Older adults with advanced cancer are selective in sharing and seeking information with social networks.
Lee Kehoe, Chandrika Sanapala, Grace DiGiovanni...
https://pubmed.ncbi.nlm.nih.gov/35717349/Actively Recruiting
Led by University of Rochester · Updated on 2026-07-07
70
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are evaluating the SONATA intervention in a pilot randomized controlled trial among older adults aged 65 years and older with advanced cancer. This population often faces functional and cognitive challenges, as well as emotional symptoms, which affect their ability to manage care and quality of life. The trial aims to assess the feasibility and preliminary effectiveness of SONATA compared to enhanced usual care in improving patient activation and quality of life. The SONATA intervention includes six key components designed to engage patients social networks. These components involve goal-setting, identifying and mapping social network members, engaging key members to support patient goals, creating communication channels, building skills for effective communication and support, and using feedback cycles to respond to patients needs. Participants randomized to SONATA will have up to six coaching sessions over about six weeks, delivered in person or via Zoom. Those in the enhanced usual care group will receive standard educational materials within four weeks after randomization. Participants will be involved in assessments from the start of the study through week 16, including measures of study feasibility, patient activation, quality of life across emotional, social, and existential domains, autonomy, competence, relatedness, and social support. The study will track these outcomes to understand the interventions impact. The total participation duration is approximately 16 weeks, during which participants will complete questionnaires and possibly other evaluations to support the research objectives.
CONDITIONS
A Pilot Randomized Controlled Trial of a Social Network Intervention
K
Kah Poh Loh
B
Becky Gravenstede
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University of Rochester
Lead Sponsor
American Cancer Society, Inc.
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | SONATA Social Network Intervention | Enhanced Usual Care |
|---|---|---|
| What is it? | A structured program designed to help older adults with advanced cancer identify and engage supportive social network members, set personal goals, and enhance their well-being through cycles of feedback, communications skill-building, and opportunity creation. | Standard supportive oncology care with added resources and recommendations for support, but without the structured SONATA social network intervention components. |
| Role in the trial | Investigational intervention arm evaluating the impact of a tailored social network support program. | Active control arm providing enhanced supportive care typical for oncology patients at the study center. |
| Primary use | To improve emotional, social, and existential quality of life, patient activation, self-determination, and social support for older adults with advanced cancer through structured engagement of their social networks. | To provide supportive oncology care and resources typically offered to older adults with advanced cancer, including connection to existing support services. |
| How is it given or performed? | Participants complete sessions involving goal-setting, mapping and engaging their social networks, communication skills training, and collaborative activities, supported by cycles of feedback as needs evolve. | Participants receive the usual standard oncology care with recommendations for available support services but do not participate in the structured SONATA sessions. |
| State of evidence | SONATA is being evaluated in a pilot randomized trial; no peer-reviewed publication of its direct effectiveness or long-term outcomes is yet available. Related research indicates that social network involvement affects the type and quality of information shared by older adults with advanced cancer. | Enhanced usual care reflects current supportive oncology practice. Evidence supports the importance of social networks for well-being and information but does not evaluate a structured intervention like SONATA. |
| Important limitations | Effectiveness, acceptability, and feasibility of SONATA are not yet established and will depend on completion of this pilot trial. Findings may not generalize to settings with different social norms, network structures, or languages. | Standard supportive care varies by site and patient, and may not provide structured coaching on social network engagement. Benefits of routine care may be limited by patient isolation or network barriers unaddressed by typical resources. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Approximately 6 weeks
Participants receive either the SONATA intervention involving up to six coaching sessions over about six weeks or enhanced usual care with standard educational materials provided within four weeks.
Up to six coaching sessions (in person or via Zoom) for SONATA group; single delivery of materials for enhanced usual care group
Duration - Up to 16 weeks from baseline
Participants complete assessments of patient activation, quality of life, autonomy, competence, relatedness, and social support through week 16 to evaluate the study outcomes.
Regular assessments during study period
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
SUPPORTIVE_CARE
Number of Arms
2
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Lee Kehoe, Chandrika Sanapala, Grace DiGiovanni...
https://pubmed.ncbi.nlm.nih.gov/35717349/Veronica Yu, Sule Yilmaz, Jorie Freitag...
https://pubmed.ncbi.nlm.nih.gov/36270857/University of Rochester
Lead Sponsor
American Cancer Society, Inc.
Collaborating Sponsor