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

Plain Language Summary

Simplified for easier understanding

This study asks older breast cancer survivors (60+) to help identify the most important health concerns they want addressed after finishing cancer treatment — such as fatigue, pain, emotional wellbeing, and cognitive issues. It is a survey-based study; no experimental treatment is given. **You may be eligible if...** - You speak and write English - You were diagnosed with stage DCIS, I, II, or III breast cancer - You are at least 3 months past active treatment (chemotherapy, radiation, surgery) and within 10 years of finishing treatment - You have had at least 3 follow-up visits at the study clinic **You may NOT be eligible if...** - You are currently receiving active cancer treatment - You completed treatment more than 10 years ago - You are unable to communicate in English Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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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.