Official Title: Implementation and Effectiveness Trial of HN-STAR
Status: RECRUITING
Status Verified Date: 2024-08
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: HN-STAR
Brief Summary: People who have been treated for head and neck cancer HNC survivors can experience serious consequences from their cancer and its treatment ongoing risks of new cancers and other unrelated illnesses These concerns pose challenges to the provision of comprehensive care to HNC survivors We created HN-STAR to facilitate and tailor the ongoing care of HNC survivors Survivors use HN-STAR on a computer or tablet to answer questions about symptoms and health concerns before a routine visit with a cancer care provider During the clinic visit the provider uses HN-STAR to see evidence-based recommendations for managing each concern reported by the survivor The provider and survivor discuss recommendations and select appropriate actions eg testing referrals prescriptions self-management HN-STAR produces a survivorship care plan that includes all reported concerns and the actions selected in clinic The survivorship care plan is given to the survivor and the primary care provider Three months six months and nine months later the survivor uses HN-STAR from home or clinic to report their concerns again and a new survivorship care plan is created each time
Our trial randomizes 20-36 oncology practices from the National Community Oncology Research Program to use HN-STAR or provide usual care to 298-400 recent survivors of head and neck cancer We hypothesize that survivors in the HN-STAR arm will have greater improvement in patient-centered outcomes including cancer-related well-being symptoms and patient activation over one year compared to survivors in the usual care arm measured by surveys at baseline and one year later We also hypothesize that survivors in the HN-STAR arm will be more likely to receive care that is aligned with evidence-based recommendations during the year of the study than survivors in the usual care arm Our final aim investigates the implementation of HN-STAR in clinical practice using interviews and surveys of survivors providers and other clinic staff to understand the feasibility acceptability appropriateness and other aspects of providing survivorship care to head and neck cancer survivors