Status:
RECRUITING
Mobile Health Application (PACT) to Improve Engagement in Advance Care Planning
Lead Sponsor:
Fred Hutchinson Cancer Center
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Malignant Solid Neoplasm
Eligibility:
All Genders
18+ years
Phase:
NA
Brief 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 wou...
Detailed Description
OUTLINE: Patients and support persons are randomized to 1 of 2 arms. ARM I: Participants use PACT mHealth app. ARM II: Participants engage in standard care with no modifications. After completion o...
Eligibility Criteria
Inclusion
- PATIENT: Diagnosis of poor prognosis advanced cancer defined as locally advanced or metastatic cancer and/or disease progression following at least first line systemic therapy.
- 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 and enrollment of a loved support person.
- PATIENT: 18 years of age or older.
- SUPPORT PERSON: The person (family member or friend) whom the patient indicates being a support person.
- SUPPORT PERSON: English speaking.
- SUPPORT PERSON: 18 years of age or older and 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
- 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.
- PATIENT: Resides outside of the United States.
- SUPPORT PERSON AND PROVIDERS: Resides outside of the United States.
Key Trial Info
Start Date :
February 18 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2026
Estimated Enrollment :
400 Patients enrolled
Trial Details
Trial ID
NCT04515810
Start Date
February 18 2025
End Date
December 31 2026
Last Update
November 19 2025
Active Locations (4)
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1
Northwell Health
Manhasset, New York, United States, 11030
2
Mount Sinai Hospital
New York, New York, United States, 10029
3
NYP/Weill Cornell Medical Center
New York, New York, United States, 10065
4
Fred Hutch/University of Washington Cancer Consortium
Seattle, Washington, United States, 98109