Clinical trial NCT07027449: Connecting People With Cancer to Employment Support
Official title: Implementing Pathways to Identify and Address Employment Concerns Among People With Cancer Across Diverse Clinical Settings
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Cancer
Keywords: employment
social needs
screening
Lead sponsor: University of Kansas Medical Center
Sponsor class: OTHER
First posted: 2025-06-18
Enrollment: 70
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of this clinical trial is to learn if a clinical workflow that screens adult patients with cancer for challenges at work and refers them to supportive resources is feasible, appropriate, and acceptable to patients and staff members in 2 cancer care settings. The main questions it aims to answer are:

Is the clinical workflow feasible and acceptable to participants? Are study procedures feasible and acceptable to participants?

Patient participants will complete 2 surveys: 1 at the time of enrollment and 1 six months later.

Detailed description: Investigators will conduct a prospective single-arm study at 2 sites to pilot and iteratively adapt a clinical workflow intervention, implementation strategies, and associated study procedures. Investigators will implement the clinical workflow intervention across each study site, then recruit consecutive patients (n=50) to complete patient-reported measures at 2 time points (T1: enrollment; T2: 6-month follow-up. Investigators will recruit staff members (n=20) to complete survey measures at 2 time points (T1: beginning of pilot study period; T2: end of pilot study period).

Eligibility criteria: Eligible Patients:

* visiting a participating medical or radiation oncology clinic for new diagnosis, treatment, or follow-up of any type of cancer;
* employed at the time of cancer diagnosis;
* age 18 or older;
* able to give full informed consent;
* able to communicate in English or Spanish.

Eligible Staff:

* age 18 or older;
* employed at one of the participating clinical sites.

Primary outcomes:
measure: Enrollment Rate
timeFrame: Baseline
measure: Follow-up Survey Completion Rate
timeFrame: 6 months
measure: Staff-reported Feasibility of Intervention
timeFrame: Approximately 9 months
measure: Acceptability of Intervention: Staff
timeFrame: Approximately 9 months
measure: Acceptability of Intervention: Patients
timeFrame: Baseline; 6 months
measure: Employment Concerns Screening
timeFrame: Baseline
Secondary outcomes:
measure: Employment status
timeFrame: Baseline; 6 months
measure: Sick leave duration
timeFrame: Baseline; 6 months
measure: Health-related quality of life
timeFrame: Baseline; 6 months
measure: Health insurance status
timeFrame: Baseline; 6 months
measure: Self-efficacy
timeFrame: Baseline; 6 months
measure: Financial toxicity
timeFrame: Baseline; 6 months
Other outcomes:
Locations:
Study officials:
affiliation: The University of Kansas Medical Center
name: Rachel C. Forcino, PhD, MSc
role: PRINCIPAL_INVESTIGATOR
References: