Testing an Enhanced Digital Delivery Model for Inherited Cancer Genetic Testing in Young Adults With Cancer | NCT07091617 | Trialant

Testing an Enhanced Digital Delivery Model for Inherited Cancer Genetic Testing in Young Adults With Cancer | NCT07091617 | Trialant

Official Title: AYA Access Study: An Enhanced eHealth and Chat-Bot Enabled Delivery Model for Clinical Genetic Services in Community AYA Cancer Patients
Brief Summary: This phase III trial compares the use of a digital chatbot enabled intervention to standard remote genetic services for increasing uptake of genetic counseling and testing among adolescents and young adult (AYA) cancer patients. Genetic testing for cancer predisposition syndromes has become standard evidence-based practice and can inform enhanced screening and risk reducing measures to reduce cancer morbidity and mortality. Despite this, many AYAs are not receiving recommended genetic counseling and testing. Offering remote telehealth services can address access barriers and chatbots and texting interventions could enhance patient outcomes and reduce provider and staff time. The use of a digital chatbot enabled intervention may be equally as effective as standard remote genetic services in AYA cancer patients undergoing genetic testing.
Detailed Description: The primary and secondary objectives of the study:

PRIMARY OBJECTIVES:

I. To evaluate the efficacy of an enhanced eHealth and chatbot enabled delivery model to increase uptake of genetic counseling.

II. To evaluate the efficacy of an enhanced eHealth and chatbot enabled delivery model to increase uptake of genetic testing.

SECONDARY OBJECTIVE:

I. To evaluate the efficacy of an enhanced eHealth and chatbot enabled delivery model to provide non-inferior short-term and longitudinal cognitive (e.g. knowledge), affective (e.g. distress), and behavioral outcomes (e.g. cancer screening and communication to relatives) and costs.

EXPLORATORY OBJECTIVES:

I. To test for moderators of uptake of counseling and testing (primary objectives).

II. To test for moderators of short-term and longitudinal patient outcomes (secondary objectives).

III. To identify facilitators and barriers to implementation of the enhanced eHealth and chatbot enabled delivery model and standard remote services.

OUTLINE: Patients are randomized to 1 of 2 arms. Non-patient participants are assigned to arm 3.

ARM I: Patients attend a standard of care telehealth visit with a genetic counselor for pretest genetic education. Patients then undergo standard of care genetic testing and attend a telehealth visit with a genetic counselor for disclosure of results.

ARM II: Patients receive access to the Genetic Journey Chatbot and choose to complete digital pre-test genetic education via the digital tool or via telehealth visit with a genetic counselor. Via the chatbot, patients may request a telehealth visit with a genetic counselor at any time to answer unresolved questions. Patients then undergo standard of care genetic testing and attend a telehealth visit with a genetic counselor for disclosure of results. The chatbot remains available to answer questions, assess barriers, and provide reminders for next steps during the testing period.

ARM III: Non-patient participants complete an interview on study.

After completion of study intervention, patients are followed up at 6 and 12 months.

Ages Eligible for Study: Adult (18-64)Older Adult (65+)
Sexes Eligible for Study: All
Accepts Healthy Volunteers: Yes
Eligibility Criteria: PATIENTS: Age ≥ 18 years and ≤ 39 years at the time of enrollment

PATIENTS: AYA cancer patients and survivors. This includes patients at any stage of diagnosis (e.g., newly diagnosed, in treatment, in survivorship) and a cancer diagnosis (including pediatric cancers) at any age ≤ 39 years old. Given targeted therapies for BRCA+ and microsatellite instability (MSI)-high/Lynch Syndrome patients and benefit to relatives, patients with metastatic cancer are included. Any history of cancer, regardless of being in treatment or not

PATIENTS: Language: In order to complete the mandatory patient-completed measures and receive genetic education and counseling, participants must be able to speak and read English or Spanish

PATIENTS: No known diagnosis of dementia or cognitive impairment. Persons with impaired decision-making capacity are ineligible as they need to be able to understand genetic test results, its implications for the patient and family, and explain genetic test results to their family members

PATIENTS: No persons with a known psychiatric or documented developmental disorder that affects cognitive or emotional functions to the extent that the capacity for judgment and reason is significantly diminished, such that they cannot participate based on the judgment of the treating physician

