protocolSection identificationModule nctId: NCT06313853, orgStudyIdInfo id: STUDY00007068, briefTitle: Enhancing Triadic Communication About Cognition for Older Adults With Alzheimer's Disease or Related Dementias Facing a Cancer Management Decision, acronym: COACH-Cog, statusModule overallStatus: NOT_YET_RECRUITING, startDateStruct date: 2024-03-15, primaryCompletionDateStruct date: 2027-03, completionDateStruct date: 2027-09, studyFirstPostDateStruct date: 2024-03-15, lastUpdatePostDateStruct date: 2024-03-15, sponsorCollaboratorsModule leadSponsor name: University of Rochester, class: OTHER, collaborators name: National Institute on Aging (NIA), descriptionModule briefSummary: Building upon prior work, the investigator team developed a communication intervention for older adults with ADRD who are considering a decision about cancer management (adapted intervention: COACH-Cog). The investigators hypothesize that for patients with dual diagnoses of ADRD and cancer, COACH-Cog will increase autonomy support of care partners and patients in the decision-making process, leading to greater acknowledgement and support of cognitive concerns and cognitive-related goals, thereby improving goal concordant care. The investigators are conducting a pilot randomized controlled trial (RCT; cluster randomized by physician) including approximately 45 oncology clinicians and 130 patient/care partner dyads evaluating the effect of COACH-Cog on care partner and patient autonomy support, care partner well-being, goal-concordance, and communication., conditionsModule conditions: Cancer, conditions: Dementia, designModule studyType: INTERVENTIONAL, phases: NA, designInfo allocation: RANDOMIZED, interventionModel: PARALLEL, interventionModelDescription: Cluster-randomized, primaryPurpose: SUPPORTIVE_CARE, maskingInfo masking: SINGLE, whoMasked: OUTCOMES_ASSESSOR, enrollmentInfo count: 305, type: ESTIMATED, armsInterventionsModule interventions name: COACH-Cog, outcomesModule primaryOutcomes measure: Care Partner: Health Care Climate Questionnaire (HCCQ), secondaryOutcomes measure: Montgomery Borgatta Caregiving Burden Scale, secondaryOutcomes measure: World Health Organization Quality of Life Brief Version (WHOQOL-BREF), secondaryOutcomes measure: Care Partner PROMIS Depression, secondaryOutcomes measure: Care partner PROMIS Anxiety, secondaryOutcomes measure: Care partner: Patient-Centered Communication in Cancer Care (PCC-Ca), secondaryOutcomes measure: Care partner: Health Care Climate Questionnaire - Age (HCCQ-Age), secondaryOutcomes measure: Care partner: Qualitative assessment of goal concordance, secondaryOutcomes measure: Care partner: Decision Regret Scale, otherOutcomes measure: Patient: Patient-Centered Communication in Cancer Care (PCC-Ca), otherOutcomes measure: Patient: Health Care Climate Questionnaire (HCCQ), otherOutcomes measure: Patient: Health Care Climate Questionnaire - Age (HCCQ-Age), otherOutcomes measure: Patient Decision Regret Scale, otherOutcomes measure: Physician Decision Regret Scale, eligibilityModule sex: ALL, minimumAge: 65 Years, stdAges: OLDER_ADULT, contactsLocationsModule locations facility: University of Rochester Wilmot Cancer Institute, city: Rochester, state: New York, zip: 14620, country: United States, contacts name: Allison Magnuson, DO, MS, role: CONTACT, email: Allison_magnuson@urmc.rochester.edu, contacts name: Jessica Bauer, role: CONTACT, email: JessicaC_Bauer@URMC.Rochester.edu, geoPoint lat: 43.15478, lon: -77.61556, hasResults: False