Precision Lung Cancer Survivorship Care Intervention

Purpose

The overarching goal of the Kentucky LEADS Collaborative Lung Cancer Survivorship Care program is to reduce the burden of lung cancer by offering an innovative survivorship care approach that improves lung cancer quality of life, overcomes lung cancer stigma, and helps survivors engage with care. The project involves a two-group parallel randomized clinical trial comparing the impact of the Kentucky LEADS Collaborative Lung Cancer Survivorship Care program (KLCLCSC) among lung cancer survivors (N=300) against an enhanced usual care condition (bibliotherapy+assessment) on quality of life outcomes.

Conditions

  • Lung Cancer
  • Pulmonary Neoplasm
  • Neoplasms, Lung
  • Neoplasms, Pulmonary
  • Neoplasm, Pulmonary
  • Cancer, Lung
  • Cancers, Lung
  • Pulmonary Cancer
  • Cancer, Pulmonary
  • Cancers, Pulmonary
  • Pulmonary Cancers
  • Cancer of the Lung
  • Cancer of Lung
  • Pulmonary Neoplasms
  • Lung Cancers

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Have been diagnosed with lung cancer - Reside in a rural county as determined by a Rural Urban Continuum Code (RUC) of 4 or higher - Be at least 18 years of age or older - Be able to communicate effectively in English

Exclusion Criteria

  • Have significant psychiatric disturbance that requires a higher level of care - Have substance abuse/dependence that requires a higher level of care - Are participating in another lung cancer survivorship care intervention - Have previously participated in the Kentucky LEADS Lung Cancer Survivorship Care Program

Study Design

Phase
N/A
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
Two-group randomized clinical trial
Primary Purpose
Supportive Care
Masking
Double (Investigator, Outcomes Assessor)
Masking Description
The principal investigators and outcomes assessors will be masked to the random assignment of participants.

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Kentucky LEADS Collaborative Lung Cancer Survivorship Care Program (KLCLCSC)
The Kentucky LEADS Collaborative Lung Cancer Survivorship Care Program (KLCLCSC) is a targeted and tailored lung cancer survivorship care intervention built on principles of patient-centered care, shared decision making, and motivational interviewing to build survivor engagement and improve lung cancer outcomes.
  • Behavioral: Kentucky LEADS Collaborative Lung Cancer Survivorship Care Program
    KLCLCSC is a survivor or survivor plus caregiver-focused psychosocial and behavioral intervention designed to engage lung cancer survivors and improve lung cancer outcomes.
Active Comparator
Enhanced Usual Care (EUC)
The enhanced usual care condition involves usual care plus bibliotherapy and assessment.
  • Behavioral: Enhanced Usual Care
    EUC involves a combination of the standard of care plus a bibliotherapy intervention and assessment.

Recruiting Locations

UK Center for Clinical and Translational Science and nearby locations

Markey Cancer Center
Lexington, Kentucky 40536
Contact:
Jerod L Stapleton, PhD
jerodstapleton@uky.edu

More Details

NCT ID
NCT05857995
Status
Recruiting
Sponsor
Jerod L Stapleton, PhD

Study Contact

Jerod L Stapleton, PhD
8593237224
jerod.stapleton@uky.edu

Detailed Description

Among the devastating illnesses impacting rural America, few exact the physical, social, psychological, and economic toll of lung cancer. Lung cancer is the leading cause of cancer death in rural America, and the levy is particularly acute in Kentucky - a state that not only leads the nation in lung cancer incidence and mortality but is a global epicenter of lung cancer. Despite the prevailing nihilism regarding lung cancer care, lung cancer survivors are living longer. Innovations in prevention, early detection, and treatment, have created substantial optimism and opportunities for long-term lung cancer survivorship. These dramatic changes in the lung cancer care landscape have invigorated the need for quality lung cancer survivorship interventions. The overarching goal of the Kentucky LEADS Collaborative Lung Cancer Survivorship Care program is to reduce the burden of lung cancer by offering an innovative survivorship care approach that improves lung cancer quality of life, overcomes lung cancer stigma, and helps survivors engage with care. Using a novel precision survivorship approach and developed in collaboration with rural community stakeholders, the program's foundation incorporates principles of patient-centered care, shared decision making, and motivational interviewing to build survivor engagement. A large acceptability and feasibility trial conducted in collaboration with nine lung cancer care facilities in Kentucky with lung cancer survivors (N=140) demonstrated the acceptability of the intervention among survivors, caregivers, and lung cancer care clinicians. The study also revealed the feasibility of conducting the proposed study methods in rural cancer care facilities. The project continues this program of research by conducting a two-group parallel randomized clinical trial comparing the impact of the Kentucky LEADS Collaborative Lung Cancer Survivorship Care program (KLCLCSC) among lung cancer survivors (N=300) against an enhanced usual care condition (bibliotherapy+assessment) on quality of life outcomes. Rural-residing lung cancer survivors will be recruited from ten oncology care facilities throughout Kentucky. The project's first aim compares the efficacy of the interventions with regard to lung cancer quality of life among survivors as measured by the FACT-L and other rigorous assessments of patient engagement, symptom burden, psychosocial well-being, and behavior change. The project's second aim evaluates the moderating impact of including caregivers as intervention partners on survivor quality of life outcomes. A third aim evaluates the cost-effectiveness of the KLCLCSC intervention in comparison to the enhanced usual care condition. Based on highly encouraging pilot data collected in collaboration with oncology care programs in Kentucky, this research holds credible potential to establish a new paradigm for addressing the challenges associated with lung cancer and for delivering quality survivorship care to rural-residing, economically distressed lung cancer survivors.