PATIENTS: Participants must meet National Comprehensive Cancer Network (NCCN) guidelines for genetic testing assessment provided by Penn Telegenetics by the Eligibility Verification Assessment (EVA) chatbot, or paper forms and genetic counselor's review

NON-PATIENT PARTICIPANT: Non-patient participants eligible for this study include: oncology providers, members of the care team and clinic staff, genetic counselors, and insurers (i.e., people who work in financial services and/or for insurance companies) who participate in oncology care among AYA in community for this study

NON-PATIENT PARTICIPANT: Age ≥ 18 years

NON-PATIENT PARTICIPANT: Non-patient participants must be able to speak and read English or Spanish in order to participate in the key informant interviews

Anchorage Associates in Radiation MedicineRecruiting

Anchorage, Alaska 98508, United States

Site Public ContactContact

AKPAMC.OncologyResearchSupport@providence.org907-212-6871

Alison K. ConlinPrincipal Investigator

Alaska Breast Care and Surgery LLCRecruiting

Anchorage, Alaska 99508, United States

Alaska Oncology and Hematology LLCRecruiting

Anchorage, Alaska 99508, United States

Alaska Women's Cancer CareRecruiting

Anchorage, Alaska 99508, United States

Katmai Oncology GroupRecruiting

Anchorage, Alaska 99508, United States

Providence Alaska Medical CenterRecruiting

Anchorage, Alaska 99508, United States

Fairbanks Memorial HospitalRecruiting

Fairbanks, Alaska 99701, United States

Cancer Center at Saint Joseph'sRecruiting

Phoenix, Arizona 85004, United States

Mercy Hospital Fort SmithRecruiting

Fort Smith, Arkansas 72903, United States

CARTI Cancer CenterRecruiting

Little Rock, Arkansas 72205, United States

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Arroyo Grande, California 93420, United States

Providence Saint Joseph Medical Center/Disney Family Cancer CenterRecruiting

Burbank, California 91505, United States

Mercy Cancer Center - CarmichaelRecruiting

Carmichael, California 95608, United States

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Carmichael, California 95608, United States

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Merced, California 95340, United States

Providence Queen of The ValleyRecruiting

Napa, California 94558, United States

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Rocklin, California 95765, United States

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Sacramento, California 95816, United States

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San Luis Obispo, California 93401, United States

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Santa Maria, California 93444, United States

Providence Medical Foundation - Santa RosaRecruiting

Santa Rosa, California 95403, United States

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Santa Rosa, California 95405, United States

Saint Joseph's Medical CenterRecruiting

Stockton, California 95204, United States

Woodland Memorial HospitalRecruiting

Woodland, California 95695, United States

Penrose-Saint Francis HealthcareRecruiting

Colorado Springs, Colorado 80907, United States

Rocky Mountain Cancer Centers-PenroseRecruiting

Colorado Springs, Colorado 80907, United States

Saint Francis Cancer CenterRecruiting

Colorado Springs, Colorado 80923, United States

CommonSpirit Cancer Center MercyRecruiting

Durango, Colorado 81301, United States

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Durango, Colorado 81301, United States

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Lakewood, Colorado 80228, United States

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Longmont, Colorado 80501, United States

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Westminster, Colorado 80023, United States

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Wilmington, Delaware 19803, United States

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Fort Lauderdale, Florida 33308, United States

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Orlando, Florida 32806, United States

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Orlando, Florida 32827, United States

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Pensacola, Florida 32504, United States

Augusta University Medical CenterRecruiting

Augusta, Georgia 30912, United States

Kapiolani Medical Center for Women and ChildrenRecruiting

Honolulu, Hawaii 96826, United States

Saint Alphonsus Cancer Care Center-BoiseRecruiting

Boise, Idaho 83706, United States

Saint Luke's Cancer Institute - BoiseRecruiting

Boise, Idaho 83712, United States

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Caldwell, Idaho 83605, United States

Kootenai Health - Coeur d'AleneRecruiting

Coeur d'Alene, Idaho 83814, United States

Saint Luke's Cancer Institute - FruitlandRecruiting

Fruitland, Idaho 83619, United States

Idaho Urologic Institute-MeridianRecruiting

Meridian, Idaho 83642, United States

Saint Luke's Cancer Institute - MeridianRecruiting

Meridian, Idaho 83642, United States

Saint Alphonsus Cancer Care Center-NampaRecruiting

Nampa, Idaho 83687, United States

Saint Luke's Cancer Institute - NampaRecruiting

Nampa, Idaho 83687, United States

Kootenai Clinic Cancer Services - Post FallsRecruiting

Post Falls, Idaho 83854, United States

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Sandpoint, Idaho 83864, United States

Saint Luke's Cancer Institute - Twin FallsRecruiting

Twin Falls, Idaho 83301, United States

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Alton, Illinois 62002, United States

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Bloomington, Illinois 61704, United States

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Canton, Illinois 61520, United States

Memorial Hospital of CarbondaleRecruiting

Carbondale, Illinois 62902, United States

SIH Cancer InstituteRecruiting

Carterville, Illinois 62918, United States

Illinois CancerCare-CarthageRecruiting

Carthage, Illinois 62321, United States

Centralia Oncology ClinicRecruiting

Centralia, Illinois 62801, United States

Saint Mary's HospitalSuspended

Centralia, Illinois 62801, United States

Carle at The RiverfrontRecruiting

Danville, Illinois 61832, United States

Cancer Care Specialists of Illinois - DecaturRecruiting

Decatur, Illinois 62526, United States

Decatur Memorial HospitalRecruiting

Decatur, Illinois 62526, United States

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Dixon, Illinois 61021, United States

Carle Physician Group-EffinghamRecruiting

Effingham, Illinois 62401, United States

Crossroads Cancer CenterRecruiting

Effingham, Illinois 62401, United States

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Eureka, Illinois 61530, United States

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Galesburg, Illinois 61401, United States

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Kewanee, Illinois 61443, United States

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Macomb, Illinois 61455, United States

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Mattoon, Illinois 61938, United States

SSM Health Good SamaritanRecruiting

Mount Vernon, Illinois 62864, United States

Carle BroMenn Medical CenterRecruiting

Normal, Illinois 61761, United States

Carle Cancer Institute NormalRecruiting

Normal, Illinois 61761, United States

Cancer Care Center of O'FallonRecruiting

O'Fallon, Illinois 62269, United States

HSHS Saint Elizabeth's HospitalRecruiting

O'Fallon, Illinois 62269, United States

Illinois CancerCare-Ottawa ClinicRecruiting

Ottawa, Illinois 61350, United States

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Pekin, Illinois 61554, United States

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Peoria, Illinois 61615, United States

Methodist Medical Center of IllinoisRecruiting

Peoria, Illinois 61636, United States

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Peru, Illinois 61354, United States

Valley Radiation OncologyRecruiting

Peru, Illinois 61354, United States

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Princeton, Illinois 61356, United States

Southern Illinois University School of MedicineRecruiting

Springfield, Illinois 62702, United States

Springfield ClinicRecruiting

Springfield, Illinois 62702, United States

Springfield Memorial HospitalRecruiting

Springfield, Illinois 62781, United States

Carle Cancer CenterRecruiting

Urbana, Illinois 61801, United States

Illinois CancerCare - WashingtonRecruiting

Washington, Illinois 61571, United States

UI Health Care Mission Cancer and Blood - Ankeny ClinicRecruiting

Ankeny, Iowa 50023, United States

Saint Anthony Regional HospitalRecruiting

Carroll, Iowa 51401, United States

Mercy Cancer Center-West LakesRecruiting

Clive, Iowa 50325, United States

UI Health Care Mission Cancer and Blood - West Des Moines ClinicRecruiting

Clive, Iowa 50325, United States

Greater Regional Medical CenterRecruiting

Creston, Iowa 50801, United States

Iowa Methodist Medical CenterRecruiting

Des Moines, Iowa 50309, United States

UI Health Care Mission Cancer and Blood - Des Moines ClinicRecruiting

Des Moines, Iowa 50309, United States

Broadlawns Medical CenterRecruiting

Des Moines, Iowa 50314, United States

Mercy Medical Center - Des MoinesRecruiting

Des Moines, Iowa 50314, United States

UI Health Care Mission Cancer and Blood - Laurel ClinicRecruiting

Des Moines, Iowa 50314, United States

UI Healthcare Mission Cancer and Blood - Fort DodgeRecruiting

Fort Dodge, Iowa 50501, United States

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Pella, Iowa 50219, United States

UI Health Care Mission Cancer and Blood - Waukee ClinicRecruiting

Waukee, Iowa 50263, United States

Mercy Medical Center-West LakesRecruiting

West Des Moines, Iowa 50266, United States

The Iowa Clinic PCRecruiting

West Des Moines, Iowa 50266, United States

Central Care Cancer Center - Garden CityRecruiting

Garden City, Kansas 67846, United States

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Great Bend, Kansas 67530, United States

