Lay Health Worker Expanded Intervention in Community Oncology Practices

Trial ID or NCT#



not recruiting iconNOT RECRUITING


Undertreated patient symptoms and resulting acute care use require approaches that improve symptom-burden. Previously a lay health worker (LHW)-led symptom screening intervention was developed for patients with cancer. In pilot work, the intervention was associated with improvements in patient symptom burden and reductions in healthcare use and costs of care at the end of life. This intervention will be expanded across several clinics to evaluate the impact of the LHW intervention on with cancer and the LHW will be trained to refer patients to palliative care. This randomized intervention will evaluate the effect on healthcare use, total costs, palliative care and hospice referral.

Official Title

Lay Health Worker Expanded Intervention in Community Oncology Practices

Eligibility Criteria

Ages Eligible for Study: 75 Years to 100 Years
Sexes Eligible for Study: All
Accepts Healthy Volunteers: Yes
Inclusion Criteria:
  1. - Newly diagnosed or relapsed cancer diagnosis. - 75 years or older with an odd medical record # - Diagnosis of relapse or progressive disease (any cancer diagnosis) as identified by imaging or biopsy and confirmed by physician. - Must have capacity to verbally consent
Exclusion Criteria:
  1. - Inability to consent to the study due to lack of capacity as documented by the referring physician.


Manali Patel
Manali Patel
Medical oncologist
Associate Professor of Medicine (Oncology)

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Manali I Patel, MD MPH MS