Advocacy, Partnership, Outreach, and Yielding Optimized Care for Oncology Patients
Purpose
This study is a pilot feasibility randomized trial involving newly diagnosed colorectal cancer (CRC) patients who identify as Latinx. The study aims to leverage existing academic-community partnerships in Santa Clara County to develop and evaluate a multi-level community health worker/promotora (CHW/P) navigator intervention. If found effective, APOYO has the potential to affect clinical outcomes for Latinx colorectal cancer patients both directly and indirectly, including improving health-related quality of life, health care utilization, and reducing social needs.
Condition
- Colorectal Cancer
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- New diagnosis of colon or rectal cancer in the last 30 days 2. Identify as Latinx/Hispanic/Latino 3. Aged 18 years or older 4. Reside in and planning to receive care in Santa Clara County 5. Ability to understand and the willingness to provide written informed consent
Exclusion Criteria
- Unable to speak and understand either Spanish or English 2. Any concurrent malignancy other than nonmelanoma skin cancer or carcinoma in situ of the cervix. Patients with any previous malignancy without evidence of disease for >3 years will be allowed to enter the study
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Single Group Assignment
- Primary Purpose
- Supportive Care
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Community Health Worker (CHW)/Patient Navigator (Intervention Group) |
Participants randomized to the intervention group will be assigned a CHW/P who will provide support for up to 6 months after randomization. CHW/Ps will attend the initial oncology visit when possible, review and explain the treatment plan, assist with scheduling and logistics (e.g., transportation, language services), complete a social needs assessment, connect patients to social support services, and offer peer support connections. CHW/Ps will maintain regular contact with patients, at least every other week for the first 3 months, and be available by phone as needed for an additional 3 months. They will also alert the clinical team if the patient expresses unresolved concerns or questions. |
|
|
Active Comparator Usual Care plus Social Services Resource List (Control Group) |
Participants in the control group will receive a printed or digital list of local social service resources, including websites and phone numbers, but will not receive CHW/P support or navigation services. |
|
Recruiting Locations
Stanford University
Palo Alto, California 94304
Palo Alto, California 94304
More Details
- Status
- Recruiting
- Sponsor
- Stanford University