Mercy Hospital PittsburgRecruiting

Pittsburg, Kansas 66762, United States

CommonSpirit Saint Joseph Hospital - BardstownRecruiting

Bardstown, Kentucky 40004, United States

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Corbin, Kentucky 40701, United States

CommonSpirit Saint Joseph Hospital - LexingtonRecruiting

Lexington, Kentucky 40504, United States

Saint Joseph Radiation Oncology Resource CenterRecruiting

Lexington, Kentucky 40504, United States

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Lexington, Kentucky 40509, United States

CommonSpirit Saint Joseph Hospital LondonRecruiting

London, Kentucky 40741, United States

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Mount Sterling, Kentucky 40353, United States

MyMichigan Medical Center GratiotRecruiting

Alma, Michigan 48801, United States

MyMichigan Medical Center AlpenaRecruiting

Alpena, Michigan 49707, United States

Trinity Health IHA - Obstetrics and Gynecology West ArborRecruiting

Ann Arbor, Michigan 48103, United States

Trinity Health Saint Joseph Mercy Hospital Ann ArborRecruiting

Ann Arbor, Michigan 48106, United States

Trinity Health IHA Medical Group Hematology Oncology - BrightonRecruiting

Brighton, Michigan 48114, United States

Trinity Health Medical Center - BrightonRecruiting

Brighton, Michigan 48114, United States

Trinity Health IHA Medical Group Hematology Oncology - CantonRecruiting

Canton, Michigan 48188, United States

Trinity Health Medical Center - CantonRecruiting

Canton, Michigan 48188, United States

Chelsea HospitalRecruiting

Chelsea, Michigan 48118, United States

Trinity Health IHA Medical Group Hematology Oncology - Chelsea HospitalRecruiting

