From Screening to Support: A Multi-Method Analysis of HRSN Integration in Cancer Care

Part of paid clinical trials in Philadelphia, Pennsylvania.

Sponsor
Thomas Jefferson University
Study ID
NCT07352579
Status
Recruiting
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Conditions

  • Cancer

Eligibility Criteria

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

Interventions

  • Survey — OTHER
    Participants complete a one-time electronic survey to assess factors influencing the decision to decline assistance for identified Health-Related Social Needs (HRSNs). The survey includes questions related to transportation access, food insecurity, housing instability, and utility needs. Survey completion takes approximately 10 minutes.
  • Interview — OTHER
    Interviews will be semi-structured and will be offered to 20 participants who have completed the survey and meet eligibility criteria. Interviews will be conducted via a Zoom. Zoom will create a transcription of the interview which will be saved in a secure encrypted space, no video will be saved.

Study Details

This observational study aims to identify the factors that influence whether cancer patients accept or decline supportive care services after screening positive for health-related social needs (HRSNs) at the Sidney Kimmel Comprehensive Cancer Center. The study focuses on adult oncology patients who previously reported at least one HRSN-such as transportation, food, housing, or utility needs-but declined assistance when it was offered. The main questions it aims to answer are: * What factors shape cancer patients' intentions to use supportive care services for HRSNs? * Why do patients who screen positive for HRSNs choose not to accept help offered by the healthcare system? Participants will: * Complete a one-time electronic survey delivered via MyChart or email. * Optionally participate in a semi-structured Zoom interview (for a subset of 20-30 survey respondents) to explore decision-making in greater depth.

Key Dates

Start date
Dec 11, 2025
Status verified
Feb 2026
Primary completion
Jan 31, 2027
Completion
Jan 31, 2027

Study Design

Enrollment
500 participants (estimated)

Arms

  • Arm: Cancer Patients Screened for Health-Related Social Needs (HRSNs)
    This group includes adult cancer patients receiving care at Sidney Kimmel Comprehensive Cancer Center (SKCCC) who previously completed a Health-Related Social Needs (HRSNs) screening in the electronic health record. This will be achieved by providing patients with a one-time survey. The surveys will be distributed via MyChart messages and emails. Additionally, 20 patients who complete the survey will be asked to complete a short interview to further understand why cancer patients identified as high-risk for HRSNs decline connections to care and intervention-ultimately to gain an understanding into the factors that they take into account when determining whether they want to be connected to a resource or service connection related to HRSNs.

Primary Outcome Measure

Factors influencing cancer patients' intent to use oncology supportive care for HRSNs [ Time Frame: approximately 4 months ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Sidney Kimmel Cancer Center at Thomas Jefferson UniversityPhiladelphiaPennsylvania19107
Munjireen Sifat, PhD, MPH
[email protected]
267-432-2641

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By research site
Sidney Kimmel Cancer Center at Thomas Jefferson University· Philadelphia, PA

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