Care Coordination Educational Intervention Study for Patients From Rural Areas With Early Stage Cancer

Study Overview
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Brief Summary
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Care Coordination is an essential component of cancer care delivery. Many patients experience poor care coordination. In this study, we hypothesize that provision of a video educational intervention to teach patients about cancer, care coordination and self-advocacy will improve patients' perception of care coordination. Cancer patients with early stage disease scheduled to receive adjuvant therapy, and who reside in a rural area, will be enrolled onto the study. Patients will be randomized to receive a table-based educational intervention tool initially (arm1) or after 4 months of therapy (arm2). Assessment of cancer knowledge, self-advocacy and care coordination will be obtained at baseline and after 4-6 months.

Official Title
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Patient-Centered Video Education Intervention to Improve Rural Cancer Care Delivery in Vermont: A Feasibility Study

Conditions
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Cancer

Intervention / Treatment
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* Other: Table-based Educational Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 18+ years of age Breast, lung, or colon cancer diagnosis Stage I, II or III cancer Adjuvant chemotherapy started < 30 days or planned within the next 30 days Rural residence location in Vermont (outside Chittenden County) Proficient in English Exclusion Criteria: History of prior malignancy treated with chemotherapy in last 3 years Known or suspected neuro-cognitive impairment Resident of Chittenden County, Vermont Patients with current diagnosis other than stage I, II or III breast, colon or lung cancer

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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Upfront Educational Intervention<br>Participants will receive a video-based intervention after completing baseline survey instruments and prior to retesting after 4-6 months. | Other: Table-based Educational Intervention<br>* Tablet based educational tool with videos about care coordination, cancer knowledge and self-advocacy.<br>* Other names: Educational;|
| Experimental: Delayed Educational Intervention<br>Participants will complete baseline survey instruments and again complete surveys after 4-6 months. They will then receive the video-based educational tablet. | Other: Table-based Educational Intervention<br>* Tablet based educational tool with videos about care coordination, cancer knowledge and self-advocacy.<br>* Other names: Educational;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Care Coordination Instrument Score | Participants complete the Care Coordination Instrument (CCI), a 29-item questionnaire. Each item is rated on a Likert scale (Strongly Agree = 3 to Strongly Disagree = 0). A total score is generated by summing the item scores; possible total scores range from 0-87. Higher scores represent a greater perception of care coordination. | Baseline and 4 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cancer Knowledge | Participants complete the Cancer Knowledge Assessment Test (C-KAT). The test includes 5 multiple choice items. A total score is generated by summing the number of correct responses; total scores range from 0-5. Higher scores represent greater cancer knowledge. | Baseline and 4 months | 
| Satisfaction with Educational Videos | Participants in the baseline intervention group complete the Satisfaction and Acceptability Questionnaire. This 5-item questionnaire assesses how helpful and easily accessible the educational videos were. There is also an open-ended question for other feedback. Answering yes to the items indicates greater satisfaction and ease of use. | 4 months | 
| Self-Advocacy Score | Participants complete the Cancer Self-Advocacy Scale, a 20-item questionnaire. Each item is rated on a Likert scale (Strongly Agree = 6 to Strongly Disagree = 1). A total score is generated by summing the item scores; possible total scores range from 20-120. Higher scores represent greater self-advocacy skills. | Baseline and 4 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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healthcare delivery, care coordination, early stage cancer, educational intervention