Chelsea, Michigan 48118, United States

Hematology Oncology Consultants-ClarkstonRecruiting

Clarkston, Michigan 48346, United States

Henry Ford Health Saint John HospitalRecruiting

Detroit, Michigan 48236, United States

Henry Ford River District HospitalRecruiting

East China Township, Michigan 48054, United States

Site Public ContactContact

kforman1@hfhs.org313-343-3166

OSF Saint Francis Hospital and Medical GroupRecruiting

Escanaba, Michigan 49829, United States

Cancer Hematology Centers - FlintRecruiting

Flint, Michigan 48503, United States

Genesee Hematology Oncology PCRecruiting

Flint, Michigan 48503, United States

Genesys Hurley Cancer InstituteRecruiting

Flint, Michigan 48503, United States

Hurley Medical CenterRecruiting

Flint, Michigan 48503, United States

MyMichigan Medical Center GladwinRecruiting

Gladwin, Michigan 48624, United States

Henry Ford Saint John Hospital - AcademicRecruiting

Grosse Pointe Woods, Michigan 48236, United States

Henry Ford Saint John Hospital - BreastRecruiting

Grosse Pointe Woods, Michigan 48236, United States

Henry Ford Saint John Hospital - Van ElslanderRecruiting

Grosse Pointe Woods, Michigan 48236, United States

University of Michigan Health - Sparrow LansingRecruiting

Lansing, Michigan 48912, United States

Trinity Health Saint Mary Mercy Livonia HospitalRecruiting

Livonia, Michigan 48154, United States

Henry Ford Saint John Hospital - Macomb MedicalRecruiting

Macomb, Michigan 48044, United States

Henry Ford Warren Hospital - Breast MacombRecruiting

Macomb, Michigan 48044, United States

MyMichigan Medical Center MidlandRecruiting

Midland, Michigan 48670, United States

MyMichigan Medical Center Mount PleasantRecruiting

Mount Pleasant, Michigan 48858, United States

Hope Cancer CenterSuspended

Pontiac, Michigan 48341, United States

Michigan Healthcare Professionals PontiacRecruiting

Pontiac, Michigan 48341, United States

Newland Medical Associates-PontiacRecruiting

Pontiac, Michigan 48341, United States

Trinity Health Saint Joseph Mercy Oakland HospitalRecruiting

Pontiac, Michigan 48341, United States

MyMichigan Medical Center SaginawRecruiting

Saginaw, Michigan 48601, United States

MyMichigan Medical Center TawasRecruiting

Tawas City, Michigan 48764, United States

Henry Ford Health Warren HospitalRecruiting

Warren, Michigan 48093, United States

Henry Ford Madison Heights Hospital - BreastRecruiting

Warren, Michigan 48093, United States

Henry Ford Warren Hospital - GLCMSRecruiting

Warren, Michigan 48093, United States

Huron Gastroenterology PCRecruiting

Ypsilanti, Michigan 48106, United States

Trinity Health IHA Medical Group Hematology Oncology Ann Arbor CampusRecruiting

Ypsilanti, Michigan 48197, United States

Minnesota Oncology - BurnsvilleRecruiting

Burnsville, Minnesota 55337, United States

Mercy HospitalRecruiting

Coon Rapids, Minnesota 55433, United States

Fairview Southdale HospitalRecruiting

Edina, Minnesota 55435, United States

Fairview Clinics and Surgery Center Maple GroveRecruiting

Maple Grove, Minnesota 55369, United States

Minnesota Oncology Hematology PA-MaplewoodRecruiting

Maplewood, Minnesota 55109, United States

Saint John's Hospital - HealtheastRecruiting

Maplewood, Minnesota 55109, United States

Abbott-Northwestern HospitalRecruiting

Minneapolis, Minnesota 55407, United States

Hennepin County Medical CenterRecruiting

Minneapolis, Minnesota 55415, United States

Monticello Cancer CenterRecruiting

Monticello, Minnesota 55362, United States

New Ulm Medical CenterRecruiting

New Ulm, Minnesota 56073, United States

Fairview Northland Medical CenterRecruiting

Princeton, Minnesota 55371, United States

North Memorial Medical Health CenterRecruiting

Robbinsdale, Minnesota 55422, United States

Park Nicollet Clinic - Saint Louis ParkRecruiting

Saint Louis Park, Minnesota 55416, United States

Regions HospitalRecruiting

Saint Paul, Minnesota 55101, United States

United HospitalRecruiting

Saint Paul, Minnesota 55102, United States

Saint Francis Regional Medical CenterRecruiting

Shakopee, Minnesota 55379, United States

Lakeview HospitalRecruiting

Stillwater, Minnesota 55082, United States

Ridgeview Medical CenterRecruiting

Waconia, Minnesota 55387, United States

Rice Memorial HospitalRecruiting

Willmar, Minnesota 56201, United States

Minnesota Oncology Hematology PA-WoodburyRecruiting

Woodbury, Minnesota 55125, United States

Fairview Lakes Medical CenterRecruiting

Wyoming, Minnesota 55092, United States

Mercy Oncology and Hematology - Clayton-ClarksonRecruiting

Ballwin, Missouri 63011, United States

Central Care Cancer Center - BolivarRecruiting

Bolivar, Missouri 65613, United States

