Decision Counseling Program in Increasing Shared Decision Making and Clinical Trial Participation in Patients With Stage 0-IV Lung Cancer (Free to Breathe)

Study Overview
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Brief Summary
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This clinical trial studies how well the Decision Counseling Program works in increasing patient-physician shared decision making and participation in clinical trials for lung cancer patients. Decision aids help provide patients with information that may help them select a course of action related to their cancer care when more than one alternative is available. It also encourages shared decision making allowing patients and their providers to make health decisions together. Determining how patients make decisions about participating in a clinical trial may help doctors facilitate patient decision making and improve participation in lung cancer clinical trials.

Detailed Description
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PRIMARY OBJECTIVES: I. Facilitate patient deliberation about participation in a lung cancer clinical trial using the Decision Counseling Program (DCP). SECONDARY OBJECTIVES: I. Document the extent to which patient values and preferences are incorporated into physician-patient shared decision making (SDM) about cancer clinical trials. II. Assess changes in patient knowledge, anxiety, and decisional conflict related to clinical trial participation. III. Characterize patient and physician experience with intervention exposure.

Official Title
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Increasing Shared Decision Making and Patient Participation in Lung Cancer Clinical Trials (Free to Breathe)

Conditions
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Lung Cancer

Intervention / Treatment
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* Other: Educational Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients diagnosed with lung cancer (Stages 0, 1, 2, 3, 4) Lung cancer patients for which there is an available interventional clinical trial open at Jefferson Kimmel Cancer Center Patients being treated by a lung medical oncologist on the Center City Campus of Thomas Jefferson University Able to provide informed consent English-speaking Exclusion Criteria: Inability to communicate in English Unable to provide informed consent Not eligible for an open, actively accruing interventional trial at Jefferson

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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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Decision Counseling<br>Patients undergo participation in the DCP prior to an audio-recorded oncology appointment. | Other: Educational Intervention<br>* Undergo Decision Counseling Program<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient perception related to clinical trials participation, measured by follow up survey questions | Will compute descriptive statistics for all sections and determine the variables on which to compare patient responses at the two time points (baseline and endpoint) using paired t-tests. | Baseline to 30 days |