Understanding and Enhancing Health-Related Social Needs (HRSN) Screening Among Community Oncology Practices

NCT ID: NCT06412029

Last Updated: 2025-11-06

Study Results

Results pending

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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Recruitment Status

ENROLLING_BY_INVITATION

Total Enrollment

144 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-10-31

Study Completion Date

2026-11-30

Brief Summary

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This study evaluates health related social needs screening processes in community oncology clinics.

Detailed Description

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The primary objective of this study is to assess current processes around health related social needs (HRSN) screening among NCORP clinics and categorize clinics based on their implementation of HRSN screening. The primary endpoint will be a detailed understanding of current processes, with attention to variability by key clinic characteristics.

There are 3 parts of the study in which participants can participate in one or all parts (3 total).

Part 1: Participants attend training, complete clinic assessments and observations and may complete an interview on study.

Part 2: Identified clinic staff will be interviewed to discuss factors that influence HRSN screening at their clinic and help develop generalized guidance.

Part 3: Participants attend a co-design workshop and complete surveys on study feasibility.

Conditions

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Cancer

Keywords

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Cancer Health Disparities

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Part 1

Part 1: Participants attend training, complete clinic assessments and observations and may complete an interview on study.

Non-Interventional

Intervention Type OTHER

Non-interventional study

Part 2

Part 2: Identified clinic staff will be interviewed to discuss factors that influence health related social needs (HRSN) screening at their clinic and help develop generalized guidance.

Non-Interventional

Intervention Type OTHER

Non-interventional study

Part 3

Part 3: Participants attend a co-design workshop and complete surveys on study feasibility.

Non-Interventional

Intervention Type OTHER

Non-interventional study

Interventions

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Non-Interventional

Non-interventional study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Part 1

NCORP PRACTICES:

* Must be an affiliate or sub-affiliate of an NCORP Community or Minority Underserved Community site
* Must provide outpatient oncology care
* Must be a NCORP practice (defined as one or more NCORP affiliates/sub-affiliates, that have a common administrative structure and share providers and/or patients)
* Must have identified two or more Practice Staff that are available and willing to participate on the Practice Interest Form
* Must have identified at least 1-3 outpatient oncology clinics willing to participate on the Practice Interest Form

CLINICS:

* 1-3 clinics within the practice should be selected
* Clinics may or may not be located in different physical locations
* The investigators will encourage NCORP practices to select clinics within a practice that differ in current or potential implementation of health related social needs (HRSN) screening (e.g., different clinic workflow or staff, different screening triggers, different tools), so that heterogeneity within NCORP practices can be captured
* Clinics must be willing to allow Practice Staff participants to observe the clinical operations in-person

PRACTICE STAFF:

* Must be willing and able to take time to observe in person and document 1-3 selected clinics within the practice (approximately 2-3 hours per clinic)
* Must be staff at the selected and enrolled practice. Suggestions of appropriate staff are cancer care delivery research (CCDR) Lead, research nurse, clinical research coordinator or NCORP Administrators. Staff members with primary clinical roles may also be appropriate, if available
* Must be willing and able to participate in two 1.5 hour virtual training sessions
* Must be willing to interview Clinic Key Informants (approximately 30 minutes per interview; in-person or remotely over the internet or by phone)
* If the clinic is chosen for Part 2, must be willing to schedule an interview between Clinic Key Informant and Wake Forest health HRSN Study Team or designee
* If the clinic is chosen for Part 3, must be willing to participate in a three hour or two 1.5 hour in-person (if possible) workshop(s). If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend
* Must be willing to be recorded when participating in interviews and the workshop.

CLINIC KEY INFORMANT:

* Must be willing to participate in Part 1 Operational Assessment, which involves a semi-structured interview (approximately 30 minutes; in-person or remotely over the internet or by phone) and a brief Non-patient Demographics Survey (approximately 5 minutes)
* If the clinic is chosen for Part 2, must be willing to participate in an additional 45 minute interview (remotely over the internet or by phone)
* If the clinic is chosen for Part 3, must be willing to participate in a three hour or two 1.5 hour in-person (if possible) workshop(s). If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend

Part 3

STAFF WORKSHOP PARTICIPANT:

* Must be a clinic stakeholder (e.g., providers, practice managers, etc.) of the selected clinic
* Must be willing and able to participate in a three hour or two 1.5 hour in-person (if possible) recorded workshop. If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend
* Must be willing to be recorded when participating in interviews and the workshop.

