Patient Navigation for Improving Transition Success Among Multiply Disadvantaged Young Adult Survivors of Childhood Cancer
Part of paid clinical trials in Los Angeles, California.
- Sponsor
- Children's Hospital Los Angeles
- Study ID
- NCT07630831
- Status
- Not Yet Recruiting
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Conditions
- Cancer Childhood
Eligibility Criteria
- Sex
- ALL
- Age
- 20 Years - 29 Years
- Healthy Volunteers
- Not accepted
Interventions
- Navigation — BEHAVIORALFollow Up
- Control — BEHAVIORALStandard of Care
Study Details
The goal of this clinical trial is to improve the successful healthcare transition from pediatric to adult-focused care for childhood cancer survivors. The main questions it aims to answer are * Receipt of the intervention (vs. standard of care control) will increase the proportion of CCS achieving transition success to adult-focused survivorship care from 50% to 70%. * Receipt of the intervention (vs. standard of care control) will significantly reduce patients' unmet HRSN. * Intervention effectiveness will be moderated by sociodemographic factors (gender, race/ethnicity, insurance status), medical risk for late effects, HRSN burden, and patient-reported outcomes (quality of life, self-efficacy). Researchers will compare those that receive intervention versus standard of care. Patients are randomized to either an intervention group, receiving structured PN-led sessions and tailored support for care transitions, or a control group receiving standard follow-up by a nurse case manager. High-HRSN patients in the intervention arm get monthly check-ins and coordinated handoffs to adult care providers for continuity.
Key Dates
- Start date
- Jul 1, 2026
- Status verified
- Jun 2026
- Primary completion
- Oct 1, 2029
- Completion
- Sep 1, 2030
Study Design
- Enrollment
- 190 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- PARALLEL
- Primary purpose
- TREATMENT
Arms
- Active Comparator: ControlRecontacting patients by a nurse case manager after transition launch to determine transition success.
- Experimental: NavigationPatients in the intervention have phone or video session with patient navigator at enrollment, 6, 12 and 18 months, or more frequently as dictated by high-risk social needs.
Primary Outcome Measure
Proportion of participants with Transition to Adult-Focused Survivorship Care [ Time Frame: Within 18 months following transition "launch" (study enrollment/baseline) ]
Central Contacts
- David Freyer, DO, MS(323) 361-6695
Locations (1)
| Facility | City | State | ZIP |
|---|---|---|---|
| Children's Hospital Los Angeles | Los Angeles | California | 90027 |