Testing an Educational Program to Improve Goals of Care Conversations Between Patients and Their … (NCT07278739) | Clinical Trial Compass
Not Yet RecruitingNot Applicable
Testing an Educational Program to Improve Goals of Care Conversations Between Patients and Their Care Teams
1,020 participantsStarted 2026-05-03
Plain-language summary
This clinical trial evaluates an educational program called Algorithm-Enabled Patients Activated in Cancer Care Through Teams (A-PACT) for reducing unplanned hospital visits and improving goals of care conversations with providers among patients with solid cancers. A-PACT is an educational program where lay health workers (educators) help patients talk with their health care team about issues that matter most to them (goals of care). During A-PACT sessions, patients receive assistance in formulating health care and end of life care preferences, assistance in completing advance directives, guidance on how to engage in these conversations with family members, friends, and clinical teams, and encouragement to discuss these topics with their clinical team. A-PACT may reduce unplanned hospital visits and improve goals of care communication with providers among patients with solid cancers.
Who can participate
Age range18 Years
SexALL
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Inclusion Criteria:
* Participants must have a diagnosis of a solid tumor malignancy of any stage
* Participants must be identified as high risk, defined as having 6 month mortality estimate from machine learning (ML) algorithm \>= 20%
* Participants must not be receiving or have pre-existing plans to enter hospice care at the time of study registration
* Participant must be actively receiving or planning to receive systemic anti-cancer therapy (defined as any oral, injection, or intravenous therapy against cancer) within 3 months after registration
* NOTE: This includes chemotherapy (conventional or cytotoxic chemotherapy), hormone therapy, targeted therapy, and immunotherapy
* NOTE: Participants are allowed to be co-enrolled on other clinical trials including trials using investigational agents
* Participants must be \>= 18 years of age at the time of study enrollment
* Participants who can complete Patient Reported Outcome (PRO) questionnaires in English or Spanish must be willing to 1) complete PROs at all scheduled assessments; and 2) complete the pre-registration (baseline) PRO forms within 14 days prior to registration
* Participants must be able to provide a valid telephone number for the purpose of being contacted by the lay health worker
* NOTE: As a part of the Oncology Patient Enrollment Network (OPEN) registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board …