From Screening to Support: A Multi-Method Analysis of HRSN Integration in Cancer Care
ConditionCancer
Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorThomas Jefferson University
About this trial
This observational study aims to identify the factors that influence whether cancer patients accept or decline supportive care services after screening positive for health-related social needs (HRSNs) at the Sidney Kimmel Comprehensive Cancer Center.
The study focuses on adult oncology patients who previously reported at least one HRSN-such as transportation, food, housing, or utility needs-but declined assistance when it was offered.
The main questions it aims to answer are:
* What factors shape cancer patients' intentions to use supportive care services for HRSNs? * Why do patients who screen positive for HRSNs choose not to accept help offered by the healthcare system?
Participants will:
* Complete a one-time electronic survey delivered via MyChart or email. * Optionally participate in a semi-structured Zoom interview (for a subset of 20-30 survey respondents) to explore decision-making in greater depth.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Provide informed consent via check box for survey
Provide verbal consent via Zoom for interview
Must be able to read and understand English
Willing to comply with all study procedures and be available for the duration of the study
Disqualifiers
If they do not consent
Non-patients with existing HRSN data in their EHR
Individuals unable to complete the survey due to language barriers or other cognitive limitations
Trial population
Adult cancer patients who received care at SKCCC who were engaged in HRSN screening
Trial design
Design model
Cohort
Time perspective
Cross-sectional
Treatments tested in this trial
Survey
Other interventionParticipants complete a one-time electronic survey to assess factors influencing the decision to decline assistance for identified Health-Related Social Needs (HRSNs). The survey includes questions related to transportation access, food insecurity, housing instability, and utility needs. Survey completion takes approximately 10 minutes.
Interview
Other interventionInterviews will be semi-structured and will be offered to 20 participants who have completed the survey and meet eligibility criteria. Interviews will be conducted via a Zoom. Zoom will create a transcription of the interview which will be saved in a secure encrypted space, no video will be saved.
Treatment groups
500 Participants
are divided into 1 treatment groupGroup A: Cancer Patients Screened for Health-Related Social Needs (HRSNs)2 interventions
Trial outcomes
Primary outcomes
1
Factors influencing cancer patients' intent to use oncology supportive care for HRSNs
Measured via Surveys (self-reported) using a structured questionnaires with binary (Yes/No) responses and Likert Style questions (Quality of Life and FACT-ES).
Time frame
approximately 4 monthsSecondary outcomes
1
Factors associated with declining HSRN-related supportive care services
Interviews will be semi-structured and will be offered to 20 participants who have completed the survey and meet eligibility criteria.
Time frame
approximately 4 monthsSponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov