1020 Participants NeededMy employer runs this trial

Educational Program for Cancer

PO
SC
Overseen BySarah Cantu
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: SWOG Cancer Research Network
Must be taking: Systemic anti-cancer therapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests an educational program designed to help cancer patients improve conversations with their healthcare team. The program, called Algorithm-Enabled Patients Activated in Cancer Care Through Teams (A-PACT), aims to reduce unexpected hospital visits and enhance discussions about care goals and preferences, including end-of-life planning. Participants will engage in phone sessions with health educators to assist in these areas. This trial suits individuals diagnosed with any stage of solid tumor cancer who are currently receiving or planning to receive cancer treatment and are not in hospice care. As an unphased trial, it offers a unique opportunity for patients to enhance communication skills and actively participate in care decisions.

What prior data suggests that this educational program is safe for patients with solid cancers?

A previous study developed A-PACT to assist cancer patients in discussing important topics with their doctors. The program includes phone sessions where educators guide patients in conversations about healthcare choices and end-of-life care. A-PACT is an educational program, not a drug or medical procedure, so it poses no physical risks like side effects. Instead, it aims to enhance communication between patients and their healthcare teams. Participants reported feeling more prepared to discuss their care, potentially leading to better outcomes. Overall, A-PACT is considered very safe for participants.12345

Why are researchers excited about this trial?

Researchers are excited about the A-PACT program because it empowers cancer patients by integrating an algorithm-enabled education system directly into their care. Unlike standard treatments that focus solely on medical interventions, A-PACT emphasizes patient activation and engagement through regular, personalized phone sessions. This approach aims to improve patient outcomes by fostering a deeper understanding of their condition and treatment options, potentially leading to more informed decision-making and better adherence to care plans. By complementing usual care with this innovative educational support, researchers hope to enhance the overall cancer care experience and improve patient satisfaction.

What evidence suggests that the A-PACT educational program is effective for reducing unplanned hospital visits and improving goals of care conversations among patients with solid cancers?

Research has shown that the A-PACT program, which participants in this trial may receive, can reduce unexpected hospital visits and improve discussions about care goals for cancer patients. The program uses special tools to identify patients who might need extra support and facilitates important conversations with their doctors. Studies indicate that patients using A-PACT are more likely to have their treatment preferences recorded and experience less anxiety and depression. Thus, A-PACT not only enhances communication with medical teams but also supports patients' emotional well-being.34567

Who Is on the Research Team?

RB

Ravi B Parikh

Principal Investigator

SWOG Cancer Research Network

MP

Manali Patel, MPH MS FASCO

Principal Investigator

Stanford School of Medicine

Are You a Good Fit for This Trial?

This trial is for adults (18+) with any stage of solid tumor cancer who are starting or receiving anti-cancer treatment and have a higher risk of dying within 6 months. Participants must not be planning to enter hospice, need to speak English or Spanish, and be able to answer questionnaires by phone.

Inclusion Criteria

I have been diagnosed with a solid tumor cancer.
Participants must be identified as high risk, defined as having 6 month mortality estimate from machine learning (ML) algorithm >= 20%
Participants are allowed to be co-enrolled on other clinical trials including trials using investigational agents
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

A-PACT Education and Follow-up

Participants attend an initial A-PACT education session over 30-45 minutes by phone and receive follow-up A-PACT phone calls over 15 minutes each twice monthly, or less frequently per patient preference, for up to 6 months, in addition to usual care.

6 months
Initial session (phone), bi-monthly follow-up calls (phone)

Follow-up

Participants are monitored for safety and effectiveness after treatment, with follow-up assessments at months 9 and 12.

6 months
Follow-up assessments at 9 and 12 months

What Are the Treatments Tested in This Trial?

Interventions

  • Algorithm-Enabled Patients Activated in Cancer Care Through Teams (A-PACT)

Trial Overview

The study tests an educational program called A-PACT, where trained lay health workers help patients discuss their care goals and preferences with their healthcare team. The goal is to improve communication about care wishes and reduce unplanned hospital visits.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Group 1 (Usual care + A-PACT)Experimental Treatment6 Interventions
Group II: Group 2 (Usual care)Active Control3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

SWOG Cancer Research Network

Lead Sponsor

Trials
403
Recruited
267,000+

National Cancer Institute (NCI)

Collaborator

Trials
14,080
Recruited
41,180,000+

Citations

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Activating Technology for Connected Health in Cancer - PMC

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