RecruitingInterventional

Patient-Centered Video Education Intervention to Improve Rural Cancer Care Delivery in Vermont: A Feasibility Study

NCT ID: NCT05723250Sponsor: University of Vermont Medical CenterLast updated: 2026-05-04

Summary

Care Coordination is an essential component of cancer care delivery. Many patients experience poor care coordination. In this study, we hypothesize that provision of a video educational intervention to teach patients about cancer, care coordination and self-advocacy will improve patients' perception of care coordination. Cancer patients with early stage disease scheduled to receive adjuvant therapy, and who reside in a rural area, will be enrolled onto the study. Patients will be randomized to receive a table-based educational intervention tool initially (arm1) or after 4 months of therapy (arm2). Assessment of cancer knowledge, self-advocacy and care coordination will be obtained at baseline and after 4-6 months.

Arms & interventions

OtherTable-based Educational Intervention
Tablet based educational tool with videos about care coordination, cancer knowledge and self-advocacy.

Outcome measures

Primary

Care Coordination Instrument Score
Participants complete the Care Coordination Instrument (CCI), a 29-item questionnaire. Each item is rated on a Likert scale (Strongly Agree = 3 to Strongly Disagree = 0). A total score is generated by summing the item scores; possible total scores range from 0-87. Higher scores represent a greater perception of care coordination.
Time frame: Baseline and 4 months

Secondary

Cancer Knowledge
Time frame: Baseline and 4 months
Satisfaction with Educational Videos
Time frame: 4 months
Self-Advocacy Score
Time frame: Baseline and 4 months

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No

Inclusion Criteria: * 18+ years of age * Breast, lung, or colon cancer diagnosis * Stage I, II or III cancer * Adjuvant chemotherapy started \< 30 days or planned within the next 30 days * Rural residence location in Vermont (outside Chittenden County) * Proficient in English Exclusion Criteria: * History of prior malignancy treated with chemotherapy in last 3 years * Known or suspected neuro-cognitive impairment * Resident of Chittenden County, Vermont * Patients with current diagnosis other than stage I, II or III breast, colon or lung cancer

Study locations (1)

University of Vermont Cancer Center

Burlington, Vermont, 05405

Recruiting

Randall F Holcombe · Contact

References

Okado I, Cassel K, Pagano I, Holcombe RF. Development and psychometric evaluation of a questionnaire to measure cancer patients' perception of care coordination. BMC Health Serv Res. 2020 Jan 21;20(1):52. doi: 10.1186/s12913-020-4905-4.(PubMed)
Okado I, Cassel K, Pagano I, Holcombe RF. Assessing Patients' Perceptions of Cancer Care Coordination in a Community-Based Setting. JCO Oncol Pract. 2020 Aug;16(8):e726-e733. doi: 10.1200/JOP.19.00509. Epub 2020 Mar 27.(PubMed)
Okado I, Pagano I, Cassel K, Holcombe RF. Perceptions of care coordination in cancer patient-family caregiver dyads. Support Care Cancer. 2021 May;29(5):2645-2652. doi: 10.1007/s00520-020-05764-8. Epub 2020 Sep 24.(PubMed)