This clinical trial evaluates the clinical effectiveness of a multi-level telehealth-based intervention for cancer patients in rural communities. Rural residents face limited accessibility to cancer treatment and supportive care services, transportation barriers, and financial issues. Cancer Thriving and Surviving is an evidence-based self-management intervention with demonstrated efficacy across numerous chronic health conditions with dissemination across the US, inclusive of rural communities. This trial evaluates whether the evidence-based Cancer Thriving and Surviving intervention delivered through telehealth among rural patients may improve patient outcomes.
Additional locations may be listed on ClinicalTrials.gov for NCT04758338.
See trial information on ClinicalTrials.gov for a list of participating sites.
PRIMARY OBJECTIVES:
I. 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.
II. 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.
OUTLINE: All patients are enrolled to arm 1 and then have the option to self-enroll to arm 2.
ARM I: Patients receive online health education materials.
ARM II: Patients receive a 6-week Cancer Surviving and Thriving (CTS) program intervention delivered via telehealth using the Vanderbilt University Medical Center (VUMC) telehealth services.
After completion of study, patients are followed up periodically.
Trial PhaseNo phase specified
Trial Typesupportive care
Lead OrganizationVanderbilt University/Ingram Cancer Center
Principal InvestigatorDebra L Friedman
