An Educational Intervention on Provider Knowledge for the Support of Cancer Survivors

Study Overview
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Brief Summary
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This clinical trial utilizes the Project Extension for Community Healthcare Outcomes (ECHO) model to recruit, train, and support community healthcare providers in cancer survivorship best practices. Cancer survivors have distinct medical needs and are more likely to report being in poor or fair overall health compared to those who do not report a history of cancer. There is a lack of educational opportunities focused on survivorship care for health providers. Although progress has been made with the development of survivorship guidelines, physicians continue to express barriers to addressing concerns of cancer survivors. This study is to utilize a Survivorship ECHO education intervention to assess its effects on provider knowledge and comfort with survivorship guidelines as well as greater adherence to guideline concordant breast cancer survivorship care recommendations.

Detailed Description
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PRIMARY OBJECTIVES: I. Determine the effectiveness of the Survivorship ECHO's platform by assessing provider knowledge of cancer survivorship best practices using pre- and post-enrollment surveys. II. Evaluate implementation of survivorship best practices into clinical practice and documentation after enrollment in our Survivorship ECHO. OUTLINE: Participants attend 6 sessions of Survivorship ECHO educational intervention over 1 hour each, every 2 weeks for 12 weeks. Participants may optionally participate in a one-on-one interview to give feedback about the sessions over 30 minutes.

Official Title
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Survivorship ECHO Project

Conditions
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Hematopoietic and Lymphoid Cell Neoplasm, Malignant Solid Neoplasm

Intervention / Treatment
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* Other: Educational Intervention
* Other: Interview
* Other: Survey Administration


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Providers from The James Cancer Network (consists of five community sites in Ohio: St. Rita's Memorial Center, Memorial Health, Madison Health, Wooster Community Hospital, and Clinton Memorial Hospital) Eligible participants will include registered nurses, advanced practice registered nurses, physician assistants, nutritionists, radiation oncologists and oncologists
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 (Survivorship ECHO)<br>Participants attend 6 sessions of Survivorship ECHO educational intervention over 1 hour each, every 2 weeks for 12 weeks. Participants may optionally participate in a one-on-one interview to give feedback about the sessions over 30 minutes. | Other: Educational Intervention<br>* Receive educational intervention<br>* Other names: Intervention, Educational;Other: Interview<br>* Participate in one-on-one interview<br>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 |
| --- | --- | --- |
| Change in level of understanding in key survivorship knowledge areas | Includes knowledge on surveillance, late and long-term effects of chemotherapy, health promotion, disease prevention and psychosocial evaluation and support. A Likert survey will assess provider comfort and knowledge with core cancer survivorship competencies with higher scores associated with higher levels of knowledge and comfort. | Baseline up to study completion, typically 1 year | 
| Met and unmet needs | Content, participant needs, and aspects of delivering the Survivorship ECHO platform explored using qualitative analysis. | Up to study completion, typically 1 year | 
| Acceptability of current structure | Content, participant needs, and aspects of delivering the Survivorship ECHO platform explored using qualitative analysis. | Up to study completion, typically 1 year | 
| Barriers to accessing ECHO | Content, participant needs, and aspects of delivering the Survivorship ECHO platform explored using qualitative analysis. | Up to study completion, typically 1 year |