RECRUITING

Project Talk Trial: Engaging Underserved Communities in End-of-life Conversations

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Compared to the general population, individuals from underserved communities are more likely to receive low quality end-of-life care and unwanted, costly and burdensome treatments due in part to a lack of advance care planning (ACP; the process of discussing wishes for end-of-life care with loved ones/clinicians and documenting them in advance directives). This study will use existing, trusted, and respected social networks to evaluate two conversation-based tools intended to engage underserved individuals in discussions about end-of-life issue and motivate them to carry out ACP behaviors. Through this study, investigators will learn how best to engage underserved populations in ACP so as to: 1) increase the likelihood that patients from underserved communities will receive high-quality end-of-life care; 2) address health disparities related to end-of-life treatments; and 3) reduce unnecessary suffering for patients and their families.

Official Title

Project Talk Trial: Engaging Underserved Communities in End-of-life Conversations: a Cluster, Randomized Controlled Trial

Quick Facts

Study Start:2022-03-19
Study Completion:2026-01-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT04612738

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:Yes
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. Age 18 years or older
  2. Willing and able to provide informed consent
  3. Able to understand and follow study procedures
  4. Stable medical condition
  1. Pregnancy or breastfeeding
  2. Severe psychiatric disorders
  3. Active substance abuse
  4. Unstable medical conditions
  5. Inability to comply with study requirements

Contacts and Locations

Study Contact

Heather J Costigan
CONTACT
717-531-6499
hcostigan@pennstatehealth.psu.edu
Lauren J. Van Scoy, MD
CONTACT
717-531-6704
lvanscoy@pennstatehealth.psu.edu

Principal Investigator

Lauren J. Van Scoy, MD
PRINCIPAL_INVESTIGATOR
Penn State Milton S. Hershey Medical Center; Penn State University College of Medicine

Study Locations (Sites)

Pincham-Lincoln Community Center
Athens, Alabama, 35611
United States
El Rio Neighborhood Center
Tucson, Arizona, 85745
United States
Promotores y Promotoras
Santa Paula, California, 93060
United States
Our Lady of Solitude
Soledad, California, 93960
United States
Vitas
Walnut Creek, California, 94590
United States
University of Colorado Hospital
Aurora, Colorado, 80045
United States
HopeWest Montrose
Montrose, Colorado, 81401
United States
MedStar Washington Hospital Center
Washington, District of Columbia, 20020
United States
High Point Neighborhood Family Center
Clearwater, Florida, 33760
United States
St. Phillip AME Church
Tallahassee, Florida, 32308
United States
47Million Reasons Healthcare Movement
West Palm Beach, Florida, 33406
United States
Phoebe Putney Memorial Hospital
Albany, Georgia, 61763
United States
University of Chicago Medical Ctr
Chicago, Illinois, 60616
United States
Lightways Hospice & Serious Illness Care
Joliet, Illinois, 60435
United States
Trinity Lutheran Church
Cherokee, Iowa, 51012
United States
Hospice & Home Care of Reno
Hutchinson, Kansas, 67501
United States
Center for Practical Bioethics
Lawrence, Kansas, 66101
United States
Ohio County Senior Centers
Hartford, Kentucky, 42347
United States
Bluegrass Care Navigators
Lexington, Kentucky, 40504
United States
Union County Senior Services
Morganfield, Kentucky, 42437
United States
Hospice of Lake Cumberland
Somerset, Kentucky, 42503
United States
Acadian Advocacy Network
Lafayette, Louisiana, 70506
United States
St. Mary's Health System
Lewiston, Maine, 04240
United States
Holy Cross Health
Silver Spring, Maryland, 20910
United States
Christ Temple Church
Muskegon Heights, Michigan, 49444
United States
Northeast Mississippi Coalition Against COVID-19
Belden, Mississippi, 38868
United States
Elder Law Project of North Mississippi Rural Legal Services
Oxford, Mississippi, 38655
United States
Patch Center
Saint Louis, Missouri, 63111
United States
Washoe Tribe Health Center
Gardnerville, Nevada, 89410
United States
Corsi Senior Center
New York, New York, 10029
United States
Hospice of St. Lawrence Valley
Potsdam, New York, 13676
United States
University of Rochester Medical Center
Rochester, New York, 14622
United States
Greater Vision United Methodist Church
Huntersville, North Carolina, 28078
United States
Plaza on Princess
Wilmington, North Carolina, 28401
United States
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, 27045
United States
Cleveland Clinic
Akron, Ohio, 44307
United States
Hospice of the Western Reserve
Cleveland, Ohio, 44110
United States
Hope Behavioral Health
Cleveland, Ohio, 44120
United States
Hospice Care of Middletown
Middletown, Ohio, 45044
United States
Hospital Council of Northwest Ohio
Toledo, Ohio, 43607
United States
Harney County Home Health & Hospice
Burns, Oregon, 97720
United States
Latino Hispanic American Community Center
Harrisburg, Pennsylvania, 17104
United States
People's Community Baptist Church
Harrisburg, Pennsylvania, 17104
United States
Hospice and Community Care
Lancaster, Pennsylvania, 17602
United States
Hospice and Community Care
Lancaster, Pennsylvania, 17603
United States
St. Mark Missionary Baptist Church
Bennettsville, South Carolina, 29512
United States
Welcome Home of Chattanooga
Chattanooga, Tennessee, 37406
United States
Turner Alumni Association
Carthage, Texas, 75633
United States
Como Community Center
Fort Worth, Texas, 76107
United States
Choice Hospice
Sulphur Springs, Texas, 75482
United States
Sunshine Terrace Foundation
Logan, Utah, 84321
United States
Ocean Beach Hospital
Ilwaco, Washington, 98640
United States

Collaborators and Investigators

Sponsor: Milton S. Hershey Medical Center

  • Lauren J. Van Scoy, MD, PRINCIPAL_INVESTIGATOR, Penn State Milton S. Hershey Medical Center; Penn State University College of Medicine

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2022-03-19
Study Completion Date2026-01-31

Study Record Updates

Study Start Date2022-03-19
Study Completion Date2026-01-31

Terms related to this study

Keywords Provided by Researchers

  • serious games

Additional Relevant MeSH Terms

  • Advance Care Planning
  • Advance Directives
  • Terminal Illness
  • Chronic Illness
  • Communication