Patient Portal and Navigation Program in Providing Information for Asian American Cancer Patients

Study Overview
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Brief Summary
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This phase I/II trial studies how well patient portal and navigation program work in providing information for Asian American cancer patients. Patient portal and navigation program may help to improve the care provided to Asian American cancer patients.This study is offered in the following languages in addition to English: Chinese (Cantonese or Mandarin) and Vietnamese.

Detailed Description
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PRIMARY OBJECTIVES: I. Identify Asian American adults newly diagnosed with colorectal, liver, or lung cancer using a population-based cancer registry. II. Conduct outreach to these patients to let them know about the availability of information on these cancers, the Patient Cancer OUtreach, Navigation, Technology and Support (COUNTS) web portal, and the Patient COUNTS patient navigation program. III. Provide patient navigation either virtually or in-person. OUTLINE: Patients attend focus groups to help develop patient portal and navigation program. Patients use in-person navigation program. In phase II, patients use an online portal to access navigation program and may choose to have online/virtual navigation support or in-person navigation support. Patients also complete data collection and surveys over 15 minutes via web portal at baseline, 3 months, and 6 months and user experience survey at end of program participation.

Official Title
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The Patient Cancer OUtreach, Navigation, Technology, and Support (Patient COUNTS) Project: Addressing Care for Asian Americans With Cancer

Conditions
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Caregiver, Malignant Neoplasm, Physician, Stage I Colorectal Cancer AJCC v8, Stage I Liver Cancer, Stage I Lung Cancer AJCC v8, Stage IA1 Lung Cancer AJCC v8, Stage IA2 Lung Cancer AJCC v8, Stage IA3 Lung Cancer AJCC v8, Stage IB Lung Cancer AJCC v8, Stage II Colorectal Cancer AJCC v8, Stage II Liver Cancer, Stage II Lung Cancer AJCC v8, Stage IIA Colorectal Cancer AJCC v8, Stage IIA Lung Cancer AJCC v8, Stage IIB Colorectal Cancer AJCC v8, Stage IIB Lung Cancer AJCC v8, Stage IIC Colorectal Cancer AJCC v8, Stage III Colorectal Cancer AJCC v8, Stage III Liver Cancer, Stage III Lung Cancer AJCC v8, Stage IIIA Colorectal Cancer AJCC v8, Stage IIIA Lung Cancer AJCC v8, Stage IIIB Colorectal Cancer AJCC v8, Stage IIIB Lung Cancer AJCC v8, Stage IIIC Colorectal Cancer AJCC v8, Stage IIIC Lung Cancer AJCC v8

Intervention / Treatment
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* Behavioral: Patient Navigation Program
* Other: Quality-of-Life Assessment
* Other: Survey Administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: FOR INTERVIEWS AND FOCUS GROUPS: Cancer patients: Self-identifies as Asian American, lives in San Francisco, speaks English, Mandarin, Cantonese, or Vietnamese, has a history of cancer of any kind Caregivers: any person age 21 and older who has provided care to an Asian American cancer patient Health professionals: physicians and other health professionals age 21 and older who provide care to Asian American patients with cancer FOR PILOT IMPLEMENTATION: Self-identifies as Asian American Ages 21 or older Lives in the 9 counties of the greater bay area cancer registry (GBACR) Speaks English, Mandarin, Cantonese, or Vietnamese Has any stage colorectal, lung, or liver cancer Has not started treatment or has not completed treatment Is willing to stay in the study for six months. FOR FULL IMPLEMENTATION: Self-identifies as Asian American Ages 21 or older Lives in the 9 counties of the GBACR Speaks English, Mandarin, Cantonese, or Vietnamese Has any stage colorectal, lung, or liver cancer, Has not started or has not completed treatment Is willing to stay in the study for six-seven months Exclusion Criteria: *Any medical or psychological conditions precluding informed consent

Ages Eligible for Study
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Minimum Age: 21 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: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Health services research (Patient COUNTS)<br>Patients attend focus groups to help develop patient portal and navigation program. Patients use in-person navigation program. Patients also complete data collection and surveys over 15 minutes via web portal at baseline, 3 months, and 6 months and user experience survey at end of program participation. | Behavioral: Patient Navigation Program<br>* Use patient navigation program<br>* Other names: Patient Navigator Program;Other: Quality-of-Life Assessment<br>* Ancillary studies<br>* Other names: Quality of Life Assessment;Other: Survey Administration<br>* Ancillary studies<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Rate of Participation | At least one contact with patient navigator | Any time between consent and month 6 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adherence to Guideline Treatment | Positive response(s) to survey item(s) on completion of MD-recommended treatment | Month 6 | 
| Patient Acceptability | Response of satisfied or very satisfied to survey item on satisfaction with Patient COUNTS navigation program | Month 7 |