Care Coordination Educational Intervention Study for Patients From Rural Areas With Early Stage Cancer

Patient-Centered Video Education Intervention to Improve Rural Cancer Care Delivery in Vermont: A Feasibility Study

Care Coordination is an essential component of cancer care delivery. Many patients experience poor care coordination. In this study, we hypothesize that provision of a video educational intervention to teach patients about cancer, care coordination and self-advocacy will improve patients' perception of care coordination. Cancer patients with early stage disease scheduled to receive adjuvant therapy, and who reside in a rural area, will be enrolled onto the study. Patients will be randomized to receive a table-based educational intervention tool initially (arm1) or after 4 months of therapy (arm2). Assessment of cancer knowledge, self-advocacy and care coordination will be obtained at baseline and after 4-6 months.

Inclusion Criteria:

• 18+ years of age
• Breast, lung, or colon cancer diagnosis
• Stage I, II or III cancer
• Adjuvant chemotherapy started < 30 days or planned within the next 30 days
• Rural residence location in Vermont (outside Chittenden County)
• Proficient in English

Exclusion Criteria:

• History of prior malignancy treated with chemotherapy in last 3 years
• Known or suspected neuro-cognitive impairment
• Resident of Chittenden County, Vermont
• Patients with current diagnosis other than stage I, II or III breast, colon or lung cancer