Cancer Prevention and Care Among Aged

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01831375
Recruitment Status : Completed
First Posted : April 15, 2013
Last Update Posted : February 2, 2017
Information provided by (Responsible Party):
Eva Kahana, Ph.D., Case Western Reserve University

Brief Summary:

This research represents a pioneering effort to design a brief, cost effective and readily transportable program that will enable disadvantaged elders to become more effective participants in their health care.

The intervention is expected to result in trained elders becoming more knowledgeable health care partners. Trained patients will be prepared for appointments and will engage their primary care physicians in active dialogue regarding cancer prevention and screening.

Based on self-advocacy, these patients are expected to receive better preventive care and report greater satisfaction with care. Program participation can subsequently contribute to general health improvements and minimize health disparities.

Condition or disease Intervention/treatment Phase
Cancer Behavioral: Speak Up Behavioral: Get connected Not Applicable

Detailed Description:
In a randomized controlled trial (RCT) with 400 older adults, the investigators will assess the efficacy of the "Speak Up" intervention (N=200) relative to an attention control group "Connect" program (N=200), aimed at enhancing social and civic engagement. Participants will now obtain resource materials that include decision aids and diary logs to bring to visits with doctors. The investigators will implement "Speak Up" and "Connect" programs in two unique study populations: 1) participants in the ongoing NCI study and 2) older adults attending senior center programs sponsored by Area Agencies on Aging (AAAs). Participants will be assessed prior to the intervention and 2 month, and 12 months post intervention. The investigators will have an observation window of 12 months to determine whether and when the older adult obtained screening. The selection of a shorter follow-up time frame will help reduce attrition.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 697 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Prevention
Official Title: Health Care Partners in Cancer Prevention and Care Among Aged
Study Start Date : January 2011
Actual Primary Completion Date : December 2016
Actual Study Completion Date : December 2016

Arm Intervention/treatment
Experimental: Speak Up
Participants will learn how to speak up to their medical doctors for improving their medical care.
Behavioral: Speak Up
Intervention group_treatment group
Other Name: The Involved Elders Project
Get Connected
Attention control group
Behavioral: Get connected
Participants will learn to be connected with social resources in the community.

Primary Outcome Measures :
  1. Perception of Physician Quality Scale [ Time Frame: one year ]
    Perception of Physician Quality Scale(Lee & Kasper, 1998) will be used to measure patient satisfaction with physician care (p. 21). Questions include satisfaction with physician visits and satisfaction with physician knowledge of respondent's medical problems. This scale has been utilized with elderly populations (e.g. Burton et al. 2002) and has been found to be a valid and reliable (Cronbach's alpha greater than .8) measure of patient satisfaction (Lee & Kasper, 1998).

Secondary Outcome Measures :
  1. Cancer Screening Recommendations [ Time Frame: one year ]
    Physicians would make more recommendations for cancer prevention and screening

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Men and women
  • Over the age of 65 from Area Agencies of Aging who are interested in participating

Exclusion Criteria:

  • No exclusion

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01831375

United States, Ohio
Case Western Reserve University
Cleveland, Ohio, United States, 44106
Sponsors and Collaborators
Case Western Reserve University
Principal Investigator: Eva Kahana, Ph.D. Case Western Reserve University

Additional Information:
Responsible Party: Eva Kahana, Ph.D., Distinguished University Progessor, Case Western Reserve University Identifier: NCT01831375     History of Changes
Other Study ID Numbers: R01CA098966-07 ( U.S. NIH Grant/Contract )
First Posted: April 15, 2013    Key Record Dates
Last Update Posted: February 2, 2017
Last Verified: January 2017