ACTIVE_NOT_RECRUITING

A Multilevel Intervention to Improve Adherence to Childhood Cancer Survivorship

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

More than 80% of childhood cancer survivors develop serious or life-threatening late effects after cancer therapy, but \<20% receive recommended survivorship care offered at cancer center survivorship clinics. In a shared care model, the investigators propose to investigate an innovative multi-level intervention consisting of: 1) patient survivorship education via telehealth with the cancer center, 2) ongoing patient-tailored education program within the electronic health record patient portal, 3) a structured interactive phone communication between the cancer center and the primary care clinic, and 4) an in-person visit with the primary care clinic for survivorship care with the goal of achieving high rates of adherence to recommended surveillance for late effects, as well as improving patient and physician knowledge and self-efficacy. If this scalable intervention demonstrates patient completion of recommended care comparable to cancer center survivorship clinics, this innovative study has the enormous potential to deliver recommended care to a larger proportion of childhood cancer survivors and reduce survivorship care disparities, while engaging p to integrate survivorship care as part of overall, lifelong health maintenance.

Official Title

BRidging Information Divides and Gaps to Ensure Survivorship: the BRIDGES Randomized Controlled Trial of a Multilevel Intervention to Improve Adherence to Childhood Cancer Survivorship

Quick Facts

Study Start:2023-01-01
Study Completion:2026-08-31
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT05448560

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:2 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:CHILD, ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. 1. Diagnosed with any cancer at age \<21 years
  2. 2. Treated with chemotherapy and/or radiation
  3. 3. 2.0-4.0 years status post-completion of all cancer-related therapy
  4. 4. Cancer-free with a life expectancy of ≥2 years
  5. 5. English- or Spanish-speaking (also applies to parent/guardian if patient age \<18 years)
  6. 6. No previous attendance at a specialty survivorship clinic
  7. 7. Followed at one of the 4 participating sites: Hackensack, University of North Carolina- Chapel Hill (UNC), University of Colorado Denver (CU), Miller's Children's and Women's Hospital Long Beach (MCWH)
  1. * Active medical problems severe enough to not be eligible for receiving survivorship care with primary care provider at the time of recruitment

Contacts and Locations

Principal Investigator

Nina Kadan-Lottick, MD, MSPH
PRINCIPAL_INVESTIGATOR
Georgetown Lombardi Comprehensive Cancer Center

Study Locations (Sites)

MemorialCare Miller Children's & Women's Hospital Long Beach
Long Beach, California, 90806
United States
Children's Hospital Colorado
Denver, Colorado, 80045
United States
Hackensack University Medical Center
Hackensack, New Jersey, 07601
United States
University of North Carolina Children's Hospital
Chapel Hill, North Carolina, 27514
United States

Collaborators and Investigators

Sponsor: Georgetown University

  • Nina Kadan-Lottick, MD, MSPH, PRINCIPAL_INVESTIGATOR, Georgetown Lombardi Comprehensive Cancer Center

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 Date2023-01-01
Study Completion Date2026-08-31

Study Record Updates

Study Start Date2023-01-01
Study Completion Date2026-08-31

Terms related to this study

Keywords Provided by Researchers

  • childhood cancer survivors
  • survivorship care
  • randomized controlled trial

Additional Relevant MeSH Terms

  • Childhood Cancer
  • Survivorship
  • Health Care Utilization
  • Health Knowledge, Attitudes, Practice
  • Adherence, Patient