Clinical trial · Interventional
Health Equity: Advance Care Planning for Spanish Speaking Teens With Cancer-1st Resubmission
- 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)
Pediatric ACP (Advance Care Planning) (pACP) (1) Supports communication with children/adolescents at any stage of a serious illness in understanding their illness, complications, fears, and hopes, as well as treatment preferences regarding future medical care with their family; (2) Communicates these goals of care and treatment preferences with their physician; and (3) Documents these goals of care and end-of-life treatment preferences. Among adolescents, cancer is the leading cause of disease-related deaths. Survival has improved far less for 15 to 24 year-olds than it has for older patients. About one-fourth will die prematurely. No pediatric Advance Care Planning (pACP) model exists to serve Spanish speaking adolescents with cancer. Objective: To take first steps to implement pACP as a routine, structured intervention in pediatric hospitals with underserved Spanish speaking adolescents living with cancer through timely conversations with their families to relieve suffering (physical, psychological, spiritual) and maximize the quality of life
Conditions
Conditions (1)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Cancer | Malignant Neoplasm | ALIAS | 0.90 |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| FACE-TC SP | Behavioral | — | UNRESOLVED |
| Treatment as Usual | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- FACE-TC SP
- description
- The current FACE-TC protocol consists of three weekly 60 to 90-minute sessions in a dyadic format facilitated by a trained/certified interviewer. If our community partners recommend otherwise, this structure could change. Each session is followed by a 10-minute assessment, using process measures to assess participants' ratings of the quality of communication and satisfaction.
- interventionNames
- Behavioral: FACE-TC SP
- type
- ACTIVE_COMPARATOR
- label
- Treatment As Usual
- description
- Treatment as Usual comparison condition will also be assessed and measures administered at the same time intervals.
- interventionNames
- Behavioral: Treatment as Usual
Primary outcomes (4)
- measure
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 14 Years
- Maximum age
- 99 Years
Show eligibility criteria text
Adolescent Inclusion Criteria: * ≥14.0 years and \<21.0 years at the time of enrollment * primary language is Spanish Surrogate Inclusion Criteria: * \>17 years Exclusion Criteria for adolescents and surrogate decision makers/legal guardians: * currently experiencing symptoms of depression in the severe range, homicidality, suicidality or psychosis at secondary screening * known to be developmentally delayed
References
Publications (1)
- RESULTLyon ME, Arem H, Jacobs S. Health disparities: Barriers to building effective palliative end-of-life care for Spanish speaking teens with cancer. Clinical Practice in Pediatric Psychology. CPP-2020-0439R1. In press.