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Trial Title: Evaluating the Implementation of a Comprehensive Multilevel Virtual Oncology Program Among Veterans Diagnosed With Lung, Colorectal, Prostate, and Breast Cancers in the US Department of Veterans Affairs

NCT ID: NCT06559059

Condition: Lung Cancer Diagnosis
Colorectal Cancer (Diagnosis)
Prostate Cancer Diagnosis
Breast Cancer Diagnosis

Conditions: Official terms:
Breast Neoplasms
Neoplasms
Disease

Study type: Observational

Overall status: Recruiting

Study design:

Time perspective: Prospective

Summary: The purpose this pragmatic trial to test the effectiveness of an existing, ongoing clinical service, the VA National TeleOncology program (NTO), a multilevel telehealth population health management program. The primary aims are to study the intervention and determine its effectiveness on telehealth engagement, clinical quality, and healthcare cost outcomes across levels of Social Determinants of TeleHealth (SDTH) with the goal of promoting health equity.

Detailed description: Study staff will use the Veterans Health Information Systems and Technology Architecture (VistA), the VA health information technology system, to identify eligible patients at VA sites based on listed inclusion and exclusion criteria. Patient records will be observed of Veterans with a new cancer diagnosis of the lung, prostate, breast, or colon and a telehealth visit utilizing the VA National TeleOncology Service (NTO).

Criteria for eligibility:

Study pop:
Veterans aged 18 years or older newly diagnosed with lung, colorectal, prostate or breast cancer. VA health care providers and staff members participating in cancer care at NTO program medical centers, including physicians, nurse practitioners, physicians' assistants and nurses.

Sampling method: Non-Probability Sample
Criteria:
Patients Inclusion Criteria: 1. A Veteran 2. Aged 18 years or older 3. Newly diagnosed with lung, prostate, breast, or colon cancer within 3 months of telemedicine visit 4. Engaged in an oncology visit during the 36-month analysis period at a Veterans Affairs Medical Center (VAMC) location. VAMC Providers and Staff Inclusion Criteria: 1. Provider or staff member at one of the VAMC locations including physicians, nurse practitioners, physicians' assistants, and nurses caring for Veterans 2. Providers or staff members having helped provide care for at least 5 Veterans with cancer in the previous 6 months at a VAMC location Patients Exclusion Criteria: 1. Veterans who have not seen any providers in the VA within the past year 2. Patients previously diagnosed with lung, prostate, breast, or colon cancer 3. Pregnant patients VAMC Providers and Staff Exclusion Criteria: 1. Providers or staff members who do not help treat Veterans with specified cancers in oncology at the VA

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: VA New York Harbor Healthcare System - Brooklyn

Address:
City: Brooklyn
Zip: 11209
Country: United States

Status: Recruiting

Facility:
Name: VA New York Harbor Healthcare System - St. Albans Community Living Center

Address:
City: Jamaica
Zip: 11425
Country: United States

Status: Recruiting

Facility:
Name: VA New York Harbor Health Care System - Manhattan

Address:
City: New York
Zip: 10010
Country: United States

Status: Recruiting

Facility:
Name: VA New York Harbor Healthcare System - Harlem Community Center

Address:
City: New York
Zip: 10027
Country: United States

Status: Recruiting

Facility:
Name: VA New York Harbor Healthcare System - Staten Island Community Clinic

Address:
City: Staten Island
Zip: 10314
Country: United States

Status: Recruiting

Start date: June 18, 2024

Completion date: January 1, 2027

Lead sponsor:
Agency: NYU Langone Health
Agency class: Other

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

Source: NYU Langone Health

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06559059

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