Effect of Cancer Nurse Navigators on Patient Outcomes

Study Overview
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Brief Summary
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There is widespread anecdotal evidence that Cancer Nurse Navigators (CNNs) are highly valued by cancer patients, but no studies have evaluated the effects of CNNs on important patient-reported outcomes or indicators of quality of care. This study has two aims: To assess the feasibility of studying the impact of Aurora CNN Program. To pilot test the effects of CNN services on patient-reported outcomes and indicators of quality of care.

Official Title
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Pilot Test of the Effect of Cancer Nurse Navigators on Patient Outcomes

Conditions
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Lung Cancer, Breast Cancer, Colorectal Cancer, Prostate Cancer

Intervention / Treatment
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* Behavioral: Services from a Nurse Navigator


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adult (18 years of age or older) Treated at Aurora St. Luke's or West Allis Medical Center New or recurrent dx of lung, prostate, colorectal or breast cancer - Exclusion Criteria: Previously received CNN services at an Aurora treatment facility Unable to read/write in English Living in a nursing home/long term care facility Not capable of completing study questionnaires -

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: No Nurse Navigator Services<br> | |
| Experimental: Services from a Nurse Navigator<br> | Behavioral: Services from a Nurse Navigator<br>* Services from a Nurse Navigator<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Satisfaction with Care |  | Change from baseline, to 3 months to 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| ED/Urgent care visits |  | Baseline, 3 months, 6 months | 
| Quality of Life | The Functional Assessment Cancer Therapy - General (FACT-G) assesses quality of life. | Baseline, 3 months, 6 months | 
| Distressed mood | The National Comprehensive Cancer Network Distress Thermometer assesses level of distress. | Baseline, 3 months, 6 months | 
| Symptom Distress | The Memorial Symptom Assessment Scale measures 32 common physical and psychological cancer-related symptoms. | Baseline, 3 months, 6 months | 
| The Inventory of Recent Life Experiences for Cancer Patients | This instrument measures 30 cancer-related irritants (hassles) commonly experienced by persons with cancer. | Baseline, 3 months, 6 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Nurse Navigator, Satisfaction with Care, Quality of Life, Symptom Distress