Community Health Worker Based Intervention to Improve Palliative Care
NCT ID: NCT05407844
Last Updated: 2025-11-26
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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ENROLLING_BY_INVITATION
NA
160 participants
INTERVENTIONAL
2023-11-02
2027-09-01
Brief Summary
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Detailed Description
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The investigators' long-term goal is to reduce the research-to-practice gap in utilization of evidence-based palliative care (PC) in African Americans with advanced cancer. The objectives of this study are to establish the effectiveness of a CHW-based palliative care intervention and develop generalizable knowledge on how contextual factors influence implementation.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
NONE
Study Groups
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Standard care
Standard cancer care
No interventions assigned to this group
Standard care + DeCIDE PC intervention
Community health worker support and standard cancer care
Community Health Worker (CHW) based palliative care
Those in the intervention group will receive support from a dedicated CHW trained in motivational interviewing, components of palliative care communication, and social determinants of health.
Interventions
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Community Health Worker (CHW) based palliative care
Those in the intervention group will receive support from a dedicated CHW trained in motivational interviewing, components of palliative care communication, and social determinants of health.
Eligibility Criteria
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Inclusion Criteria
* \>=18 years old
* English speaking
* Intact cognition and ability to provide informed consent
* Adult (\>=18 years old) caregivers providing informal (unpaid) care to an eligible African American cancer patient (related or unrelated)
* English speaking
* Intact cognition and ability to provide informed consent
Exclusion Criteria
* Participants who are already receiving palliative care services
* Participants \< 18 years of age
18 Years
ALL
No
Sponsors
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Wake Forest University Health Sciences
OTHER
National Cancer Institute (NCI)
NIH
National Institute on Minority Health and Health Disparities (NIMHD)
NIH
Responsible Party
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Principal Investigators
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Fabian M Johnston, MD, MHS
Role: PRINCIPAL_INVESTIGATOR
Johns Hopkins School of Medicine
Aarti Mathur, MD
Role: PRINCIPAL_INVESTIGATOR
Johns Hopkins University
Locations
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University of Alabama at Birmingham
Birmingham, Alabama, United States
Johns Hopkins University School of Medicine
Baltimore, Maryland, United States
TidalHealth Peninsula Regional, Inc.
Salisbury, Maryland, United States
Wake Forest University Health Sciences
Winston-Salem, North Carolina, United States
Countries
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References
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Johnston FM, Neiman JH, Parmley LE, Conca-Cheng A, Freund KM, Concannon TW, Smith TJ, Cooper LA. Stakeholder Perspectives on the Use of Community Health Workers To Improve Palliative Care Use by African Americans with Cancer. J Palliat Med. 2019 Mar;22(3):302-306. doi: 10.1089/jpm.2018.0366. Epub 2018 Nov 2.
Monton O, Drabo EF, Masroor T, Fuller S, Woods AP, Siddiqi A, Malone TB, Johnston FM. Economic evaluation of a hybrid type 1 effectiveness-implementation trial comparing a community health worker palliative care intervention to enhanced standard of care in African American patients across four cancer centres in the USA: a study protocol. BMJ Open. 2025 Nov 4;15(11):e096402. doi: 10.1136/bmjopen-2024-096402.
Siddiqi A, Monton O, Woods A, Masroor T, Fuller S, Owczarzak J, Yenokyan G, Cooper LA, Freund KM, Smith TJ, Kutner JS, Colborn KL, Joyner R, Elk R, Johnston FM. Dissemination and Implementation of a Community Health Worker Intervention for Disparities in Palliative Care (DeCIDE PC): a study protocol for a hybrid type 1 randomized controlled trial. BMC Palliat Care. 2023 Sep 18;22(1):139. doi: 10.1186/s12904-023-01250-0.
Other Identifiers
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