Clinical trial NCT04758338: Enhancing Cancer Care Of Rural Dwellers
Official title: Enhancing Cancer Care Of Rural Dwellers Through Telehealth and Engagement (ENCORE)
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Cancer
Lead sponsor: Vanderbilt-Ingram Cancer Center
Sponsor class: OTHER
Collaborators: name: National Cancer Institute (NCI)
First posted: 2021-02-17
Enrollment: 814
Sex: ALL
Minimum age (years): 21
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Measure the effectiveness of a multi-level telehealth-based intervention
timeFrame: Approximately 3 years
measure: Estimate the facilitators to a future large-scale multi-level intervention
timeFrame: Approximately 3 years
measure: Estimate the barriers to a future large-scale multi-level intervention
timeFrame: Approximately 3 years
Secondary outcomes:
Other outcomes:
Locations:
city: Columbus
country: United States
facility: Baptist Cancer Center- Golden Triangle Columbus
state: Mississippi
city: Oxford
country: United States
facility: Baptist Cancer Center - North Mississippi
state: Mississippi
city: Bartlett
country: United States
facility: Baptist Cancer Center- Bartlett
state: Tennessee
city: Kingsport
country: United States
facility: Ballad Health Systems
state: Tennessee
city: Nashville
country: United States
facility: Vanderbilt-Ingram Cancer Center
state: Tennessee
Study officials:
affiliation: Vanderbilt-Ingram Cancer Center
name: Debra Friedman, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Pal T, Hull PC, Koyama T, Lammers P, Martinez D, McArthy J, Schremp E, Tezak A, Washburn A, Whisenant JG, Friedman DL. Enhancing Cancer care of rural dwellers through telehealth and engagement (ENCORE): protocol to evaluate effectiveness of a multi-level telehealth-based intervention to improve rural cancer care delivery. BMC Cancer. 2021 Nov 23;21(1):1262. doi: 10.1186/s12885-021-08949-4.