Comprehensive Health Assessment for My Plan: Initial Implementation Study (CHAMP Implementation Study)
NCT Number: NCT06464471
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Cancer|Older Adults
Interventions: OTHER: Self-reported online geriatric assessment (CHAMP)
Sponsor: University of Toronto
Collaborators: University Health Network, Toronto|Sunnybrook Health Sciences Centre|Unity Health
Sex: ALL
Age: OLDER_ADULT
Enrollment: 210
Study Design: Allocation: NA|Intervention Model: SINGLE_GROUP|Masking: NONE|Primary Purpose: SUPPORTIVE_CARE
Start Date: 2024-08-01
Completion Date: 2025-08-01

Summary:
The current standard preoperative assessment does not consider the needs of older adults undergoing non-oncological surgery. To enhance the treatment decision-making and planning for older adult surgical patients, the British Geriatric Society and the American Society of Colon and Rectal Surgeons recommend the implementation of preoperative GA for all older adults. Geriatric assessment (GA) predicts treatment toxicity and overall mortality in older adults with complex health problems. However, in-person GA may not be feasible in several clinical settings for various reasons, including lack of training, time, or access to advanced geriatric services. These challenges can be minimized through a self-reported online GA that can be completed by patients prior to the participants' medical appointment. In a previous study, the investigators developed a self-reported online GA, known as the Comprehensive Health Assessment for My Cancer treatment Plan (CHAMP), which was used in geriatric oncology to increase accessibility to GA for older adults with cancer. In this study, the aim is to deploy the CHAMP tool to various clinics across 4 institutions and assess feasibility outcomes, as well as the efficacy of the CHAMP tool in the identification of geriatric issues and the development of supportive care.

Primary Outcome Measures: Completeness of the CHAMP tool, Proportion of older adults who consented to the study who completed the CHAMP tool and had a discussion with the participants' physician about the CHAMP results., Within one week from medical appointment|Time to fill out the CHAMP tool, In minutes, recorded via user interaction logs which will include data such as user's actions and interactions with the actual interface such as clicks, point-an-select actions, use of back button, etc.), and whether the participant completed it alone or needed help., Within one week from medical appointment|Satisfaction with the CHAMP tool, Measured via open-ended questions and a brief survey., Older adults - within one week of the participants' medical appointment. physicians - within one week of the last study patient.
Secondary Outcome Measures: Change in proposed treatment plan, The impact of the CHAMP tool on proposed treatment plan will be measured through an adapted questionnaire which the investigators used in previous studies. It measures if treatment was changed at all (yes/no), and if changed, then modified intensity, alternate modality, best supportive care only, or other., Within 48 hours of the appointment with an older adults who has completed the CHAMP tool|Changes in supportive care strategies, The impact of the the CHAMP tool on supportive care strategies will be measured through a survey that will be completed by the treating clinician. Additionally, the investigators will record the number of geriatric issues identified in the CHAMP summary and the number and type of recommendations provided to older adults and clinicians. The investigators will then review the charts of all older adults who completed CHAMP to abstract data on recommendations made by clinicians, referrals made to geriatrics and other health care providers, and other tests requested based on the recommendations., Within 48 hours of the appointment with an older adult who completed the CHAMP tool