Enhancing Cancer Care Of Rural Dwellers

Study Overview
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Brief Summary
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Through a multi-level remote intervention, the Vanderbilt-Ingram Cancer Center (VICC) seeks to improve comprehensive cancer care delivery to patients residing in rural communities with persistent poverty. We plan to do this by using telehealth to broaden the reach of our NCI-designated comprehensive cancer center in these communities

Detailed Description
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Objectives: Evaluate the clinical effectiveness of a multi-level telehealth-based intervention for rural hospitals consisting of provider access to tumor board expertise that incorporates disease, patient and molecular tumor characteristics, together with patient access to a supportive care intervention to improve cancer care delivery. Evaluate the facilitators and barriers to future larger-scale dissemination and implementation of the multi-level intervention, designed to enhance quality rural cancer care delivery.

Official Title
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Enhancing Cancer Care Of Rural Dwellers Through Telehealth and Engagement (ENCORE)

Conditions
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Cancer

Intervention / Treatment
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* Other: VUMC telehealth services
* Other: Interview
* Other: Educational materials


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Provider and Patient: - At least 21 years of age or older and English speaking with the ability to provide informed consent Oncology providers within designated VHAN oncology practices Newly diagnosed or relapsed cancer patients of aforementioned oncology providers

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: CTS Program Arm<br>6-week intervention delivered via telehealth using the VUMC telehealth services. | Other: VUMC telehealth services<br>* Participants will access the CTS link (sent to them via email), which will connect them directly to a videoconference and enable them to see and hear the facilitators and other patients in the group.<br>Other: Interview<br>* 25-30 participants will be interviewed<br>|
| Active Comparator: Education Attention Control Arm<br>Receive educational materials either online, by email, or in print form. | Other: Educational materials<br>* Participants will be provided educational materials<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Measure the effectiveness of a multi-level telehealth-based intervention |  | Approximately 3 years | 
| Estimate the facilitators to a future large-scale multi-level intervention |  | Approximately 3 years | 
| Estimate the barriers to a future large-scale multi-level intervention |  | Approximately 3 years |