RecruitingPhase 2NCT04984551

Impact of Project ECHO on Improving the Quality of Palliative Care in Patients With Advanced Cancer and Their Caregivers in Underserved Areas of Kenya, Nigeria, Ghana, South Africa, India, and Ethiopia

ECHO Telementoring to Improve Quality Palliative Care in Underserved Areas of Kenya, Nigeria, Ghana, South Africa, India, and Ethiopia


Sponsor

M.D. Anderson Cancer Center

Enrollment

312 participants

Start Date

Aug 24, 2020

Study Type

INTERVENTIONAL

Conditions

Summary

This trial investigates the experience and satisfaction of care in patients with cancer that has spread to other places in the body (advanced) and their caregivers living in underserved areas of Kenya, Nigeria, Ghana, South Africa, India and Ethiopia as part of Project Extension for Community Healthcare Outcomes (ECHO). Project ECHO is a model of medical education and care management that empowers clinicians to provide better care to more people where they live. Understanding the experiences and satisfaction of patients and caregivers may help improve healthcare workforce capacity and increase access to specialty care for the world's rural and underserved populations.


Eligibility

Inclusion Criteria11

  • PATIENT: Scheduled to receive treatment at participating primary care practice for advanced cancer
  • PATIENT: 18 years or older
  • PATIENT: Willing to be accessible to the research team for follow-up by telephone or in person
  • PATIENT: Prognosis of at least 1 year as ascertained by the treating physician
  • PATIENT: Able to read and understand English as assessed by the treating physician
  • CAREGIVER: Identified or self-identified as primary caregiver of the patient
  • CAREGIVER: Willing to be accessible to the research team for follow-up by telephone or in person
  • CAREGIVER: 18 years or older
  • CAREGIVER: Able to read and understand English as assessed by the treating physician
  • ECHO PARTICIPANT: Participant must be a health care provider interested to participate in the study for 2 years and understand the protocol and provide consent
  • ECHO PARTICIPANT: Able to read and understand English as assessed by principal investigator (PI)

Exclusion Criteria1

  • Unable to understand and sign consent

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Interventions

OTHERExtension of Community Health (ECHO) Telementoring Clinic

Participate in ECHO clinics presenting cases for guidance and feedback

OTHERIn-Country Workshops

In-Country Workshops Participate in hands-on training and workshops

OTHERProfessional Oncology Educations Programs

Receive 5 core online lectures

OTHERMedical Chart Review

Medical charts are reviewed for data collection

OTHERQuestionnaire Administration

Complete questionnaire(s)


Locations(1)

M D Anderson Cancer Center

Houston, Texas, United States

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NCT04984551


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