Effectiveness of the CHESS eHealth Cancer Support Intervention in Population-based Care

Study Overview
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Brief Summary
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The study's aim is to provide information about the clinical and business cases for comprehensive interactive cancer communication systems (ICCS) in the context of real world use for cancer care. This study will be conducted within the Kaiser Permanente Northwest (KPNW) healthcare system. Outcomes for this study include amount of ICCS use and women's ratings of cancer information competence, perceived social support, and emotional well being. Secondary outcomes will include healthcare utilization, cost-effectiveness, and clinician ratings of healthcare visits.

Official Title
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Using Technology to Enhance Cancer Communication and Improve Clinical Outcome: Effectiveness of the CHESS Ehealth Cancer Support Intervention in Population-Based Care Study

Conditions
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Primary Breast Cancer

Intervention / Treatment
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* Behavioral: Enhanced ICCS with KPNW web resources and the Comprehensive Health Enhancement Support System (CHESS.)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All subjects must be within 2 months of their primary breast cancer diagnosis, All subjects must be at least 18 years of age Exclusion Criteria: Illiterate Homeless

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Usual Care<br>A group using a Basic ICCS provided by KPNW | |
| Experimental: Intervention<br>A group using an enhanced ICCS with KPNW web resources and the Comprehensive Health Enhancement Support System (CHESS.) | Behavioral: Enhanced ICCS with KPNW web resources and the Comprehensive Health Enhancement Support System (CHESS.)<br>* Half of the participating women will be randomly assigned to use an informative but static website (Basic ICCS), and half will be offered a fully interactive CHESS (Enhanced ICCS + the Basic ICCS). Study outcome data will be gathered from patients, clinicians, and the healthcare system (i.e., from the electronic medical record: EMR) for at least 8 months after study entry. We propose that the Enhanced ICCS relative to the Basic ICCS, will: Improve patients' sense of cancer information competence (perceived ability to obtain and use relevant information) Reduce patients' negative affect and increase their emotional well being Improve patients' sense of social support Improve patients' health self-efficacy Improve patients' ratings of experience with cancer specialty care services Improve patients' health related quality of life (HRQL) Improve clinicians' ratings of quality of patient contacts Reduce healthcare utilization and costs (obtained via the EMR)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Amount of ICCS use and women's ratings of cancer information competence, perceived social support, and emotional well being. Secondary outcomes will include healthcare utilization, cost-effectiveness, and clinician ratings of healthcare visits. |  | 12 Months |