Early Integrated Telehealth Versus In-Person Palliative Care for Patients With Lung Cancer



Status:Recruiting
Conditions:Lung Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:3/28/2019
Start Date:June 15, 2018
End Date:May 31, 2023
Contact:Jennifer Temel, MD
Email:jtemel@partners.org
Phone:617-724-4000

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Comparative Effectiveness of Early Integrated Telehealth Versus In-Person Palliative Care for Patients With Advanced Lung Cancer

This research study is evaluating ways to provide palliative care to patients who have
recently been diagnosed with lung cancer and their families.

Patients with serious cancers, like advanced lung cancer, often experience physical symptoms,
such as pain or shortness of breath. In addition, both patients and their loved ones (family
and friends) often feel worried or sad about the cancer diagnosis.

Research has shown that early involvement of a team of clinicians that specialize in
lessening (or "palliating") many of these distressing physical and emotional symptoms and in
helping patients and their families cope with a serious illness improves patients' and their
loved ones' experience with their cancer. This team is called "palliative care," and consists
of physicians and advanced practice nurses (or "nurse practitioners") who work closely and
collaboratively with the oncology team to care for the participant and the participant's
loved ones. Research shows that when the palliative care team works closely with the oncology
team to care for patients with advanced cancer, they have better symptom control, quality of
life, and mood, and their loved ones feel less distressed. the investigators call this model
of care, "early integrated palliative care."

While the investigators know that having palliative care clinicians work closely with the
oncology team is helpful for patients and their loved ones, many patients do not have access
to these specialists because hospitals and cancer clinics lack enough staff and because some
patients and family members live in distant regions that make attending clinic visits
difficult and expensive. One way to overcome these barriers is to have patients meet with
palliative care clinicians using secure video-conferencing technology.

The purpose of this study is to determine if meeting with a palliative care clinician through
video-conferencing is just as beneficial for patients and their families as meeting with a
palliative care clinician in person. Specifically, this study will compare these two
different strategies for meeting with the palliative care clinician. The first strategy is to
schedule the participant to meet with the palliative care clinician regularly each month in
person at the clinic. The investigators call this strategy "In-person palliative care."

The second strategy is to schedule the participant to meet with the palliative care clinician
regularly each month using secure video-conferencing, such as through a smart phone or tablet
computer. If the participant do not have this form of technology, the investigators will
provide it for the participant. The investigators call this strategy "telehealth palliative
care." The primary goals of this study are to learn if telehealth palliative care is just as
effective as in-person palliative care for improving quality of life, mood symptoms, and
satisfaction with care for patients with advanced lung cancer and their families.

Inclusion Criteria:

- Patient Eligibility Criteria

- Diagnosed with advanced non-small cell lung cancer being treated with
non-curative intent, and informed of advanced disease within the prior eight
weeks

- Eastern Cooperative Oncology Group (ECOG) Performance Status from 0
(asymptomatic) to 3 (symptomatic and in bed >50% of the day)

- The ability to read and respond to questions in English or Spanish

- Receiving primary cancer care at one of the participating sites

- Age > or = 18 years

- Lives in a state where their institutions' palliative care clinicians are
licensed to practice

- Caregiver Eligibility Criteria

- Relative or friend who is identified by the patient participant and lives with
the patient or has contact with them at least twice per week.

- The ability to read and respond to questions in English or Spanish

- Age > or = 18 years

Exclusion Criteria:

- Patient Exclusion Criteria

- Already receiving PC or hospice services

- Cognitive or psychiatric conditions as determined by the treating oncologist to
prohibit study consent or participation

- Caregiver Exclusion Criteria --Cognitive or psychiatric conditions as determined by
the treating oncologist to prohibit study consent or participation
We found this trial at
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Aurora, Colorado 80045
Principal Investigator: Stacy Fischer, MD
Phone: 303-724-6353
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201 Dowman Dr
Atlanta, Georgia 30303
(404) 727-6123
Principal Investigator: Kimberly Curseen, MD
Phone: 404-778-6448
Emory University Emory University, recognized internationally for its outstanding liberal artscolleges, graduate and professional schools,...
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1720 2nd Ave S
Birmingham, Alabama 35233
(205) 934-4011 
Principal Investigator: Marie Bakitas, DNSc
Phone: 205-934-5277
University of Alabama at Birmingham The University of Alabama at Birmingham (UAB) traces its roots...
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185 Cambridge Street
Boston, Massachusetts 02114
617-724-5200
Principal Investigator: Jennifer Temel, MD
Phone: 617-724-4000
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Chapel Hill, North Carolina 27599
(919) 962-2211
Principal Investigator: Laura Hanson, MD
Phone: 919-445-2430
University of North Carolina at Chapel Hill Carolina’s vibrant people and programs attest to the...
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9500 Euclid Avenue
Cleveland, Ohio 44106
216.444.2200
Principal Investigator: Laura Shoemaker, DO
Cleveland Clinic Cleveland Clinic is committed to principles as presented in the United Nations Global...
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500 S State St
Ann Arbor, Michigan 48109
(734) 764-1817
Principal Investigator: Maria Silveira, MD
Phone: 734-936-6183
University of Michigan The University of Michigan was founded in 1817 as one of the...
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Austin, Texas 78712
Principal Investigator: Barbara Jones, PhD, MSW
Phone: 512-475-9367
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Baltimore, Maryland 21231
Principal Investigator: Josephine Feliciano, MD
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450 Brookline Ave
Boston, Massachusetts 2215
617-632-3000
Principal Investigator: James Tulsky, MD
Phone: 617-582-9201
Dana-Farber Cancer Institute Since it’s founding in 1947, Dana-Farber has been committed to providing adults...
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Charlottesville, Virginia 22903
(434) 924-0311
Principal Investigator: Leslie J. Blackhall, MD
Phone: 434-243-5730
University of Virginia The University of Virginia is distinctive among institutions of higher education. Founded...
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1653 W. Congress Parkway
Chicago, Illinois 60612
(312) 942-5000
Principal Investigator: Sean O'Mahony, MD
Phone: 312-942-5355
Rush University Medical Center Rush University Medical Center encompasses a 664-bed hospital serving adults and...
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2201 Inwood Rd
Dallas, Texas 75235
(214) 645-8300
Principal Investigator: Ramona Rhodes, MD
Phone: 214-645-8300
U.T. Southwestern Medical Center The story of UT Southwestern Medical Center is one of commitment...
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Los Angeles, California 91010
Principal Investigator: Finly Zachariah, MD
Phone: 626-261-2634
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Madison, Wisconsin 53792
(608) 263-2400
Principal Investigator: Toby Campbell, MD
Phone: 608-265-1700
University of Wisconsin In achievement and prestige, the University of Wisconsin–Madison has long been recognized...
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2201 West End Ave
Nashville, Tennessee 37232
(615) 322-7311
Principal Investigator: Sara Martin, MD
Phone: 615-322-4298
Vanderbilt University Vanderbilt offers undergraduate programs in the liberal arts and sciences, engineering, music, education...
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200 First Street SW
Rochester, Minnesota 55905
507-284-2511
Principal Investigator: Konstantinos Leventakos, MD
Phone: 507-293-0462
Mayo Clinic Rochester Mayo Clinic is a nonprofit worldwide leader in medical care, research and...
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San Francisco, California 94143
Principal Investigator: Rebecca Sudore, MD
Phone: 415-221-4810
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Westwood, Kansas 66205
Principal Investigator: Lori Spoozak, MD
Phone: 913-588-6029
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Winston-Salem, North Carolina 27157
Principal Investigator: Carl Grey, MD
Phone: 336-713-9022
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