Transportation for Cancer Care Navigation Tool for Reducing Travel Barriers Among Patients With Solid Tumors Receiving Radiation Therapy
Purpose
This clinical trial evaluates whether the Transportation for Cancer Care Navigation Tool (TRACT) can reduce travel barriers among patients with solid tumors receiving radiation therapy. It is estimated that 20-30% patients with cancer experience travel-related barriers for cancer care. This is a particular problem for patients with radiation therapy as these patients frequently receive multiple treatment cycles, which often require daily treatment for multiple weeks or months. Addressing travel barriers has been a prerequisite for cancer care as travel barriers negatively influence cancer treatment adherence and cancer care outcomes, such as survival and quality of life. The TRACT program may help reduce travel barriers and therefore promote health equity among patients with solid tumors receiving radiation therapy.
Condition
- Malignant Solid Neoplasm
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age ≥ 18 years - Diagnosed with solid tumors - Undergoing RT (not excluded with chemotherapy) - Competent to give consent - English-speaking - With travel barriers as screened by the reliable and validated 10-item Transportation Barriers Measure. In this study, item 2 ("how much trouble is it for you to get transportation to your doctor or treatment?") from the general barriers domain will be used to screen patients for travel barriers
Exclusion Criteria
- Receive palliative care - Are non-English-speaking (excluded due to pilot data without fund to support translation services) - Are enrolled in lodging programs (e.g., the American Cancer Society [ACS] Hope Lodge®) - Have major depression/anxiety disorders that interfere with their ability to participate (based on the electronic medical records report)
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel Assignment
- Primary Purpose
- Supportive Care
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Stage I (CAB) |
Participants meet with the study research team to develop and refine the TRACT program. |
|
|
Experimental Stage II Group I (TRACT program) |
Patients receive the TRACT program consisting: of 1) Screening of travel barriers; 2) Awareness of transportation obstacles and resources using videos, 3) Assistance with transportation resource application and utilization, and 4) Alignment of community resources to navigate individualized transportation support by the trained travel navigator for 3 months. |
|
|
Active Comparator Stage II Group II (usual care, video, pamphlet) |
Patients receive usual care with PAF pamphlet for 3 months. |
|
Recruiting Locations
Atlanta, Georgia 30308
Atlanta, Georgia 30322
Atlanta, Georgia 30342
More Details
- NCT ID
- NCT06541158
- Status
- Recruiting
- Sponsor
- Emory University
Detailed Description
PRIMARY OBJECTIVES: I. To work collaboratively with a Community Advisory Board (CAB, e.g., patients, caregivers, clinicians, and social workers) to refine a theory-driven TRACT program for solid tumor patients receiving radiation therapy (RT) with travel barriers. II. To evaluate the feasibility of the TRACT program for patients with solid tumors receiving RT with travel barriers. III. To explore the efficacy of the TRACT program on RT adherence (canceling, delaying, missing, or terminating essential care) and patient-reported outcomes (PROs) (distress, financial toxicity, and quality of life [QOL]) compared to enhanced usual care (EUC, usual care + transportation awareness brief video with Patient Advocate Foundation [PAF] pamphlet). OUTLINE: STAGE I (CAB): Participants meet with the study research team to develop and refine the TRACT program. STAGE II: Patients are randomized to 2 groups. GROUP I: Patients receive the TRACT program consisting: of 1) Screening of travel barriers; 2) Awareness of transportation obstacles and resources using videos, 3) Assistance with transportation resource application and utilization, and 4) Alignment of community resources to navigate individualized transportation support by the trained travel navigator for 3 months. GROUP II: Patients receive usual care with PAF pamphlet for 3 months. After completion of study intervention, patients are followed up at 3 months.