Cox Cancer Center BransonRecruiting

Branson, Missouri 65616, United States

Mercy Cancer Center - Cape GirardeauRecruiting

Cape Girardeau, Missouri 63703, United States

Saint Francis Medical CenterRecruiting

Cape Girardeau, Missouri 63703, United States

Parkland Health Center - FarmingtonRecruiting

Farmington, Missouri 63640, United States

Freeman Health SystemRecruiting

Joplin, Missouri 64804, United States

Mercy Hospital JoplinRecruiting

Joplin, Missouri 64804, United States

Lake Regional HospitalRecruiting

Osage Beach, Missouri 65065, United States

Mercy Clinic-Rolla-Cancer and HematologyRecruiting

Rolla, Missouri 65401, United States

Phelps Health Delbert Day Cancer InstituteRecruiting

Rolla, Missouri 65401, United States

Heartland Regional Medical CenterRecruiting

Saint Joseph, Missouri 64506, United States

Sainte Genevieve County Memorial HospitalRecruiting

Sainte Genevieve, Missouri 63670, United States

Mercy Hospital SpringfieldRecruiting

Springfield, Missouri 65804, United States

CoxHealth South HospitalRecruiting

Springfield, Missouri 65807, United States

Mercy Infusion Center - ChippewaRecruiting

St Louis, Missouri 63109, United States

Mercy Hospital SouthRecruiting

St Louis, Missouri 63128, United States

Missouri Baptist Medical CenterRecruiting

St Louis, Missouri 63131, United States

Mercy Hospital Saint LouisRecruiting

St Louis, Missouri 63141, United States

Missouri Baptist Sullivan HospitalRecruiting

Sullivan, Missouri 63080, United States

Mercy Hospital WashingtonRecruiting

Washington, Missouri 63090, United States

Community Hospital of AnacondaRecruiting

Anaconda, Montana 59711, United States

Billings Clinic Cancer CenterRecruiting

Billings, Montana 59101, United States

Bozeman Health Deaconess HospitalRecruiting

Bozeman, Montana 59715, United States

Benefis Sletten Cancer InstituteRecruiting

Great Falls, Montana 59405, United States

Great Falls ClinicRecruiting

Great Falls, Montana 59405, United States

Hi-Line Sletten Cancer CenterRecruiting

Havre, Montana 59501, United States

Benefis Helena Specialty CenterRecruiting

Helena, Montana 59601, United States

Logan Health Medical CenterRecruiting

Kalispell, Montana 59901, United States

Saint Patrick Hospital - Community HospitalRecruiting

Missoula, Montana 59802, United States

Community Medical CenterRecruiting

Missoula, Montana 59804, United States

CHI Health Saint FrancisRecruiting

Grand Island, Nebraska 68803, United States

CHI Health Good SamaritanRecruiting

Kearney, Nebraska 68847, United States

Alegent Health Immanuel Medical CenterRecruiting

Omaha, Nebraska 68122, United States

Alegent Health Bergan Mercy Medical CenterRecruiting

Omaha, Nebraska 68124, United States

Alegent Health Lakeside HospitalRecruiting

Omaha, Nebraska 68130, United States

Novant Health Presbyterian Medical CenterRecruiting

Charlotte, North Carolina 28204, United States

Novant Health Cancer Institute - HuntersvilleRecruiting

Huntersville, North Carolina 28078, United States

Novant Health Presbyterian Medical Center HuntersvilleRecruiting

Huntersville, North Carolina 28078, United States

Novant Health Cancer Institute - KernersvilleRecruiting

Kernersville, North Carolina 27284, United States

Matthews Radiation Oncology CenterRecruiting

Matthews, North Carolina 28105, United States

Novant Health Cancer Institute - MatthewsRecruiting

Matthews, North Carolina 28105, United States

Novant Health Cancer Institute - MooresvilleRecruiting

Mooresville, North Carolina 28117, United States

Novant Health Cancer Institute - Mount AiryRecruiting

Mount Airy, North Carolina 27030, United States

Novant Health Cancer Institute - RowanRecruiting

Salisbury, North Carolina 28144, United States

Rowan Regional Medical CenterRecruiting

Salisbury, North Carolina 28144, United States

Novant Health Cancer Institute - ThomasvilleRecruiting

Thomasville, North Carolina 27360, United States

Novant Health New Hanover Regional Medical CenterRecruiting

Wilmington, North Carolina 28401, United States

Novant Health Forsyth Medical CenterRecruiting

Winston-Salem, North Carolina 27103, United States

Good Samaritan Hospital - CincinnatiRecruiting

Cincinnati, Ohio 45220, United States

Bethesda North HospitalRecruiting

Cincinnati, Ohio 45242, United States

TriHealth Cancer Institute-WestsideRecruiting

Cincinnati, Ohio 45247, United States

TriHealth Cancer Institute-AndersonRecruiting

Cincinnati, Ohio 45255, United States

Mercy Hospital Oklahoma CityRecruiting

Oklahoma City, Oklahoma 73120, United States

Saint Alphonsus Cancer Care Center-Baker CityRecruiting

Baker City, Oregon 97814, United States

