A Collaborative Intervention for Improving Cancer Pain Management in Rural and Hispanic Cancer Survivors (ASCENT)

Description

This clinical trial tests a collaborative pain management intervention (ASCENT) for improving cancer pain in rural and Hispanic cancer survivors. Cancer pain is prevalent, under-treated, and remains a major cause of suffering, impairment, and disability for millions of Americans. Individual pain interventions and care models show promise for cancer pain in controlled settings. Hispanic and rural-dwelling cancer survivors stand to benefit the most from electronic health record innovations, as each of these health disparities populations experience profound disparities in pain outcomes, including marked under- and over-prescribing of opioids. Digitally facilitated solutions are especially well matched for these patients, and can be customized to address their needs. The ASCENT intervention provides patients with an educational guide that describes techniques for addressing cancer pain, and uses community health workers and pain care managers to coach patients through a personalized pain management plan. This study may help researchers learn how pain management strategies can improve cancer pain and lower risk of opioid exposure and dependency in rural and Hispanic cancer survivors.

Conditions

Hematopoietic and Lymphoid System Neoplasm, Malignant Solid Neoplasm, Hematopoietic and Lymphatic System Neoplasm

Study Overview

Study Details

Study overview

This clinical trial tests a collaborative pain management intervention (ASCENT) for improving cancer pain in rural and Hispanic cancer survivors. Cancer pain is prevalent, under-treated, and remains a major cause of suffering, impairment, and disability for millions of Americans. Individual pain interventions and care models show promise for cancer pain in controlled settings. Hispanic and rural-dwelling cancer survivors stand to benefit the most from electronic health record innovations, as each of these health disparities populations experience profound disparities in pain outcomes, including marked under- and over-prescribing of opioids. Digitally facilitated solutions are especially well matched for these patients, and can be customized to address their needs. The ASCENT intervention provides patients with an educational guide that describes techniques for addressing cancer pain, and uses community health workers and pain care managers to coach patients through a personalized pain management plan. This study may help researchers learn how pain management strategies can improve cancer pain and lower risk of opioid exposure and dependency in rural and Hispanic cancer survivors.

Achieving Equity Through Socioculturally-Informed, Digitally-Enabled Cancer Pain Management (ASCENT) - Main Trial

A Collaborative Intervention for Improving Cancer Pain Management in Rural and Hispanic Cancer Survivors (ASCENT)

Condition
Hematopoietic and Lymphoid System Neoplasm
Intervention / Treatment

-

Contacts and Locations

Scottsdale

Mayo Clinic in Arizona, Scottsdale, Arizona, United States, 85259

Jacksonville

Mayo Clinic in Florida, Jacksonville, Florida, United States, 32224-9980

Rochester

Mayo Clinic in Rochester, Rochester, Minnesota, United States, 55905

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.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • * A qualifying liquid or solid cancer diagnosis with visits at a participating Mayo site in the past 15 years
  • * Including malignant hematology
  • * Lymphoma
  • * Myeloma
  • * Chronic leukemias
  • * Age \>= 18
  • * Numeric Rating Scale (NRS) pain score of \>= 5/10
  • * Pain that developed or worsened following cancer diagnosis
  • * Fit the description of either rural or Hispanic or both
  • * Patient Health Questionnaire - 8 (PHQ8) score of \>= 13
  • * Hospice enrollment
  • * Skilled nursing facility, inpatient rehabilitation facility, or long-term care placement
  • * Encounters with Palliative Care or the Pain Clinic in the past two months or upcoming two months
  • * Any mention of hospice referral in medical oncology encounter notes (assess through textual search of the Mayo Data Explorer)
  • * Affirmative response to, "Are you usually confined to a bed or chair more than a third of your waking hours because of your health?"
  • * Primary brain tumors
  • * Acute leukemias
  • * Currently homeless
  • * Do not feel safe in their home
  • * New or worsening chest pain, chest tightness, or chest pressure
  • * Back pain that is associated with a new or worsening weakness, control of bowels/bladder, or difficulty walking
  • * Lightheadedness, inability to keep down food or fluids, or vomiting blood or dark coffee-grounds-like material
  • * New or worsening headaches that are associated with vision changes, nausea, balance issues, or problems with speech

Ages Eligible for Study

18 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

Mayo Clinic,

Andrea L. Cheville, M.D., PRINCIPAL_INVESTIGATOR, Mayo Clinic in Rochester

Study Record Dates

2027-08-31