Telephone-Based Coaching Sessions (TAC) to Improve Advance Care Planning Participation in Advanced Cancer Patients and Their Support Person

Part of paid clinical trials in Everett, Washington.

Sponsor
Fred Hutchinson Cancer Center
Study ID
NCT07141407
Status
Recruiting
Apply to this trial

Conditions

  • Advanced Malignant Solid Neoplasm
  • Hematopoietic and Lymphatic System Neoplasm

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Accepted

Interventions

  • Supportive Care — OTHER
    Attend TAC telephone-based coaching sessions
  • Telephone-Based Intervention — BEHAVIORAL
    Attend TAC telephone-based coaching sessions
  • Survey Administration — OTHER
    Ancillary studies
  • Educational Intervention — OTHER
    Receive an ACP brochure/handout

Study Details

This clinical trial studies whether telephone-based coaching sessions, Talking About Cancer (TAC), work to improve engagement in advance care planning (ACP) in patients with cancer that may have spread from where it first started to nearby tissue, lymph nodes, or distant parts of the body (advanced) and their support person. Participation in ACP, which includes having end of life (EOL) care conversations and completing advance directives (e.g., living will, health care proxy, do not resuscitate order), improves quality EOL care. Despite this, less than half of patients with advanced cancer have EOL care conversations or complete advance directives. TAC coaching sessions are delivered by a social worker over the phone. They are designed to help patients and their support person communicate about ACP, manage the distress these conversations can cause, and participate in the process of ACP with a clear action plan of having goals-of-care conversations and completing advance directives. This may be an effective way to improve ACP participation in advanced cancer patients and their support person.

Key Dates

Start date
Apr 8, 2026
Status verified
Feb 2026
Primary completion
Oct 12, 2026
Completion
Dec 14, 2026

Study Design

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

Arms

  • Experimental: Arm I (TAC sessions)
    Participants attend Talking About Cancer (TAC) telephone-based coaching sessions (2 sessions) designed to support participants in communicating about advance care planning (ACP), managing distress around ACP conversations, engaging in the process of ACP, and completing advance directives over 45-60 minutes each once a week (QW) for 2 weeks.
  • Active Comparator: Arm II (enhanced usual care)
    Participants receive an ACP brochure/handout on study.

Primary Outcome Measure

Enrollment rate (Feasibility) [ Time Frame: At 6-weeks post-randomization ]

Central Contacts

Locations (3)

FacilityCityStateZIPSite coordinators
Providence Regional Cancer PartnershipEverettWashington98201
Megan Bannister, MSW, LSWAIC (PRINCIPAL_INVESTIGATOR)
Skagit Regional Health Cancer Care CenterMount VernonWashington98274
Kiarash Kojouri, MD (PRINCIPAL_INVESTIGATOR)
Fred Hutch/University of Washington Cancer ConsortiumSeattleWashington98109
Megan Shen, PhD
[email protected]
206-667-4172
Megan Shen, PhD (PRINCIPAL_INVESTIGATOR)

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By research site
Providence Regional Cancer Partnership· Everett, WASkagit Regional Health Cancer Care Center· Mount Vernon, WAFred Hutch/University of Washington Cancer Consortium· Seattle, WA

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