RecruitingPhase 2NCT06478589

Patient Priorities for Survivorship Care in Older Breast Cancer Survivors

Sponsor

The University of Texas Health Science Center, Houston

Enrollment

120 participants

Start Date

Jan 2, 2025

Study Type

INTERVENTIONAL

Conditions

Breast Cancer Survivorship

Summary

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.

Eligibility

Sex: FEMALEMin Age: 65 YearsMax Age: 100 Years

Inclusion Criteria5

able to write and speak English
Stage DCIS/I/II/III breast cancer diagnosis
months from active cancer therapy (including first or second-line treatment chemotherapy, radiation and/or surgery, or multimodal treatment) up to 10 years since completing treatment
≥3 documented comorbidities by chart review, or taking ≥10 medications, have ≥ 1 hospitalization over the past year, ≥ 2 emergency department visits over the past year, seen by \> 2 specialists over the past year
able to provide consent

Exclusion Criteria1

currently on active cancer therapy (including first or second-line treatment chemotherapy, radiation and/or surgery, or multimodal treatment)

Interventions

BEHAVIORALAdapted Patient Priorities Care (PPC) approach

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.

OTHERUsual Care

Usual care for breast cancer survivorship includes regular visits with the oncology provider and yearly mammograms for surveillance.