About this trial
Black and Latina women experience disparities in supportive and palliative care access and outcomes. The goal of the proposed pilot study is to evaluate the feasibility and acceptability of a community navigator delivered supportive care intervention for historically underserved populations of women with metastatic breast cancer.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Women ≥18 years of age
English and/or Spanish speaking
Self-identify as Latina and/or African American/Black
Ability to understand and the willingness to sign a written informed consent
Disqualifiers
Moderate to severe cognitive impairment
receiving inpatient hospice care
if patients were previously enrolled in Aim 1 and Aim 2
currently working with a community navigator
Trial design
Parallel
Treatments tested in this trial
ACCESS Supportive Care
BehavioralACCESS Supportive Care includes: 1. Coaching sessions: 6 one-hour weekly Community Navigator led supportive and early palliative care health coaching sessions. Sessions will be hybrid (in-person or virtual) per participant preference. 2. Monthly check-in: Monthly check-ins (\~5-10 minutes) about their supportive care and social determinants of health needs over 16 weeks. 3. Scheduling of outpatient supportive oncology appointment if interested. 4. Community linkage: Warm hand offs and connection to community resources to enhance access to support groups, educational workshops, and healthy lifestyle services.
Phone sessions
Behavioral6 weekly phone sessions, approximately 10 minutes in length each, to review breast cancer and supportive and palliative care resources in NYC and online. The 6 weekly phone sessions will include the topics discussed in the intervention arm but will be informational in nature. The phone sessions will be followed by monthly check-ins (\~5 minutes) to review and answer questions about the resources for the duration of 16 weeks.
Treatment groups
Trial outcomes
Primary outcomes
Number of participants recruited
Acceptability evaluates if patients accept the intervention through the ability to recruit 60 participants in 1.5 years and a \<20% dropout rate at 9 months
Number of participants remaining in study
Acceptability evaluates if patients accept the intervention through a \<20% dropout rate at 9 months
Number of times navigator communicates with oncology team
Integration evaluates if the navigator can communicate with the supportive oncology and medical oncology team at least 80% of the time.
Number of times participants connect to resources
Integration evaluates if at least 80% of patients can connect to community and clinical resources.
Sponsors and contacts
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Icahn School of Medicine at Mount Sinai
Lead sponsor
National Cancer Institute (NCI)
Collaborator