Saint Charles Health SystemRecruiting

Bend, Oregon 97701, United States

Clackamas Radiation Oncology CenterRecruiting

Clackamas, Oregon 97015, United States

Bay Area HospitalRecruiting

Coos Bay, Oregon 97420, United States

Providence Hood River Memorial HospitalRecruiting

Hood River, Oregon 97031, United States

Providence Newberg Medical CenterRecruiting

Newberg, Oregon 97132, United States

Saint Alphonsus Cancer Care Center-OntarioRecruiting

Ontario, Oregon 97914, United States

Providence Willamette Falls Medical CenterRecruiting

Oregon City, Oregon 97045, United States

Providence Portland Medical CenterRecruiting

Portland, Oregon 97213, United States

Providence Saint Vincent Medical CenterRecruiting

Portland, Oregon 97225, United States

Saint Charles Health System-RedmondRecruiting

Redmond, Oregon 97756, United States

Lehigh Valley Hospital-Cedar CrestRecruiting

Allentown, Pennsylvania 18103, United States

Lehigh Valley Hospital - MuhlenbergRecruiting

Bethlehem, Pennsylvania 18017, United States

Pocono Medical CenterRecruiting

East Stroudsburg, Pennsylvania 18301, United States

Lehigh Valley Hospital-HazletonRecruiting

Hazleton, Pennsylvania 18201, United States

Medical University of South CarolinaRecruiting

Charleston, South Carolina 29425, United States

University of Texas Health Science Center at San AntonioRecruiting

San Antonio, Texas 78229, United States

Bon Secours Memorial Regional Medical CenterRecruiting

Mechanicsville, Virginia 23116, United States

Bon Secours Saint Francis Medical CenterRecruiting

Midlothian, Virginia 23114, United States

Bon Secours Saint Mary's HospitalRecruiting

Richmond, Virginia 23226, United States

VCU Massey Cancer Center at Stony PointRecruiting

Richmond, Virginia 23235, United States

VCU Massey Comprehensive Cancer CenterRecruiting

Richmond, Virginia 23298, United States

VCU Community Memorial Health CenterRecruiting

South Hill, Virginia 23970, United States

Providence Regional Cancer System-AberdeenRecruiting

Aberdeen, Washington 98520, United States

PeaceHealth Saint Joseph Medical CenterRecruiting

Bellingham, Washington 98225, United States

Providence Regional Cancer System-CentraliaRecruiting

Centralia, Washington 98531, United States

Swedish Cancer Institute-EdmondsRecruiting

Edmonds, Washington 98026, United States

Providence Regional Cancer PartnershipRecruiting

Everett, Washington 98201, United States

Swedish Cancer Institute-IssaquahRecruiting

Issaquah, Washington 98029, United States

Kadlec Clinic Hematology and OncologyRecruiting

Kennewick, Washington 99336, United States

Providence Regional Cancer System-LaceyRecruiting

Lacey, Washington 98503, United States

PeaceHealth Saint John Medical CenterRecruiting

Longview, Washington 98632, United States

Skagit Regional Health Cancer Care CenterRecruiting

Mount Vernon, Washington 98274, United States

Swedish Medical Center-Ballard CampusRecruiting

Seattle, Washington 98107, United States

Swedish Medical Center-Cherry HillRecruiting

Seattle, Washington 98122-5711, United States

Swedish Medical Center-First HillRecruiting

Seattle, Washington 98122, United States

PeaceHealth United General Medical CenterRecruiting

Sedro-Woolley, Washington 98284, United States

Saint Joseph Medical Center Hematology and Oncology - SilverdaleRecruiting

Silverdale, Washington 98383, United States

Cancer Care Northwest - Spokane SouthRecruiting

Spokane, Washington 99202, United States

Cancer Care Northwest-ValleyRecruiting

Spokane, Washington 99216, United States

Cancer Care Northwest-North SpokaneRecruiting

Spokane, Washington 99218, United States

PeaceHealth Southwest Medical CenterRecruiting

Vancouver, Washington 98664, United States

Providence Saint Mary Regional Cancer CenterRecruiting

Walla Walla, Washington 99362, United States

Saint Vincent Hospital Cancer Center Green BayRecruiting

Green Bay, Wisconsin 54301, United States

Saint Vincent Hospital Cancer Center at Saint Mary'sRecruiting

Green Bay, Wisconsin 54303, United States

Cancer Center of Western WisconsinRecruiting

New Richmond, Wisconsin 54017, United States

Saint Vincent Hospital Cancer Center at Oconto FallsRecruiting

Oconto Falls, Wisconsin 54154, United States

Saint Vincent Hospital Cancer Center at SheboyganRecruiting

Sheboygan, Wisconsin 53081, United States

Sheboygan Physicians GroupRecruiting

Sheboygan, Wisconsin 53081, United States

Saint Vincent Hospital Cancer Center at Sturgeon BayRecruiting

Sturgeon Bay, Wisconsin 54235-1495, United States

Memorial Hospital of Laramie CountyRecruiting

Cheyenne, Wyoming 82001, United States

Billings Clinic-CodyRecruiting

Cody, Wyoming 82414, United States