Telephone-Based Decision Support for Rural Patients
Completed · Not applicable
Conditions studied: Breast Cancer
In brief
The investigators community based resource center has implemented visit preparation by prompting patients to write down their questions. This is a proven approach to increasing the number of questions and concerns that patients voice during their visits with doctors. The resource center's usual practice is to provide their visit preparation intervention, called Consultation Planning, through in-person counseling sessions. This study asks whether telephone delivery of Consultation Planning would be almost as effective in terms of increasing patient's decision self-efficacy, or confidence in their ability to navigate decisions effectively with their physicians. The study also asks about the cost-effectiveness of telephone delivery compared to in-person delivery. The investigators are answering these questions through a randomized, controlled, non-inferiority trial with two arms: in-person versus telephone delivery of Consultation Planning. The investigators are measuring self-reported psychological outcomes such as decision self-efficacy (primary outcome), preparation for decision making, anxiety, and distress, along with economic outcomes such as health resource utilization and willingness to pay. The investigators hypothesize that Tele-CP can be delivered at a lower patient and resource center cost than in-person CP, and that it will be as effective in terms of impact on a patient's decisional self-efficacy.
Key facts
- Study ID
- NCT01217333
- Run by
- University of California, San Francisco
- People needed
- 74
- Starts
- 2007-10-01
- Expected to finish
- 2011-06-01
- Last updated by the study team
- 2012-10-18
Who can join
Age: 18 and older. Sex: female. Healthy volunteers: not accepted.
You may qualify if…
- Females age 18 or older
- Diagnosis of Ductal Carcinoma in Situ (DCIS) or local recurrence of DCIS
- New (stage 1, 2, 3, 4) invasive breast cancer or recurrence
- Upcoming appointment to see a surgeon or oncologist to discuss treatment options
- Surgeons or oncologists whom the patient is consulting
- Able to speak, read, and understand English or Spanish
You may not qualify if…
- Females less than 18 years of age
- Males with breast cancer
- Females with breast cancer who are also pregnant (pregnancy changes the breast cancer treatment)
- Clients who are determined to have "diminished mental capacity" according to the standards of the CRCMC Policy on Mental Competence
Where it is running
- Cancer Resource Centers of Mendocino County — Mendocino, California, United States
- Cancer Resource Centers of Mendocino County — Ukiah, California, United States
Full record on ClinicalTrials.gov
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