Project CASCADE: Community and Academic Synergy for Cancer Survivorship Care Delivery Enhancement

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

Clinical Phase

NA

Total Enrollment

5584 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-01

Study Completion Date

2029-05-31

Brief Summary

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The purpose of this study is to implement a clinic-level cancer survivorship care delivery intervention in partnership with community health center clinicians, patients, and community representatives to test effectiveness of the intervention to improve patient and clinician outcomes and to evaluate implementation of the intervention using an iterative, concurrent mixed-methods approach guided by the Practice Change Model.

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Detailed Description

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Conditions

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Cancer Survivorship

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Stepped-wedge cluster randomized trial (SW-CRT). There will be 4 clusters (CHCs) having 2 practices each.

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Study Groups

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Step 1 (2 clinics)-6 months control then 12 months intervention

Group Type EXPERIMENTAL

Survivorship care delivery intervention

Intervention Type BEHAVIORAL

Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), the intervention includes three evidence-based components:

1. Training: This will include provider-to-provider tele-mentoring using Enhancing Community Health Outcomes (ECHO).
2. Tracking: This includes systematically assessing cancer history and monitoring survivors' care to plan and organize subsequent care.
3. Coordinating care for cancer survivors. Each clinic leader will designate a staff member (or members) as the care coordinator champion after exploring current clinic staff, skills, and capacity of various staff roles.

Step 2 (2 clinics)-12 months control then 12 months intervention

Group Type EXPERIMENTAL

Survivorship care delivery intervention

Intervention Type BEHAVIORAL

Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), the intervention includes three evidence-based components:

1. Training: This will include provider-to-provider tele-mentoring using Enhancing Community Health Outcomes (ECHO).
2. Tracking: This includes systematically assessing cancer history and monitoring survivors' care to plan and organize subsequent care.
3. Coordinating care for cancer survivors. Each clinic leader will designate a staff member (or members) as the care coordinator champion after exploring current clinic staff, skills, and capacity of various staff roles.

Step 3 (2 clinics)-18 months control then 12 months intervention

Group Type EXPERIMENTAL

Survivorship care delivery intervention

Intervention Type BEHAVIORAL

Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), the intervention includes three evidence-based components:

1. Training: This will include provider-to-provider tele-mentoring using Enhancing Community Health Outcomes (ECHO).
2. Tracking: This includes systematically assessing cancer history and monitoring survivors' care to plan and organize subsequent care.
3. Coordinating care for cancer survivors. Each clinic leader will designate a staff member (or members) as the care coordinator champion after exploring current clinic staff, skills, and capacity of various staff roles.

Step 4 (2 clinics)- 24 months control then 12 months intervention

Group Type EXPERIMENTAL

Survivorship care delivery intervention

Intervention Type BEHAVIORAL

Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), the intervention includes three evidence-based components:

1. Training: This will include provider-to-provider tele-mentoring using Enhancing Community Health Outcomes (ECHO).
2. Tracking: This includes systematically assessing cancer history and monitoring survivors' care to plan and organize subsequent care.
3. Coordinating care for cancer survivors. Each clinic leader will designate a staff member (or members) as the care coordinator champion after exploring current clinic staff, skills, and capacity of various staff roles.

Interventions

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Survivorship care delivery intervention

Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), the intervention includes three evidence-based components:

1. Training: This will include provider-to-provider tele-mentoring using Enhancing Community Health Outcomes (ECHO).
2. Tracking: This includes systematically assessing cancer history and monitoring survivors' care to plan and organize subsequent care.
3. Coordinating care for cancer survivors. Each clinic leader will designate a staff member (or members) as the care coordinator champion after exploring current clinic staff, skills, and capacity of various staff roles.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

-at least one visit to the Community Health Centers (CHCs) in the prior year

-employed clinicians (e.g. physicians, nurses, pharmacists, or other allied health professionals) and non-clinician staff of the participating CHC clinics