understanding the preferences and views of older adults on the use of geriatric and objective functional assessments for cancer treatment planning.

Conditions: Care Delivery; Geriatrics; Geriatric Assessment

Summary: this interventional clinical study aims to explore how receiving information about their health and physical abilities affects the treatment decisions of older adults. the study will look at whether sharing detailed assessments of their health and functional status helps older adults better understand their condition and make informed decisions about their care. the main question it aims to answer is if providing this information changes the treatment priorities of older adults, helping them focus on what matters most to them in their medical care.

this randomized, interventional, cancer care delivery trial will test whether receipt of geriatric assessment (ga) and objective functional status (ofs) assessment data affects older adults' treatment priorities. it will also assess the preferences of older adults for the collection, sharing, and use of their assessment data. finally, it will explore whether less fit patients experience a lower level of satisfaction and a greater degree of regret with their decision to undergo anti-cancer therapy. this study will utilize a randomized design where participants will be randomized to either the intervention arm (early sharing of ga and ofs results) or to the control arm (delayed sharing of ga and ofs results). to assess patients' preferences for quality vs quantity of life, the investigators will use the quality quantity (qq) questionnaire. all patients will complete this at baseline and then undergo their ga and ofs assessments. patients randomized to the intervention group will be provided the results of their ga and ofs assessments, and then complete the qq questionnaire for a second time to assess for any changes following receipt of their assessment results. patients randomized to the control group will undergo the assessments and complete the same questionnaire as the intervention group but will not receive the results of their ga and ofs assessments prior to completing the second qq questionnaire. for the control group, assessment results will be shared with patients after completion of the follow-up qq questionnaire. after reviewing their assessment results, patients in both groups will then complete a questionnaire that inquire about their preferences for receipt, use, and sharing of their assessment data. it will also inquire about the degree to which receipt of these data affected how they experienced their cancer care. the investigators will determine whether sharing of geriatric and ofs assessment results affected patients' treatment priorities by measuring the absolute change from baseline in the qq questionnaire scores for quantity and quality of life, comparing the change in the intervention versus the control group. the investigators will also describe patients' preferences for the collection, use and sharing of their assessment data as reported in the preferences questionnaire, both overall and by race/ethnicity. to explore differences in patients' satisfaction with their decision to pursue anti-cancer therapy by functional status level, participants will complete the "was it worth it" (wiwi) questionnaire at the first of either 1) the conclusion of their treatment regimen or 2) three months after enrollment. the provider assessment will ask whether patients experienced any of the following: a toxicity of treatment ≥grade 3, treatment dose reduction, treatment interruption, treatment discontinuation, hospitalization, or a decline in performance status.

Eligibility criteria:
inclusion criteria: * age ≥ 65 at the time of study screening either: * started a new qualifying index regimen within the last 30 days (inclusive) * are being considered for a new qualifying index regimen exclusion criteria: * patients will be excluded if they * do not have the capacity to consent to study procedures * are unable to complete english language questionnaires * are already using an activity tracker on a daily basis (and therefore may be aware of their current level of activity) * are enrolled in another study in which physical activity is a substantial part or all of the therapeutic intervention or where physical activity is specifically being evaluated and shared with patients. patients on studies not evaluating or sharing physical activity are eligible for the present study if they meet the other inclusion/exclusion criteria and participation in the present study is not excluded by other studies in which they are enrolled.

Keywords: fitness tracking care delivery intervention functional status in older adults cancer treatment preferences quality vs quantity of life patient-reported outcomes in oncology randomized controlled trial quality of life in cancer care functional health assessments patient-centered cancer treatment