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Lay Health Worker Expanded Intervention in Community Oncology Practices
Not Recruiting
Trial ID: NCT04463992
Purpose
Undertreated patient symptoms and resulting acute care use require approaches that improve
symptom-burden. Previously a lay health worker (LHW)-led symptom screening intervention was
developed for patients with cancer. In pilot work, the intervention was associated with
improvements in patient symptom burden and reductions in healthcare use and costs of care at
the end of life. This intervention will be expanded across several clinics to evaluate the
impact of the LHW intervention on with cancer and the LHW will be trained to refer patients
to palliative care. This randomized intervention will evaluate the effect on healthcare use,
total costs, palliative care and hospice referral.
Official Title
Lay Health Worker Expanded Intervention in Community Oncology Practices
Stanford Investigator(s)
Manali Patel
Associate Professor of Medicine (Oncology)
Eligibility
Inclusion Criteria:
- Newly diagnosed or relapsed cancer diagnosis.
- 75 years or older with an odd medical record #
- Diagnosis of relapse or progressive disease (any cancer diagnosis) as identified by
imaging or biopsy and confirmed by physician.
- Must have capacity to verbally consent
Exclusion Criteria:
- Inability to consent to the study due to lack of capacity as documented by the
referring physician.
Intervention(s):
behavioral: Program participants
other: Usual Care
Not Recruiting
Contact Information
Stanford University
School of Medicine
300 Pasteur Drive
Stanford,
CA
94305
Manali I Patel, MD MPH MS
650-723-4000