Clinical trial NCT03350776: Practices and Organizations Related to Emerging Occupations of Care (EPOCK) Coordination in Oncology
Official title: Pilot Observational and Analytic Study of Practices and Organizations Related to Emerging Occupations of Care Coordination in Oncology: Modeling the Concept of Care Coordination in Oncology (EPOCK)
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Care Coordination in Oncology
Keywords: Neoplasm
Chronic disease
Complex cases
Care coordination
Oncologic nursing
Theoretical model
Lead sponsor: University Hospital, Bordeaux
Sponsor class: OTHER
First posted: 2017-11-22
Enrollment: 960
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Four samples :

* Professionals of cancer care coordination
* Cancer patients
* Family caregivers of the selected patients
* Professionals working with professionals of care coordination

Brief summary: Several stakeholders are implied in cancer care pathways and there is a need for coordinating their actions. New occupations of care coordination have thus emerged. However, the conditions of their efficiency have been too few reported and included discrepancies between reports. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations (nurse-based) by comparing theoretical expected outcomes to professionals, patients and caregivers representations.

Detailed description: Several stakeholders are implied in cancer care pathways and there is a need to coordinate their actions. New occupations of care coordination have thus emerged, such as nurse coordinator in France (IDEC: Infirmière de Coordination). However, the conditions of their efficiency are not well known. Moreover, several other complementary approaches and nurse occupations have to be identified because of their contribution to care coordination (IDE TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD, IDE ETP)\*. Finally, all together, these interventions of care coordination appeared as complex and asked for a theoretical model. Because of this high variability of the practices, without an underlying model, the impact of care coordination on patient quality of life, safety and efficiency of care is difficult to assess. In this context, the main objective is to propose a modeling of care coordination and associated emerging occupations by comparing theoretical expected outcomes to professionals, patients and caregivers representations.

The pilot observational study is based on three distinct stages: (1) the definition of care coordination in oncology using a literature review and a Delphi consensus study; (2) the description of practices, contexts, perceptions and attitudes related to care coordination occupations in oncology using a qualitative and a cross-sectional quantitative survey; (3) the comparison of the practices to the theoretical model to propose a modeling of care coordination occupations in oncology.

Eligibility criteria: Inclusion Criteria:

* For health institutions: public or private institutions in which nurses contributing to care coordination. Each institution will be associated with one type of coordination occupation, even if other healthcare workers contribute to care coordination in the same institution.
* For professionals of care coordination: nurses contributing to care coordination in oncology (IDEC , IDE TAS, IPO, IDE AMA, IDE-CO, IDE HAD-CAD or IDE ETP)
* For professionals working with professionals of care coordination:

  * Medical and non-medical healthcare professionals (oncologist, surgeon, nurses...), administrative professionals (secretary...), professionals of supportive care (psychologists, social workers...) and volunteers in patient organizations.
  * Private practitioners: general practitioner, private nurses, pharmacist
* For the patients : adults under supervision of the selected professionals of care coordination for at least four weeks and able to express themselves
* For the caregivers: family caregivers of the selected patients.

Exclusion Criteria:

* For health institutions: private healthcare networks, territorial support platforms, home-based care providers, healthcare houses
* For professionals of care coordination: coordinating medical doctors of care networks, coordinating medical doctors of hospital care at home, practitioners of regional cancer networks.
* For the patients: \<18 years old

Primary outcomes:
measure: Modeling of care coordination in Oncology in France
timeFrame: During the whole period (36 months: from Month 1 to Month 36)
Secondary outcomes:
measure: Care coordination profesionals quality of life
timeFrame: Quantitative cross sectional survey (from Month 10 to Month 29)
measure: Satisfaction with care coordination for profes professionals working with professionals of care coordination
timeFrame: Quantitative cross sectional survey (from Month 10 to Month 29)
measure: Patients quality of life and satisfaction with care coordination
timeFrame: Quantitative cross sectional survey (from Month 10 to Month 29)
measure: Caregivers burden with care coordination
timeFrame: Quantitative cross sectional survey (from Month 10 to Month 29)
measure: Caregivers satisfaction with care coordination
timeFrame: Quantitative cross sectional survey (from Month 10 to Month 29)
Other outcomes:
Locations:
city: Avignon
country: France
facility: Institut Sainte Catherine
city: Bordeaux
country: France
facility: CHU de Bordeaux
city: Bordeaux
country: France
facility: Clinique Tiivoli Ducos
city: Langon
country: France
facility: CH Sud Gironde
city: Libourne
country: France
facility: CH de Libourne
city: Paris
country: France
facility: Institut Curie
city: Saint-Priest
country: France
facility: Institut de Cancérologie de la Loire
city: Talence
country: France
facility: HAD Bagatelle
city: Toulouse
country: France
facility: CHU de Toulouse
city: Toulouse
country: France
facility: Institut Claudius Regaud
Study officials:
References:
citation: Colombani F, Sibe M, Kret M, Quintard B, Ravaud A, Saillour-Glenisson F. EPOCK study protocol: a mixed-methods research program evaluating cancer care coordination nursing occupations in France as a complex intervention. BMC Health Serv Res. 2019 Jul 12;19(1):483. doi: 10.1186/s12913-019-4307-7.