Enhancing Triadic Communication About Cognition for Older Adults With Alzheimer's Disease or Related Dementias Facing a Cancer Management Decision

Part of paid clinical trials in Rochester, New York.

Sponsor
University of Rochester
Study ID
NCT06313853
Status
Recruiting
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Conditions

  • Cancer
  • Dementia

Eligibility Criteria

Sex
ALL
Age
65 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • COACH-Cog — BEHAVIORAL
    Oncology clinician intervention components: 1) a brief training video (completed once during the duration of the study following enrollment and randomization), 2) For each patient/care partner dyad that is subsequently enrolled onto the study that the clinician cares for, the oncology clinician will receive the results of the patient's GA with targeted management recommendations for identified GA domain impairments Patient/Care partner dyad intervention components: 1) Care partners (and patients if able) will participate in a one-time communication coaching session; 2) Patient GA results with management recommendations to consider discussing with the oncology team will be provided to care partners and patients.

Study Details

Building upon prior work, the investigator team developed a communication intervention for older adults with ADRD who are considering a decision about cancer management (adapted intervention: COACH-Cog). The investigators hypothesize that for patients with dual diagnoses of ADRD and cancer, COACH-Cog will increase autonomy support of care partners and patients in the decision-making process, leading to greater acknowledgement and support of cognitive concerns and cognitive-related goals, thereby improving goal concordant care. The investigators are conducting a pilot randomized controlled trial (RCT; cluster randomized by physician) including approximately 45 oncology clinicians and 130 patient/care partner dyads evaluating the effect of COACH-Cog on care partner and patient autonomy support, care partner well-being, goal-concordance, and communication.

Key Dates

Start date
Oct 1, 2024
Status verified
Mar 2026
Primary completion
Apr 15, 2027
Completion
Apr 30, 2027

Study Design

Enrollment
300 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE

Arms

  • Experimental: COACH-Cog Intervention
    Oncology clinician intervention components: 1) a brief training video, 2) For each patient/care partner dyad that is subsequently enrolled onto the study that the clinician cares for, the oncology clinician will receive the results of the patient's GA with targeted management recommendations for identified GA domain impairments. Patient/Care partner dyad intervention components: 1) Communication coaching session; 2) Patient GA results with management recommendations to consider discussing with the oncology team will be provided to care partners and patients.
  • No Intervention: Usual Care
    Usual Care

Primary Outcome Measure

Care Partner: Health Care Climate Questionnaire (HCCQ) [ Time Frame: 4-weeks post oncology clinical encounter ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
University of Rochester Wilmot Cancer InstituteRochesterNew York14620
Allison Magnuson, DO, MS
[email protected]
Jessica Bauer
[email protected]

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By research site
University of Rochester Wilmot Cancer Institute· Rochester, NY

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