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
320
Nurse navigators and masters levels counselors will meet with participants up to 10 times each (10 navigation and 10 counseling) over a 6 month period. The number of sessions will be determined by the length of the patient's treatment. The timing of each session will be guided by a regular assessment to reduce the time from diagnosis to initiation of treatment and the time between subsequent treatments. Sessions will occur at key transition points during treatment to target the factors associated with treatment delays, reduced Quality of Care and poor Patient Reported Outcomes
University of Colorado Hospital
Aurora, Colorado, United States
RECRUITINGMemorial Hospital Central
Colorado Springs, Colorado, United States
RECRUITINGMemorial Hospital North
Colorado Springs, Colorado, United States
RECRUITINGPoudre Valley Hospital
Fort Collins, Colorado, United States
RECRUITINGSCL- St. Mary's Medical Center
Grand Junction, Colorado, United States
RECRUITINGVA Western Colorado Health Care System
Grand Junction, Colorado, United States
RECRUITINGGreeley Campus
Greeley, Colorado, United States
RECRUITINGHighlands Ranch Hospital
Highlands Ranch, Colorado, United States
RECRUITINGMedical Center of the Rockies
Loveland, Colorado, United States
RECRUITINGSan Juan Cancer Center
Montrose, Colorado, United States
RECRUITING...and 4 more locations
Time to care
Number of days from diagnosis to treatment initiation and number of days from treatment initiation to treatment completion
Time frame: From study start to study end (6 months)
Quality of Care
Use Quality of Care (QOC) questionnaire to determine if CARES intervention results in favorable QOC experience
Time frame: From study start to study end (6 months)
Patient Reported Outcomes
Use Patient Reported Outcomes (PRO) questionnaire to determine if CARES intervention results in improvements in distress, adaptive coping, and tobacco use
Time frame: From study start to study end (6 months)
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