PATIENT WORKSHOP PARTICIPANT:

* Must be a prospective clinic stakeholder (e.g., patient representative) of the selected clinic
* Must be willing and able to participate in a three hour or two 1.5 hour in-person (if possible) recorded workshop. If the clinic schedules an in-person workshop, there will be no hybrid or separate virtual option for those that cannot attend
* Must have received cancer treatment at the selected clinic within the last five years
* Must be willing to be recorded when participating in the workshop.

Exclusion Criteria

Part 1

PRACTICE STAFF:

\*\* Unable to understand, read and communicate in English, as the trainings and observations will be documented in English

Part 3

STAFF WORKSHOP PARTICIPANT:

\*\* Unable to understand, read and communicate in English, as the workshop will be conducted in English

PATIENT WORKSHOP PARTICIPANT:

\*\* Unable to understand, read and communicate in English, as the workshop will be conducted in English
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Wake Forest University Health Sciences

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Kathryn Weaver, PhD

Role: STUDY_CHAIR

Wake Forest University Health Sciences

Locations

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Helen F Graham Cancer Center

Newark, Delaware, United States

Site Status

Carle at The Riverfront

Danville, Illinois, United States

Site Status

Carle Physician Group-Effingham

Effingham, Illinois, United States

Site Status

Carle Physician Group-Mattoon/Charleston

Mattoon, Illinois, United States

Site Status

Carle Cancer Institute Normal

Normal, Illinois, United States

Site Status

Illinois CancerCare-Peoria

Peoria, Illinois, United States

Site Status

Carle Cancer Center

Urbana, Illinois, United States

Site Status

Mission Cancer and Blood - Ankeny

Ankeny, Iowa, United States

Site Status

Iowa Methodist Medical Center

Des Moines, Iowa, United States

Site Status

Mission Cancer and Blood - Des Moines

Des Moines, Iowa, United States

Site Status

University Medical Center New Orleans

New Orleans, Louisiana, United States

Site Status

MaineHealth Cancer Care - Brunswick

Brunswick, Maine, United States

Site Status

Penobscot Bay Medical Center

Rockport, Maine, United States

Site Status

Christiana Care - Union Hospital

Elkton, Maryland, United States

Site Status

Cancer Hematology Centers - Flint

Flint, Michigan, United States

Site Status

Genesee Hematology Oncology PC

Flint, Michigan, United States

Site Status

Genesys Hurley Cancer Institute

Flint, Michigan, United States

Site Status

Essentia Health Saint Joseph's Medical Center

Brainerd, Minnesota, United States

Site Status

Essentia Health Cancer Center

Duluth, Minnesota, United States

Site Status

Hennepin County Medical Center

Minneapolis, Minnesota, United States

Site Status

Central Care Cancer Center - Bolivar

Bolivar, Missouri, United States

Site Status

CoxHealth South Hospital

Springfield, Missouri, United States

Site Status

NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center

New York, New York, United States

Site Status

FirstHealth of the Carolinas-Moore Regional Hospital

Pinehurst, North Carolina, United States

Site Status

Wake Forest NCORP Research Base

Winston-Salem, North Carolina, United States

Site Status

Essentia Health Cancer Center-South University Clinic

Fargo, North Dakota, United States

Site Status

Geisinger Medical Center

Danville, Pennsylvania, United States

Site Status

Prisma Health Cancer Institute - Butternut

Greenville, South Carolina, United States

Site Status

Prisma Health Cancer Institute - Faris

Greenville, South Carolina, United States

Site Status

ThedaCare Regional Cancer Center

Appleton, Wisconsin, United States

Site Status

Aurora Cancer Care-Grafton

Grafton, Wisconsin, United States

Site Status

Aurora Cancer Care-Kenosha South

Kenosha, Wisconsin, United States

Site Status

Aurora Saint Luke's Medical Center

Milwaukee, Wisconsin, United States

Site Status

FHP Health Center-Guam

Tamuning, GU, Guam

Site Status

Puerto Rico Hematology Oncology Group

Bayamón, , Puerto Rico

Site Status

Centro Comprensivo de Cancer de UPR

San Juan, , Puerto Rico

Site Status

San Juan City Hospital

San Juan, , Puerto Rico

Site Status

Countries

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United States Guam Puerto Rico

Other Identifiers

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NCI-2024-02411

Identifier Type: OTHER

Identifier Source: secondary_id

WF-2303CD

Identifier Type: OTHER

Identifier Source: secondary_id

5UG1CA189824

Identifier Type: NIH

Identifier Source: secondary_id

View Link

IRB00113288

Identifier Type: -

Identifier Source: org_study_id