Intervention to Address Psychosocial Needs Among Socially Disadvantaged Older Adults With Cancer

Study Overview
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Brief Summary
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The purpose of this study is to convene a group of diverse North Carolina-based community representatives (patients, caregivers, leaders of faith-based organizations, social workers, and patient navigators) to inform the adaptation of materials used to train lay navigators in the delivery of psychosocial support interventions tailored to older socially disadvantaged adults with cancer.

Detailed Description
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This behavioral study will explore community representatives' perspectives on the resources and training needed to support the development of a lay navigation program tailored to older socially disadvantaged adults with cancer. It was hypothesized that diverse community representatives could inform the adaptation of training materials (Peer Connect) and subsequent training of community lay navigators, who will then be positioned to address the psychosocial needs of older adults with cancer

Official Title
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Adapting Peer Connect to Train Lay Navigators in Delivering Psychosocial Support to Older Adults With Cancer

Conditions
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Hematological Disorder

Intervention / Treatment
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* Behavioral: Focus Group Discussions and Semi-structured Interviews
* Behavioral: Training community lay navigators


Participation Criteria
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Eligibility Criteria
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Inclusion criteria to participate in the study: Patients aged 65 and older diagnosed with hematological cancer for at least one year with stable disease Community representative 18 years or older who also identifies as at least one of the following: Cancer caregivers Social workers, social work students, or patient navigators Community leader (e.g., leader of a faith-based organization) Previously or currently serve as a lay navigator/peer supporter, community health worker, or coach Have personal experience with any of the following (being Black race, previously or currently facing socioeconomic challenges, or living in a rural community) Patient or community representative who is Able to understand and speak in English Exclusion Criteria All participants meeting any of the following exclusion criteria at enrollment will be excluded from the study: Inability to read and speak English Dementia, altered mental status, or any psychiatric condition that would prohibit the understanding or rendering of informed consent Exclusion Criteria All participants meeting any of the following exclusion criteria at enrollment will be excluded from the study: Inability to read and speak English Dementia, altered mental status, or any psychiatric condition that would prohibit the understanding or rendering of informed consent

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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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 |
| --- | --- |
| Other: Single Arm<br>Community representatives | Behavioral: Focus Group Discussions and Semi-structured Interviews<br>* Community representatives will be asked to participate in either 1:1 semi-structured interviews with a research staff member or to engage in focus group discussions with other community members. These interviews and discussions will gather broad perspectives on resource and training needs for community lay navigators and inform the adaptation of existing Peer Connect training materials<br>Behavioral: Training community lay navigators<br>* Lay navigators identified from among the recruited community representatives will be trained either in-person or virtually by research staff members in motivational interviewing and other strategies to provide psychosocial support to older socially disadvantaged adults with cancer. For community lay navigators and inform the adaptation of existing Peer Connect training materials.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adaptation of the existing Peer Connect training materials- interviews | Through semi-structured interviews, feedback will be qualitatively collected from community representatives to guide the adaptation and further refinement of lay navigator training materials. | 12 months | 
| Adaptation of the existing Peer Connect training materials- focus group discussions | Through focus group discussions, feedback will be qualitatively collected from community representatives to guide the adaptation and further refinement of lay navigator training materials. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Training community lay navigators- training sessions | The ability to train community lay navigators using the newly adapted training content- training sessions will be assessed by the number of training sessions completed by lay navigators and the research staff, allowing for sharing of broad perspectives on training methods, content, and delivery. | 12 months | 
| Training community lay navigators - semi-structured interviews | The ability to train community lay navigators using the newly adapted training content will be assessed through qualitative semi-structured interviews with lay navigators and the research staff, allowing for sharing of broad perspectives on training methods, content, and delivery. | 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Socially Disadvantaged, older, Psychosocial, need