Decision Aid for Education and Support About Cancer Treatment
Condition: Cancer; Childhood Cancer
Study type: Interventional

Summary: 
      The goals of this clinical trial are to evaluate DECIDES, a web-based decision support
      application that provides education about cancer and cancer treatment and provides support to
      encourage adolescent and young adult (AYA) patients, their caregivers, and oncology health
      care providers to make informed decisions about cancer treatment together.

      The main questions this study aims to answer are:

        -  Is DECIDES acceptable, usable, and feasible for AYA, caregivers, and oncology health
           care providers?

        -  Is DECIDES helpful for AYA, caregivers, and oncology health care providers that are
           making cancer treatment decisions together?

      AYA and caregiver participants will complete a questionnaire and be randomly assigned to
      participate in one of three groups: (1) Usual Care, (2) DECIDES, or (3) DECIDES + Coach.
      Participants in 'Usual Care' will continue to have access to their oncology health care team
      for questions related to cancer and cancer treatment, as per usual standard of care.
      Participants in both 'DECIDES' and 'DECIDES + Coach' groups will receive access to DECIDES,
      and those in 'DECIDES + Coach' will receive additional live, coach-assisted support. After 8
      weeks, AYA and caregivers will complete a follow-up questionnaire and those in the 'DECIDES'
      and 'DECIDES + Coach' groups will complete a semi-structured qualitative interview. Oncology
      health care providers of participating AYA will be invited to participate in a questionnaire
      and semi-structured qualitative interview. Researchers will compare groups to see if AYA and
      caregivers that receive access to DECIDES (with and without coach-assisted support) report
      more positive decision-making processes compared to those that receive usual standard of
      care.
    

Detailed description: 
      DECIDES is a developmentally appropriate, engaging, and interactive web-based decision
      support application that has been designed to address health literacy and includes:

        -  Education on cancer and cancer treatments, including clinical trials

        -  An exercise to identify perceived barriers and benefits to treatment options

        -  An exercise to clarify personal goals for treatment that align with life goals

        -  Resources to support communication with the oncology health care team
    

Intervention name(s): Decision Aid for Education and Support about Cancer Treatment (DECIDES); Decision Aid for Education and Support about Cancer Treatment with Coach-Assisted Support (DECIDES + coach)
Intervention type(s): Behavioral; Behavioral
Intervention description(s): DECIDES is a developmentally appropriate, engaging and interactive web-based decision support application designed to address health literacy through education about cancer and cancer treatment, and provide support for AYA patients, their caregivers, and oncology health care providers to make informed decisions about cancer treatment together.; Live support in the form of a coach is provided to support navigation of DECIDES and promote involvement in decision-making. DECIDES is a developmentally appropriate, engaging and interactive web-based decision support application designed to address health literacy through education about cancer and cancer treatment, and provide support for AYA patients, their caregivers, and oncology health care providers to make informed decisions about cancer treatment together.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Family Units (AYA and caregiver participants) are randomized to one of three arms: (1) Usual Care [no intervention], (2) DECIDES [access to web-based decision aid], or (3) DECIDES + Coach [access to web-based decision aid with coach-assisted support].
Oncology health care providers of participating AYA are not enrolled in an intervention arm.
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: AYA