Not provided
| ID | Type | Description | Link |
|---|---|---|---|
| R01AG077053 | U.S. NIH Grant/Contract | View source |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| National Institute on Aging (NIA) | NIH |
Not provided
Not provided
Not provided
Not provided
Building upon prior work, the investigator team developed a communication intervention for older adults with ADRD who are considering a decision about cancer management (adapted intervention: COACH-Cog). The investigators hypothesize that for patients with dual diagnoses of ADRD and cancer, COACH-Cog will increase autonomy support of care partners and patients in the decision-making process, leading to greater acknowledgement and support of cognitive concerns and cognitive-related goals, thereby improving goal concordant care. The investigators are conducting a pilot randomized controlled trial (RCT; cluster randomized by physician) including approximately 45 oncology clinicians and 130 patient/care partner dyads evaluating the effect of COACH-Cog on care partner and patient autonomy support, care partner well-being, goal-concordance, and communication.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| COACH-Cog Intervention | Experimental | Oncology clinician intervention components: 1) a brief training video, 2) For each patient/care partner dyad that is subsequently enrolled onto the study that the clinician cares for, the oncology clinician will receive the results of the patient's GA with targeted management recommendations for identified GA domain impairments. Patient/Care partner dyad intervention components: 1) Communication coaching session; 2) Patient GA results with management recommendations to consider discussing with the oncology team will be provided to care partners and patients. |
|
| Usual Care | No Intervention | Usual Care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| COACH-Cog | Behavioral | Oncology clinician intervention components: 1) a brief training video (completed once during the duration of the study following enrollment and randomization), 2) For each patient/care partner dyad that is subsequently enrolled onto the study that the clinician cares for, the oncology clinician will receive the results of the patient's GA with targeted management recommendations for identified GA domain impairments Patient/Care partner dyad intervention components: 1) Care partners (and patients if able) will participate in a one-time communication coaching session; 2) Patient GA results with management recommendations to consider discussing with the oncology team will be provided to care partners and patients. |
| Measure | Description | Time Frame |
|---|---|---|
| Care Partner: Health Care Climate Questionnaire (HCCQ) | Care Partner autonomy support; score range: 6-42; higher score is better. | 4-weeks post oncology clinical encounter |
| Measure | Description | Time Frame |
|---|---|---|
| Zarit Caregiver Burden Assessment | 4-Item Measure Care partner well-being: Caregiver burden; total score range 0-16; Higher score is worse burden. | 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Horton QOL S-subscale |
| Measure | Description | Time Frame |
|---|---|---|
| Patient: Patient-Centered Communication in Cancer Care (PCC-Ca) | Patient communication; score range 1-5; higher scores are better | 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Patient: Health Care Climate Questionnaire (HCCQ) |
PATIENTS:
Patient Inclusion Criteria:
Patient Exclusion Criteria:
Patient exclusion criteria: None
CARE PARTNER:
Care partner inclusion criteria:
Care partner exclusion criteria:
None
ONCOLOGY CLINICIAN:
Oncology clinician inclusion criteria:
Oncology clinician exclusion criteria:
None
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Allison Magnuson | Contact | 585-602-5085 | allison_magnuson@urmc.rochester.edu | |
| Jessica Bauer | Contact | 585-602-5085 | JessicaC_Bauer@URMC.Rochester.edu |
| Name | Affiliation | Role |
|---|---|---|
| Allison Magnuson | University of Rochester | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Rochester Wilmot Cancer Institute | Recruiting | Rochester | New York | 14620 | United States |
Not provided
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D003704 | Dementia |
| ID | Term |
|---|---|
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D019965 | Neurocognitive Disorders |
Not provided
Not provided
Cluster-randomized
Not provided
Not provided
Not provided
|
11-Item Measure (Subscale Measure) of Care partner well-being: Quality of Life; Total score range 0-11; higher score is worse quality of life. |
| 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Care Partner PROMIS Depression | Care partner well-being: Depression; score range 4-20; higher score is worse | 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Care partner PROMIS Anxiety | Care partner well-being: Anxiety; score range 4-20; higher score is worse | 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Care partner: Patient-Centered Communication in Cancer Care (PCC-Ca) | Care partner communication; score range 1-5; higher scores are better | 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Care partner: Health Care Climate Questionnaire - Age (HCCQ-Age) | Care partner Age-related autonomy support; score range 0-28; higher scores are worse | 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Care partner: Qualitative assessment of goal concordance | Care partner: Goal concordance; qualitative analysis if goal concordance occurred (yes/no); range 0-130; higher number better | 3-months post-oncology clinical encounter |
| Care partner: Decision Regret Scale | Care partner: Decision regret; score range 5-25; higher score is worse | 3-months post-oncology clinical encounter |
Patient autonomy support; score range: 6-42; higher score is better. |
| 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Patient: Health Care Climate Questionnaire - Age (HCCQ-Age) | Patient Age-related autonomy support; score range 0-28; higher scores are worse | 4-weeks post-oncology clinical encounter and 3-months post-oncology clinical encounter |
| Patient Decision Regret Scale | Patient: Decision regret; score range 5-25; higher score is worse | 3-months post-oncology clinical encounter |
| Physician Decision Regret Scale | Physician: Decision regret; score range 5-25; higher score is worse | 3-months post-oncology clinical encounter |
| D001523 | Mental Disorders |