Clinical trial · Interventional
Health Care Coach Support in Reducing Acute Care Use and Cost in Patients With Cancer
St. Judes-Stanford Comprehensive Support Initiative
NCT03154190CI-TRIAL-00085053completedN/AResults postedClinicalTrials.gov clinicaltrialsProvenance
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This randomized pilot clinical trial studies health care coach support in reducing acute care use and cost in patients with cancer. Health care coach support may help cancer patients to make decisions about their care that matches what is important to them with symptom management.
Conditions
Conditions (67)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Acute Myeloid Leukemia | Acute Myeloid Leukemia | CURATED_BROADER | 0.80 |
| Brain Glioblastoma | Brain Glioblastoma | ONTOLOGY_EXACT | 0.90 |
| Estrogen Receptor Negative | — | UNRESOLVED | — |
| Extensive Stage Small Cell Lung Carcinoma | Lung Small Cell Carcinoma | CURATED_BROADER | 0.78 |
| Head and Neck Carcinoma | Head and Neck Carcinoma | ONTOLOGY_EXACT | 0.98 |
| HER2/Neu Negative | — | UNRESOLVED | — |
| Hormone-Resistant Prostate Cancer | — | UNRESOLVED | — |
| Limited Stage Small Cell Lung Carcinoma | Lung Small Cell Carcinoma | CURATED_BROADER | 0.78 |
| Myelodysplastic Syndrome | Myelodysplastic Syndrome | CURATED_BROADER |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Best Practice | Other | — | UNRESOLVED |
| Laboratory Biomarker Analysis | Other | — | UNRESOLVED |
| Supportive Care | Procedure | — | UNRESOLVED |
| Survey Administration | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- ACTIVE_COMPARATOR
- label
- Arm A (usual care)
- description
- Patients receive usual care.
- interventionNames
- Other: Best Practice
- Other: Laboratory Biomarker Analysis
- Other: Survey Administration
- type
- EXPERIMENTAL
- label
- Arm B (health care coach support)
- description
- Patients undergo health care coach support with a baseline introduction (either telephonic or in-person) of the program followed by a visit (telephonic or in-person) with the health care coach after the first oncology appointment to discuss goals of care. The health care coach will contact patient based on patients' ongoing needs (weekly to monthly) and will conduct symptom assessments based on patients' treatment plans and symptoms.
- interventionNames
- Other: Laboratory Biomarker Analysis
- Procedure: Supportive Care
- Other: Survey Administration
Primary outcomes (2)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Newly diagnosed patients for the following conditions * Colon cancer stage III and IV * Rectal cancer stage II, III, IV * Glioblastoma multiforme (brain) -- no stage * Non-small cell lung cancer stage IIIA, IIIB, IV * Small cell lung cancer, limited stage and extensive stage * Castration-resistant prostate cancer * Head and neck cancer stage III and IV * Gastric cancer stage III and IV * Esophageal cancer stage III and IV * Pancreatic cancer stage II, III, IV * Renal cell carcinoma, stage IV * Breast cancer, stage IV, if triple negative ER/PR/H2N negative or on systemic chemotherapy * Sarcoma, stage IV * Bladder carcinoma, stage IV * Acute myeloid leukemia * Melanoma, stage III and IV * Ovarian cancer, stage III and IV * High grade myelodysplastic syndrome (MDS) * Any patient with recurrent or progressive cancer * Patients must have the ability to understand and willingness to sign a written informed consent document * Patient must have ongoing oncologic needs and plan to receive all care at the study institution and not already be in hospice or home-care Exclusion Criteria: * Patients must have capacity to consent * Pregnant patients are excluded
References
Publications (2)
- DERIVEDPatel MI, Kapphahn K, Dewland M, Aguilar V, Sanchez B, Sisay E, Murillo A, Smith K, Park DJ. Effect of a Community Health Worker Intervention on Acute Care Use, Advance Care Planning, and Patient-Reported Outcomes Among Adults With Advanced Stages of Cancer: A Randomized Clinical Trial. JAMA Oncol. 2022 Aug 1;8(8):1139-1148. doi: 10.1001/jamaoncol.2022.1997. PMID 35771552
- DERIVEDPatel MI, Aguilar V, Sanchez B, Sisay E, Park DJ. Health care coach support to assist with advance care planning and symptom management -A randomized controlled trial. Contemp Clin Trials. 2021 Dec;111:106617. doi: 10.1016/j.cct.2021.106617. Epub 2021 Nov 5. PMID 34749008