Patient Priorities for Survivorship Care in Older Breast Cancer Survivors

Conditions

• Breast Cancer Survivorship

Eligibility Criteria

Sex

FEMALE

Age

65 Years - 100 Years

Healthy Volunteers

Not accepted

Interventions

• Adapted Patient Priorities Care (PPC) approach — BEHAVIORAL
  Step 1 is a PPC facilitation encounter, at which the facilitator will help the participant identify patient priorities, such as clarifying values (what matters most); setting meaningful, specific, and realistic outcome goals; describing healthcare preferences (care that is helpful and/or burdensome) and tradeoffs; and discussing priorities with clinicians. The participant's healthcare priorities are then documented and transmitted to clinicians, in order to facilitate changes in the patient's care plan to align it with his/her priorities. In step 2, the clinician considers patient's priorities and potential healthcare options (options might include starting or stopping treatments; adding or removing medications; ordering more or fewer tests; recommending or removing self-management tasks). In step 3, the clinician discusses care options with the participant, using strategies for aligning care with patient priorities.
• Usual Care — OTHER
  Usual care for breast cancer survivorship includes regular visits with the oncology provider and yearly mammograms for surveillance.

Study Details

The objective of this study is to adapt the Patient Priorities Care (PPC) framework to breast cancer survivorship via a user-centered approach, through an iterative process in which patients and their physicians help to refine and modify the intervention. A second objective is to evaluate the feasibility and effectiveness of the adapted PPC framework in breast cancer survivorship for older adults.

Key Dates

Start date

Jan 2, 2025

Status verified

Aug 2025

Primary completion

Dec 1, 2026

Completion

Jun 1, 2027

Study Design

Enrollment

120 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Arms

• Experimental: Adapted Patient Priorities Care (PPC) approach plus Usual Care
  Older adults breast cancer survivors will have a visit with a facilitator to discuss about their health priorities for breast cancer survivorship care prior to their usual visit with the oncology/primary care physicians to discuss about aspects of survivorship care
• Active Comparator: Usual Care
  Older adults breast cancer survivors will have usual healthcare visits with the oncology/primary care physicians to discuss aspects of survivorship care

Primary Outcome Measure

Treatment burden as assessed by the treatment burden questionnaire (TBQ) [ Time Frame: baseline ]

Central Contacts

• Dana E. Giza, MD
  (713) 500-6087
  [email protected]

Locations (3)

Find similar trials in Bellaire, TX

Related Studies

• Metabotyping of Broccoli Microgreen in Obese Breast Cancer Survivors
  Recruiting · University of Maryland, Baltimore · Baltimore, Maryland