Clinical trial · Interventional
Coaching in Palliative Surgical Oncology
Serious Illness Coaching for Patients With Advanced Cancer Undergoing Palliative Interventions
- 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 study aims to evaluate the effectiveness of a serious illness coaching intervention (CONCORD) in improving quality of serious illness conversation (SIC), treatment decision-making, goal-concordant care delivery and quality of life in patients with advanced cancer considered for palliative interventions. CONCORD will be delivered by lay healthcare providers. We compare outcomes between participants receiving CONCORD vs usual care.
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Advanced Cancer | Malignant Neoplasm | CURATED_BROADER | 0.78 |
| Palliative Care | — | UNRESOLVED | — |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| CONCORD coaching intervention | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- NO_INTERVENTION
- label
- Usual Care
- description
- Participants receive care under the primary palliative care surgeons, supported by specialist palliative care teams when needed. Serious illness conversations (SICs - disease understanding/prognosis, fear/worry, goals of care, treatment expectations, informational preferences, trade-offs, caregiver involvement) are conducted as per discretion of the surgical team and part of peri-intervention communication upon referral for consideration of palliative surgery or other interventions. No structured coaching is delivered.
- type
- EXPERIMENTAL
- label
- CONCORD Coaching Intervention
- description
- Participants are actively engaged by a trained lay care coach, where serious illness conversations and their various element will be explored (disease understanding/prognosis, fear/worry, goals of care, treatment expectations, informational preferences, trade-offs, caregiver involvement). Following surgical-team led peri-interventional communication, participants receive dedicated coaching at baseline 1 (pre-coaching), baseline 2 (post-coaching) and 1, 3, 6-months after enrolment.
- interventionNames
- Other: CONCORD coaching intervention
Primary outcomes (1)
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 21 Years
- Maximum age
- 99 Years
Show eligibility criteria text
Inclusion Criteria: (i) Patient: 1. Aged 21 or above; 2. Diagnosis of advanced cancer, i.e. stage 3 or 4 solid organ 3. Consulted for palliative surgery or other interventions, i.e. procedures aimed at relieving symptoms and improving quality of life 4. Able to speak English or Mandarin; (ii) Caregiver 1. Aged 21 or above; 2. Self-endorsed or identified by the enrolled patient as an unpaid spouse/partner, relative or friend who knows them well and who provides regular care, who does not have to live in the same dwelling 3. Able to speak English or Mandarin. Exclusion Criteria: (i). Patient 1. Patient refusal, 2. Active mental illness or severe dementia, or being certified unfit to make medical decision by a specialist physician, 3. Pregnant Women (ii). Caregiver 1. Self-reported severe mental illness, dementia, active suicidal ideation, uncorrected hearing loss; 2. Unable to complete caregiver-reported outcomes.
References
Publications (0)
Data not yet available