Improving Care Coordination for Adolescents and Young Adults With Cancer

Study Overview
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Brief Summary
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The purpose of this research is to test an intervention designed to identify cancer needs and connect patients with services that address those needs. Participation in this research will involve completing 2 online surveys over the course of 1 month; each should take about 15 minutes to complete.

Detailed Description
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Adolescents and young Adults (AYA) Needs Assessment & Service Bridge (AYA NA-SB) includes a holistic Patient Reported Outcome Measures (PROM) assessing AYAs' physical, psychosocial and practical needs and a collection of referral pathways for connecting AYAs to services and resources based on the needs they report. To assess the implementation of AYA NA-SB, the study team will pilot AYA NA-SB in the North Carolina Cancer Hospital (NCCH)/ UNC Children's Hospital, with a primary focus on implementation outcomes (i.e., feasibility, acceptability, appropriateness, fidelity). To establish proof-of-concept for AYA NA-SB, the study team will use pilot data to generate preliminary evidence on the extent to which AYA NA-SB addresses AYAs' reported needs.

Official Title
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Improving Care Coordination for Adolescents and Young Adults With Cancer: Implementing a Bridge Between Needs and Services

Conditions
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Cancer

Intervention / Treatment
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* Other: AYA NA-SB Questionnaire


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: AYAs with cancer ages 18 through 39 currently undergoing cancer treatment at the North Carolina Cancer Hospital/ UNC Children's Hospital Exclusion Criteria: Patients who decline to participate in the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 39 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: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Adolescents and Young Adults Needs Assessment & Service Bridge (AYA NA-SB)<br>Subjects will complete 2 online surveys over the course of 1 month; each should take about 15 minutes to complete. | Other: AYA NA-SB Questionnaire<br>* Questionnaire identifying cancer needs so that providers can connect subjects with services that might address them.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of Intervention Measure (FIM) AYA | Questionnaire measuring the extent to which AYA NA-SB can be successfully used in cancer programs. Score ranges from 1 to 5 with higher score denoting higher feasibility. | Week 5 | 
| Feasibility of Intervention Measure (FIM) Provider | Questionnaire measuring the extent to which AYA NA-SB can be successfully used in cancer programs. Score ranges from 1 to 5 with a higher score denoting higher feasibility. | Week 12 | 
| Acceptability of Intervention Measure (AIM) AYA | Questionnaire measuring perception of whether AYA-NA-SB is agreeable, palatable, or satisfactory to users. Score ranges from 1 to 5 with a higher score denoting higher acceptability. | Week 12 | 
| Acceptability of Intervention Measure (AIM) Provider | Questionnaire measuring perception of whether AYA-NA-SB is agreeable, palatable, or satisfactory to users. Score ranges from 1 to 5 with a higher score denoting higher acceptability. | Week 12 | 
| Intervention Appropriateness Measure (IAM) AYA | Questionnaire measuring perception of AYA-NA-SB's fit, relevance, or compatibility with the context in which it will be used. Score ranges from 1 to 5 with a higher score denoting higher appropriateness | Week 5 | 
| Intervention Appropriateness Measure (IAM) Provider | Questionnaire measuring perception of AYA-NA-SB's fit, relevance, or compatibility with the context in which it will be used. Score ranges from 1 to 5 with a higher score denoting higher appropriateness | Week 12 | 
| Fidelity-Proportion of Needs Assessment Reviewed by Provider | Fidelity assessed by proportion of needs assessment reviewed by provider within one week | Week 12 | 
| Fidelity-Number of Referral Pathways Initiated | Fidelity assessed by number of referral pathways Initiated | Week 12 | 
| Proportion of AYAs Who Received Services | Care coordination will be assessed by the proportion of AYAs who received services from across disciplines to address reported needs within one month of needs assessment completion. | Week 12 | 
| Needs Met Questionnaire | Questionnaire assessing AYAs' perception of the degree to which their needs were adequately addressed during the study period. Scores range from 1 to 5 where higher scores denote that needs were met. | Week 12 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Qualitative analysis of perceived determinants based on CFIR constructs | Interviews will be coded by constructs from the Consolidated Framework of Implementation Research (CFIR) to report identified barriers and their perceived level of influence. | Week 12 | 
| Qualitative analysis of strategies used and their perceived level of influence | Interviews will be analyzed inductively to report on implementation strategies used and their perceived level of influence. | Week 12 | 
| Number of AYA Needs by Domain | Number of AYAs reporting needs in each of 9 domains | Week 12 | 
| Number of Services rendered | services and resources rendered in response to needs reported by AYAs | Week 12 | 
| Frequency of AYA needs reported by item | number of AYAs reporting each need | Week 12 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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adolescents, care coordination, cancer care needs