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Trial Title: Enhancing Access to Supportive Services for Women of Color with Metastatic Breast Cancer

NCT ID: NCT06405828

Condition: Metastatic Breast Cancer
Stage IV Breast Cancer AJCC V7

Conditions: Official terms:
Breast Neoplasms

Study type: Interventional

Study phase: N/A

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Supportive Care

Masking: Double (Investigator, Outcomes Assessor)

Intervention:

Intervention type: Behavioral
Intervention name: ACCESS Supportive Care
Description: ACCESS Supportive Care includes: 1. Coaching sessions: 6 one-hour weekly Community Navigator led supportive and early palliative care health coaching sessions. Sessions will be hybrid (in-person or virtual) per participant preference. 2. Monthly check-in: Monthly check-ins (~5-10 minutes) about their supportive care and social determinants of health needs over 16 weeks. 3. Scheduling of outpatient supportive oncology appointment if interested. 4. Community linkage: Warm hand offs and connection to community resources to enhance access to support groups, educational workshops, and healthy lifestyle services.
Arm group label: ACCESS Supportive Care

Intervention type: Behavioral
Intervention name: Phone sessions
Description: 6 weekly phone sessions, approximately 10 minutes in length each, to review breast cancer and supportive and palliative care resources in NYC and online. The 6 weekly phone sessions will include the topics discussed in the intervention arm but will be informational in nature. The phone sessions will be followed by monthly check-ins (~5 minutes) to review and answer questions about the resources for the duration of 16 weeks.
Arm group label: Attention Control

Summary: Black and Latina women experience disparities in supportive and palliative care access and outcomes. The goal of the proposed pilot study is to evaluate the feasibility and acceptability of a community navigator delivered supportive care intervention for historically underserved populations of women with metastatic breast cancer.

Detailed description: Primary Objectives: 1. Establish the feasibility and acceptability of an adapted navigator delivered supportive care model called ACCESS to address supportive care needs for Black and Latina women with Metastatic Breast Cancer. 2. Determine the potential impact of ACCESS on cancer related distress, symptom burden, and utilization of supportive care services. OUTLINE: Participants (N=60) are randomized to 1 of 2 groups: GROUP 1/Intervention Group: Participants complete 6 individualized behavioral/educational sessions focused on social determinants of health and supportive care with a trained community navigator followed by monthly phone call check ins for 4 months. Participants complete questionnaires over the phone with a research coordinator at baseline, 6 and 9 months. GROUP 2/Attention Control group: Participants complete 6 phone calls with a research coordinator focused on supportive care resources followed by monthly phone call check ins for 4 months. Participants complete questionnaires over the phone with a research coordinator at baseline, 6 months and 9 months. .

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Women ≥18 years of age - English and/or Spanish speaking - Self-identify as Latina and/or African American/Black - Ability to understand and the willingness to sign a written informed consent - Stage IV breast cancer diagnosis, no time component Exclusion Criteria: - Moderate to severe cognitive impairment - receiving inpatient hospice care - if patients were previously enrolled in Aim 1 and Aim 2 - currently working with a community navigator

Gender: Female

Gender based: Yes

Gender description: self-identify as a woman

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Mount Sinai Hospital

Address:
City: New York
Zip: 10029
Country: United States

Status: Recruiting

Contact:
Last name: Karisma Pantaleon

Phone: 212-824-7986.
Email: karisma.pantaleon2@mountsinai.org

Contact backup:
Last name: Melissa Mazor

Start date: May 1, 2024

Completion date: November 30, 2026

Lead sponsor:
Agency: Icahn School of Medicine at Mount Sinai
Agency class: Other

Collaborator:
Agency: National Cancer Institute (NCI)
Agency class: NIH

Source: Icahn School of Medicine at Mount Sinai

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06405828

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