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| Name | Class |
|---|---|
| University of Alabama at Birmingham | OTHER |
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The goal of this study is to evaluate the pilot phase of ACS Cares to identify key implementation outcomes and assess effectiveness of the program to improve distress, enhance communication, and reduce missed appointments and healthcare utilization.
In 2023, the American Cancer Society (ACS) created a new program, ACS Cares, based on the Take the Fight experience and existing literature on non-clinical navigation. The goal of ACS Cares is to supplement existing navigation infrastructure to extend navigation services to a broader population of patients. This is accomplished through designating lower level, timely tasks to volunteers and allowing paid navigators to practice at the highest level of their license (e.g nurses proving symptom management, higher level coordination). The goal of this study is to evaluate the pilot phase of ACS Cares to identify key implementation outcomes and assess effectiveness of the program to improve distress, enhance communication, and reduce missed appointments and healthcare utilization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Navigated patients | Student volunteer navigation support accessing barriers to care for patients, families and caregivers with a cancer diagnosis through a social determinants of health assessment and connecting with resources with an effort to eliminate barriers. |
| |
| non-navigated patients | Patients, families and caregivers with a cancer diagnosis without the support of student volunteer navigation and serving as the baseline and control. | ||
| Student volunteers | Undergraduate or graduate students volunteering with ACS CARES program to provide navigation support to patients, families and caregivers with a cancer diagnosis. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ACS CARES Student Navigation | Other | Student volunteers providing navigation support to patients, families and caregivers with a cancer diagnosis through an SDOH assessment. |
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| Measure | Description | Time Frame |
|---|---|---|
| Measure the impact of ACS CARES on patient-reported outcomes: SDOH barriers | SDOH barriers | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Information Needs | Information Needs | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Distress needs | Distress needs | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Satisfaction with program | Satisfaction with program | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Unmet needs | Unmet needs | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Patient-provider communication | Patient-provider communication | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: clinical trials knowledge | clinical trials knowledge | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Patient activation |
| Measure | Description | Time Frame |
|---|---|---|
| Sociodemographic differences between ACS CARES supported and non-ACS CAREs supported patients | Patient characteristics: age, sex, gender (if available), race, ethnicity, insurance status, zip code, urban or rural residence, Area Deprivation Index category, and distance from cancer center (<30 minutes, 30-60 minutes, >60 minutes) | baseline and 1 year |
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Inclusion Criteria:
Exclusion Criteria:
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patients, families and/or caregivers with a confirmed cancer diagnosis
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UCLA Health | Los Angeles | California | 90024 | United States | ||
| American Cancer Society |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D017060 | Patient Satisfaction |
| D010358 | Patient Participation |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
| D010342 | Patient Acceptance of Health Care |
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Patient activation |
| Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Financial toxicity | Financial toxicity | Baseline and 6 months into pilot |
| Measure the impact of ACS CARES on patient-reported outcomes: Quality of life | Quality of life | Baseline and 6 months into pilot |
| Context, Training, and Process Measures: Service Penetrance and Process Measures: Service Penetrance | • # of patients/caregivers approached for ACS CARES Median and range per volunteer • # of patients/caregivers who decline by refusal reason • # of patients/caregivers supported by ACS CARES Median and range per volunteer • # of patients/caregivers who received psychosocial distress screening Median and range per ACS CARES volunteer • # of patients/caregivers who received an SDOH screening Median and range per ACS CARES volunteer • # of follow-ups conducted Median and range per ACS CARES volunteer • # of in-person visits conducted Median and range per ACS CARES volunteer • # of shifts completed Median and range per ACS CARES volunteer • # of referrals received from health system team members | through study completion, an average of 1 year |
| Impact of ACS CARES on treatment adherence and healthcare | Cancer and treatment characteristics: cancer type, date of diagnosis, type of current treatment (Surgery, Chemotherapy, Radiation Therapy, Targeted Therapy, Immunotherapy, Stem Cell or Bone Marrow Transplant, Hormone Therapy), total clinic appointments, # clinic appts missed/cancelled, total infusion appointments, # infusion appointments missed/cancelled, total radiation treatment appts, # radiation treatment appointments missed/cancelled, enrolled in a clinical trial (y/n), start date of clinical trial participation, ER visits, hospitalizations, ICU admissions, total cost of care. For new patients during baseline or intervention time periods, date of first clinic visit. | baseline and 1 year |
| Context, Training, and Process Measures: Volunteer Satisfaction | Volunteer Satisfaction Index | 1 year |
| Kennesaw |
| Georgia |
| 30144 |
| United States |
| University of Iowa Health Care | Iowa City | Iowa | 52242 | United States |
| Medical University Hospital Authority, Hollings Cancer Center | Charleston | South Carolina | 29492 | United States |