Clinical trial NCT03856463: Coaches Activating Reaching and Engaging Patients
Official title: CAREPlan: Coaches Activating, Reaching, and Engaging Patients in End-of-Life Care Plan
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cancer
End-of-Life
Keywords: end of life
quality of care
cancer care delivery
Lead sponsor: Stanford University
Sponsor class: OTHER
First posted: 2019-02-27
Enrollment: 400
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: As part of usual care, patients with cancer are assigned to services by a lay navigator and this will be the control group.

For patients in the intervention, they will be assigned to the usual care lay navigator but will receive services by a lay navigator who is trained to engage patients in advance care planning.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The purpose of the Team Based Advance Care Planning CAREPLAN program is to understand if a trained lay navigator who engages with patients with advanced stages of cancer can help patients in advance care planning, improve patient activation, satisfaction, quality of life, and the quality of end of life cancer care while also ensuring goal concordant cancer care at the end of life.

Detailed description: Stanford Cancer Institute plans to implement and evaluate several critical elements to be in alignment with the mission of the organization to provide high value care to their patients. The CAREPLAN (Coaches Activating, Reaching, and Engaging Patients in Their End of Life Care Plan) intervention is an innovative program aimed to strengthen provider-patient relationships and facilitate whole person care about matters important to patients diagnosed with advanced stages of cancer and important to patients' support network and family. The project is intended to help establish patients' Goals of Care Plan with appropriate documentation, develop, deploy, and evaluate a model of care for patients with cancer that is intended to improve clinical outcomes and their experiences with their cancer care. The intervention provides patients with lay navigators who assist them and their families in formulating and discussing their goals of care with their health care teams in hopes to engage in shared-decision making for goal concordant care. The goal of the project is to demonstrate that there is improved documentation of goals of care, patient experiences, patient activation, quality of life, and quality of care and communication and that the program helps to improve goal concordant care receipt at the end of life.

Eligibility criteria: Inclusion Criteria:

* All patients who receive care at Stanford Cancer Institute and have genitourinary cancers and have received greater than 2 prior courses of chemotherapy treatment

Exclusion Criteria:

* Patients without capacity to consent

Primary outcomes:
measure: Goals of Care Documentation
timeFrame: 12 months after patient enrollment
Secondary outcomes:
measure: Emergency Department Visit using chart abstraction
timeFrame: 12 months after patient enrollment
measure: Hospitalization Visit using chart abstraction
timeFrame: 12 months after patient enrollment
measure: Palliative care using chart abstraction
timeFrame: 12 months after patient enrollment
measure: Hospice using chart abstraction
timeFrame: 12 months after patient enrollment
Other outcomes:
Locations:
city: Stanford
country: United States
facility: Stanford University School of Medicine
state: California
Study officials:
References: