Education & Mentorship of Advanced Practice Providers to Increase Community-based Research Within the NCORP Network, COACH-APP Trial

NCT ID: NCT06904391

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

RECRUITING

Clinical Phase

NA

Total Enrollment

97 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-05

Study Completion Date

2028-06-30

Brief Summary

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This clinical trial evaluates whether a mentorship and education intervention called COACH-APP works to improve advanced practice providers' (APPs) confidence in their ability to participate in clinical research (research self-efficacy). APPs are skilled clinicians who are routinely part of cancer care teams, but who may not routinely be part of the research care team at community oncology sites. The COACH-APP program provides focused education and structured mentorship to assist in meaningful integration to the research care team, which may increase research self-efficacy among APPs and ultimately improve patient care and access to clinical trials.

Detailed Description

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PRIMARY OBJECTIVE:

I. To compare change in research self-efficacy (RSE) scores from baseline to end of study (12 months post-randomization) between APPs in the COACH-APP intervention compared to the education control.

SECONDARY OBJECTIVES:

I. To compare National Cancer Institute (NCI) Community Oncology Research Program (NCORP) engagement post-study (12-months) for APPs in the COACH-APP intervention compared to the education control.

II. To compare changes from baseline to post-study in APP ratings of research care team integration (Assessment for Collaborative Environments \[ACE\]-15) between the COACH-APP intervention and education control.

III. To compare practice-level NCORP and National Clinical Trial Network (NCTN) study activity as measured by total number of accruals (patient, non-patient, and organizational) and number of actively recruiting NCORP and NCTN studies over 24 months between practices with APPs receiving the COACH-APP intervention versus those in education control.

IV. Within the COACH-APP intervention group, to measure acceptability, feasibility, and appropriateness of the COACH-APP intervention for APPs and COACH-APP mentors to guide future implementation.

V. Within the COACH-APP intervention group, conduct semi-structured interviews with a sub-set of mentors, APPs, and other key research team members (collaborating oncologists and clinical research professionals) to assess:

* Va. Perceptions of feasibility, acceptability, and appropriateness of the COACH-APP intervention;
* Vb. Potential effects of the COACH-APP intervention on the research care team functioning and environment;
* Vc. Potential effects of the COACH-APP intervention on patient care quality and access to clinical trials;
* Vd. Practice-level barriers and facilitators of APP engagement in research activities.

Conditions

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Other

Keywords

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Mentorship, education intervention, COACH-APP

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Arm I (COACH-APP)

APPs complete the SWOG APP Clinical Research Workshop, consisting of 6 modules, over 2 hours and receive The Advanced Practice Provider Clinical Trials Research Manual. APPs also complete 5 mentoring sessions, over 15-60 minutes each, over 12 months.

Group Type EXPERIMENTAL

Educational Intervention

Intervention Type OTHER

Receive access to SWOG APP Clinical Research workshop. Receive The Advanced Practice Provider Clinical Trials Research Manual

Behavioral Intervention

Intervention Type OTHER

Complete mentorship intervention

Survey Administration

Intervention Type OTHER

Ancillary studies

Interview

Intervention Type OTHER

Ancillary studies

Arm II (education control)

APPs receive access to the SWOG APP Clinical Research Workshop and The Advanced Practice Provider Clinical Trials Research Manual for 12 months.

Group Type ACTIVE_COMPARATOR

Educational Intervention

Intervention Type OTHER

Receive access to SWOG APP Clinical Research workshop. Receive The Advanced Practice Provider Clinical Trials Research Manual

Survey Administration

Intervention Type OTHER

Ancillary studies

Mentors

The seven COACH-APP Mentors who provide the mentorship in the COACH-APP arm will also be enrolled as participants in the study.

Group Type OTHER

Survey Administration

Intervention Type OTHER

Ancillary studies

Interview

Intervention Type OTHER

Ancillary studies

Research Care Team Members

20 Research Care Team Members will also be enrolled in the study to participate in qualitative interviews to assess their perceptions of the COACH-APP intervention.

Group Type OTHER

Interview

Intervention Type OTHER

Ancillary studies

Interventions

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Educational Intervention

Receive access to SWOG APP Clinical Research workshop. Receive The Advanced Practice Provider Clinical Trials Research Manual

Intervention Type OTHER

Behavioral Intervention

Complete mentorship intervention

Intervention Type OTHER

Survey Administration

Ancillary studies

Intervention Type OTHER

Interview

Ancillary studies

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* APP PRACTICE: Must have one practicing APP who can dedicate approximately 2 hours/month to participate in the intervention and study activities over a 12-month period, supported by their direct supervisor via the APP Support Statement
* APP PRACTICE: Must attest to research infrastructure that can support APP trial enrollment, as declared on the APP Practice Attestation
* APP PRACTICE: Must have submitted the APP Practice Attestation within the Study Interest Survey
* APP PRACTICE: Must have received the required APP practice ID for Oncology Patient Enrollment Network (OPEN) enrollment in the Study Selection Email prior to enrollment
* APP: Practicing nurse practitioner (NP) or physician assistant (PA) registered as an active non-physician investigators (NPIVR) within the National Cancer Institute (NCI) Registration and Credential Repository (RCR)
* APP: Treats oncology patients at practice that is actively recruiting to NCORP and/or NCTN trials
* APP: Not planning to leave their clinical position within the APP practice (defined as one or more NCORP affiliate or sub-affiliate site\[s\] where the APP participating in the study sees patients and clinical research activities occur) in the next 12 months at enrollment
* APP: Willing to participate in a 30-minute recorded phone interview, if selected
* APP: Completed and submitted the APP Attestation within the Study Interest Survey
* APP: Completed and submitted an APP Support Statement from their direct supervisor approving participation in this study, within the Study Interest Survey
* APP: Identify and obtain signed Research Care (RC) Team Acknowledgements from two members (defined below) of their research care team to assist them in this study. The RC team for this study will consist of an oncologist and clinical research professional (i.e., clinical research coordinator, clinical research associate clinical research nurse, etc.) that the APP collaborated with over the past 6 months or could collaborate with in the future to enroll patients on NCORP and/or NCTN trials
* APP: Must have received the required APP practice ID for OPEN enrollment in the Study Selection Email
* MENTOR: Must be a practicing APP chosen by the WF-2403 COACH-APP Study MPIs
* MENTOR: Must have the following criteria:

* Clinical practice experience in a practice that enrolls to NCORP and/or NCTN trials.
* Participation in a leadership role within NCTN or NCORP (i.e., serving on a Research Base committee, working group, taskforce or as a site PI)
* Willing to complete COACH-APP mentor training.
* Willing to complete a 30-minute recorded phone interview about their experience with the COACH-APP intervention
* RESEARCH CARE TEAM INTERVIEW: Must be an identified member of the Research Care Team for an APP assigned to the COACH-APP intervention arm. The Research Care Team will be reviewed by the APP in the 12 month survey for any changes
* RESEARCH CARE TEAM INTERVIEW: Willing to participate in a recorded phone interview (approximately 30 minutes) to assess their perceptions of the COACH-APP intervention, including feasibility, acceptability, and impact

Exclusion Criteria

* APP PRACTICE: APP practice has an APP serving as a COACH-APP intervention mentor
* APP PRACTICE: Another APP at the same APP practice is already enrolled in this study (i.e., only 1 APP is allowed per APP practice)
* APP PRACTICE: Affiliate/sub-affiliate site(s) within this APP practice are already enrolled or are intended to be enrolled in this study under another APP practice
* APP: Has already completed the SWOG APP workshop
* APP: Served as a site principal investigator (PI) for an NCORP or NCTN study at any time
* APP: Participated as a presenter for the SWOG APP workshop
* APP: Participated on the planning committee for The Advanced Practice Provider Clinical Trials Research Manual
* APP: Participated on the planning committee for the SWOG APP workshop
* APP: Past or current member of SWOG APP Task Force Committee
* APP: Past or current member of Eastern Cooperative Oncology Group- American College of Radiology Imaging Network (ECOG-ACRIN) APP Committee
* MENTOR: Must not work at NC002-Wake Forest University Health Sciences or its affiliate/subaffiliate sites
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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Glenn Lesser, MD

Role: STUDY_CHAIR

Wake Forest University Health Sciences

Locations

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Queen's Medical Center

Honolulu, Hawaii, United States

Site Status RECRUITING

University of Hawaii Cancer Center

Honolulu, Hawaii, United States

Site Status RECRUITING

The Queen's Medical Center - West Oahu

‘Ewa Beach, Hawaii, United States

Site Status RECRUITING

Illinois Cancer Care-Bloomington

Bloomington, Illinois, United States

Site Status RECRUITING

Illinois CancerCare-Galesburg

Galesburg, Illinois, United States

Site Status RECRUITING

Illinois CancerCare-Macomb

Macomb, Illinois, United States

Site Status RECRUITING

Illinois Cancer Care-Pekin

Pekin, Illinois, United States

Site Status RECRUITING

Illinois CancerCare-Peoria

Peoria, Illinois, United States

Site Status RECRUITING

Illinois Cancer Care - Washington

Washington, Illinois, United States

Site Status RECRUITING

MaineHealth Maine Medical Center - Portland

Portland, Maine, United States

Site Status RECRUITING

Maine Health Cancer Care and IV Therapy - South Portland

South Portland, Maine, United States

Site Status RECRUITING

Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital

Chelsea, Michigan, United States

Site Status RECRUITING

Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus

Ypsilanti, Michigan, United States

Site Status RECRUITING

Wake Forest NCORP Research Base

Winston-Salem, North Carolina, United States

Site Status RECRUITING

Prisma Health Cancer Institute - Faris

Greenville, South Carolina, United States

Site Status RECRUITING

Prisma Health Cancer Institute - Eastside

Greenville, South Carolina, United States

Site Status RECRUITING

Gibbs Cancer Center-Pelham

Greer, South Carolina, United States

Site Status RECRUITING

Spartanburg Medical Center

Spartanburg, South Carolina, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Karen Craver

Role: CONTACT

Phone: 336-716-0891

Email: [email protected]

Facility Contacts

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Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Role: primary

Glenn Lesser, MD

Role: primary

Karen Craver, MT

Role: backup

Role: primary

Role: primary

Role: primary

Role: primary

Other Identifiers

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NCI-2025-01059

Identifier Type: OTHER

Identifier Source: secondary_id

IRB00129381

Identifier Type: -

Identifier Source: org_study_id