The goal of this clinical trial is to learn if a clinical workflow that screens adult patients with cancer for challenges at work and refers them to supportive resources is feasible, appropriate, and acceptable to patients and staff members in 2 cancer care settings. The main questions it aims to answer are: Is the clinical workflow feasible and acceptable to participants? Are study procedures feasible and acceptable to participants? Patient participants will complete 2 surveys: 1 at the time of enrollment and 1 six months later.
Investigators will conduct a prospective single-arm study at 2 sites to pilot and iteratively adapt a clinical workflow intervention, implementation strategies, and associated study procedures. Investigators will implement the clinical workflow intervention across each study site, then recruit consecutive patients (n=50) to complete patient-reported measures at 2 time points (T1: enrollment; T2: 6-month follow-up. Investigators will recruit staff members (n=20) to complete survey measures at 2 time points (T1: beginning of pilot study period; T2: end of pilot study period).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
70
The Screening and Referral Workflow intervention will include screening eligible patients for employment-related needs and referring those who require support to community-based employment resources.
Enrollment Rate
T1 survey enrollment rate among eligible patients and staff
Time frame: Baseline
Follow-up Survey Completion Rate
Rate of study survey completion within 18 days of the 6-month follow-up timepoint
Time frame: 6 months
Staff-reported Feasibility of Intervention
Proportion of staff disagreeing with one or more Feasibility of Intervention Measure items
Time frame: Approximately 9 months
Acceptability of Intervention: Staff
Proportion of staff disagreeing with one or more Acceptability of Intervention Measure items
Time frame: Approximately 9 months
Acceptability of Intervention: Patients
Proportion of patients providing negative ratings for one or more Theoretical Framework of Acceptability questionnaire items
Time frame: Baseline; 6 months
Employment Concerns Screening
Proportion of eligible patients screened for employment concerns
Time frame: Baseline
Employment status
Patient-reported employment status using the US Census Bureau's American Community Survey employment status items
Time frame: Baseline; 6 months
Sick leave duration
Patient-reported sick leave duration reported in days
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Time frame: Baseline; 6 months
Health-related quality of life
Patient-reported quality of life using the EQ-5D-5L scale. Scores range 1-5, with higher scores indicating poorer quality of life (worse outcome).
Time frame: Baseline; 6 months
Health insurance status
Patient-reported health insurance status using the US Census Bureau's American Community Survey health insurance status items
Time frame: Baseline; 6 months
Self-efficacy
Patient-reported self-efficacy using the General Self-Efficacy Scale. Scores range 10-40, with higher scores indicating more self-efficacy (better outcome).
Time frame: Baseline; 6 months
Financial toxicity
Patient-reported financial toxicity using the COST measure. Scores range 0-48, with higher scores indicating more financial toxicity (worse outcome).
Time frame: Baseline; 6 months