Mobile Health Application (PACT) to Improve Engagement in Advance Care Planning

ID#: NCT04515810

Age: 18 years - 66+

Gender: All

Healthy Subjects: Accepts Healthy Volunteers

Study Phase: N/A

Recruitment Status: Recruiting

Start Date: June 04, 2022

End Date: December 31, 2025

Contact Information:
Claudia De Los Santos, B.S.
206-667-1565
Megan Shen, PhD
206-667-4172
Summary: This clinical trial tests a new mobile health application (app) called Planning Advance Care Together (PACT) to help people with cancer talk about and plan for advance care planning (the care they would want if they were unable to communicate) with their loved ones and doctors. The development of the PACT mobile app may help future patients incorporate their social network (typically, but not exclusively, family) into the advance care planning process.
Eligibility:

Inclusion Criteria:

- PATIENT: Diagnosis of poor prognosis advanced cancer defined as locally advanced or metastatic cancer (e.g., pancreaticobiliary, esophagogastric, hepatocellular carcinoma, lung, or gynecological cancer) and/or disease progression following at least first line chemotherapy.

- PATIENT: Access to a mobile device; the principal investigator (PI) will ensure that those who have access to a mobile device have access to a mobile device with internet access to ensure they can complete study procedures.

- PATIENT: The ability to provide informed consent.

- PATIENT: Identification of and enrollment a loved one/informal caregiver.

- CAREGIVER: The person (family member or friend) whom the patient indicates being an informal caregiver.

- CAREGIVER: English speaking.

- CAREGIVER: 18 years of age or older.

- CAREGIVER: Able to provide informed consent.

- PROVIDER: Current clinical practice and/or research with advanced cancer patients.

- PROVIDER: A history of 3+ years working with advanced cancer patients.

- PROVIDER: 18 years of age or older. Providers across disciplines (e.g., social work, oncology) will be enrolled.

Exclusion Criteria:

- PATIENT: Not fluent in English.

- PATIENT: Severely cognitively impaired (as measured by Short Portable Mental Status Questionnaire scores of >= 6 to be delivered by trained study research staff during screening).

- PATIENT: Too ill or weak to complete the interviews (as judged by the interviewer).

- PATIENT: Currently receiving hospice at the time of enrollment.

- PATIENT: Children and young adults under age 18.