Evaluating a Nurse-Coordinated Home Treatment Program for Adults with Solid Cancer or Blood Cancers Taking Oral Chemotherapy

What this Trial Is About

Researchers are evaluating the feasibility of a decentralized care pathway for patients with solid cancers or hematological malignancies who are receiving oral chemotherapy. This open-label, single-center proof-of-concept study involves 33 patients and aims to improve the current practice where patients must visit the hospital monthly to collect treatment without a medical consultation. The Advanced Practice Nurse APN will coordinate the decentralized care alongside a service-providing nurse. The study introduces two home visits by a nurse to deliver oral cancer treatment, coordinated by the APN at the investigating center. During these visits, the APN will record vital signs and manage treatment delivery. The second visit includes a patient satisfaction questionnaire. This approach replaces monthly hospital visits for treatment pick-up and aims to assess the practical feasibility of this decentralized model. Participants will be followed for 7 months each, during which adherence, satisfaction, and data collection efficiency will be monitored. The study will track how well patient data integrates with electronic health records and assess the operation of the computerized patient file tool MHCare. The APN will maintain telephone contact for follow-up. Overall, the trial aims to measure feasibility, patient adherence, and satisfaction with this new care pathway.

Proof of Concept to Assess the Feasibility of a Decentralised Pathway Coordinated by the Advanced Practice Nurse for Patients Receiving Oral Treatment for Cancer or Malignant Haemopathy (ACCELER PLATFORM)