Expanding Rural Health Cancer Control Capacity

Study Overview
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Brief Summary
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Through this pilot study, investigators will test an innovative approach to implement survivorship care planning at three sites located in or adjacent to rural counties. The pilot data will inform a subsequent multi-site Hybrid Type 3 Implementation-Effectiveness study that will assess both implementation and clinical effectiveness outcomes.

Detailed Description
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Study Aims: Pilot test the implementation of guideline-based survivorship care planning in a rural setting using patient navigation plus telehealth among underserved rural cancer survivors. Investigators will collect feasibility data on patient recruitment rates and the ability to measure clinical effectiveness outcomes using the electronic health record and patient reports (survivor adherence to recommended disease surveillance, health assessment and cancer prevention/early detection practices). Identify the facilitators and barriers to future larger scale implementation of guideline-based survivorship care planning in rural settings to optimize the implementation strategies. Through a mixed methods approach, investigators will address implementation research questions focused on real world implementation of the guideline-based intervention in rural areas, including barriers/facilitators and translation to other rural settings. This will allow us to optimize the implementation strategies that will be further evaluated in the future large-scale implementation trial

Official Title
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Expanding Rural Health Cancer Control Capacity: Focus on Cancer Survivorship

Conditions
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Cancer

Intervention / Treatment
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* Behavioral: Survivorship Patient Navigation Intervention
* Behavioral: Telehealth Survivorship Visit Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Cancer patient at least 18 years of age at time of cancer therapy English-speaking with the ability to provide informed consent Received treatment for Stage 0 - III cancer with curative intent Completed cancer therapy within the previous 12 months (i.e., 12 months prior to consenting) and in complete remission

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Survivorship care<br>Participants in rural areas will receive a telehealth (providing health-related services through electronic communication technologies) survivorship care plan in combination with assistance from a patient navigator. | Behavioral: Survivorship Patient Navigation Intervention<br>* Patient navigator assistance for navigating the healthcare system and locating and utilizing beneficial resources<br>Behavioral: Telehealth Survivorship Visit Intervention<br>* Individualized survivorship care plan<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of improvement in adherence to survivorship plan (Survivorship Care Planning Experience Satisfaction Survey (1-5 Excellent - Poor) |  | Approximately 12 months | 
| Measure effectiveness of Telehealth on survivorship care |  | Approximately 12 months | 
| Estimate the facilitators to a future larger-scale implementation of guideline-based survivorship care planning in rural settings |  | Approximately 1 year | 
| Estimate the barriers to a future larger-scale implementation of guideline-based survivorship care planning in rural settings |  | Approximately 1 year |