Testing an Educational Program to Improve Goals of Care Conversations Between Patients and Their Care Teams

Part of paid clinical trials in Little Rock, Arkansas.

Sponsor
SWOG Cancer Research Network
Study ID
NCT07278739
Status
Recruiting
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Conditions

  • Malignant Solid Neoplasm

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Best Practice — OTHER
    Receive usual care
  • Educational Intervention — OTHER
    Receive A-PACT education
  • Electronic Health Record Review — OTHER
    Ancillary studies
  • Interview — OTHER
    Ancillary studies
  • Questionnaire Administration — OTHER
    Ancillary studies
  • Telephone-Based Intervention — BEHAVIORAL
    Receive A-PACT phone calls

Study Details

This clinical trial evaluates an educational program called Algorithm-Enabled Patients Activated in Cancer Care Through Teams (A-PACT) for reducing unplanned hospital visits and improving goals of care conversations with providers among patients with solid cancers. A-PACT is an educational program where lay health workers (educators) help patients talk with their health care team about issues that matter most to them (goals of care). During A-PACT sessions, patients receive assistance in formulating health care and end of life care preferences, assistance in completing advance directives, guidance on how to engage in these conversations with family members, friends, and clinical teams, and encouragement to discuss these topics with their clinical team. A-PACT may reduce unplanned hospital visits and improve goals of care communication with providers among patients with solid cancers.

Key Dates

First listed
Dec 12, 2025
Start date
Sep 3, 2026
Status verified
Aug 2026
Primary completion
Jan 1, 2032
Completion
Jul 21, 2032

Study Design

Enrollment
1,020 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Group 1 (Usual care + A-PACT)
    Patients attend an initial A-PACT education session over 30-45 minutes by phone and receive follow-up A-PACT phone calls over 15 minutes each twice monthly, or less frequently per patient preference, for up to 6 months, in addition to usual care.
  • Active Comparator: Group 2 (Usual care)
    Patients receive usual care for 6 months.

Primary Outcome Measure

Proportion of patients with any hospitalization [ Time Frame: Within 12 months of enrollment ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
CARTI Cancer CenterLittle RockArkansas72205
Site Public Contact
[email protected]
501-906-4199
Jay W. Carlson (PRINCIPAL_INVESTIGATOR)

Find similar trials in Little Rock, AR

By research site
CARTI Cancer Center· Little Rock, AR

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