[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"trial:NCT06883838":3,"trial-entities:NCT06883838":93,"trial-summary:NCT06883838":96},{"id":4,"nct_id":4,"org_study_id":5,"brief_title":6,"official_title":7,"overall_status":8,"completion_date":9,"status_verified_date":10,"last_update_date":11,"start_date":12,"sponsor_name":13,"lead_sponsor_class":14,"has_dmc":15,"brief_summary":16,"detailed_description":17,"conditions":18,"keywords":20,"study_type":25,"primary_purpose":26,"phases":27,"enrollment_info":29,"interventions":32,"primary_outcomes":42,"secondary_outcomes":47,"sex":59,"minimum_age":60,"maximum_age":17,"healthy_volunteers":15,"eligibility_criteria":61,"std_ages":67,"locations":70,"central_contacts":79,"overall_officials":80,"references":87,"see_also_links":92},"NCT06883838","HSC-SPH-24-0777","Project CASCADE: Community and Academic Synergy for Cancer Survivorship Care Delivery Enhancement","Enhancing Primary Care Capacity for Cancer Survivorship Care Delivery in Community Health Clinics","ENROLLING_BY_INVITATION","2029-05-31","2026-07","2026-07-24","2025-09-01","The University of Texas Health Science Center, Houston","OTHER",false,"The purpose of this study is to implement a clinic-level cancer survivorship care delivery intervention in partnership with community health center clinicians, patients, and community representatives to test effectiveness of the intervention to improve patient and clinician outcomes and to evaluate implementation of the intervention using an iterative, concurrent mixed-methods approach guided by the Practice Change Model.",null,[19],"Cancer Survivorship",[21,22,23,24],"cancer survivorship","community health centers","care delivery","primary care","INTERVENTIONAL","HEALTH_SERVICES_RESEARCH",[28],"NA",{"count":30,"type":31},5584,"ESTIMATED",[33],{"type":34,"name":35,"description":36,"armGroupLabels":37},"BEHAVIORAL","Survivorship care delivery intervention","Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), the intervention includes three evidence-based components:\n\n1. Training: This will include provider-to-provider tele-mentoring using Enhancing Community Health Outcomes (ECHO).\n2. Tracking: This includes systematically assessing cancer history and monitoring survivors' care to plan and organize subsequent care.\n3. Coordinating care for cancer survivors. Each clinic leader will designate a staff member (or members) as the care coordinator champion after exploring current clinic staff, skills, and capacity of various staff roles.",[38,39,40,41],"Step 1 (2 clinics)-6 months control then 12 months intervention","Step 2 (2 clinics)-12 months control then 12 months intervention","Step 3 (2 clinics)-18 months control then 12 months intervention","Step 4 (2 clinics)- 24 months control then 12 months intervention",[43],{"measure":44,"description":45,"timeFrame":46},"Proportion of eligible cancer survivors screened for second primary cancers","Data derived from electronic health records","every 6 months from baseline to end of study (about 36 months from baseline)",[48,52,54,56],{"measure":49,"description":50,"timeFrame":51},"Change in proportion of primary care clinician knowledge of cancer survivorship care","Assessed by self-administered survey","baseline, six months following end of intervention period",{"measure":53,"timeFrame":51},"Change proportion of survivors that report better experience of provider communication as assessed by the adapted Consumer Assessment of Healthcare Providers and Systems (CAHPS 4.0)",{"measure":55,"timeFrame":51},"Change proportion of survivors that report better experience of care coordination as assessed by the adapted Consumer Assessment of Healthcare Providers and Systems (CAHPS 4.0)",{"measure":57,"description":58,"timeFrame":46},"Proportion of survivors who received guideline-recommended surveillance for the most prevalent cancers (breast colorectal, prostate, cervical, and lung)","Per national guidelines \\[National Comprehensive Cancer Network (NCCN), U.S. Preventive Services Task Force (USPSTF)\\]; data derived from electronic health records","ALL","18 Years",{"inclusion":62,"exclusion":65,"raw_text":66},[63,64],"at least one visit to the Community Health Centers (CHCs) in the prior year","employed clinicians (e.g. physicians, nurses, pharmacists, or other allied health professionals) and non-clinician staff of the participating CHC clinics",[],"Inclusion Criteria (participants):\n\n-at least one visit to the Community Health Centers (CHCs) in the prior year\n\nExclusion Criteria (participants):\n\n\\- no history of cancer recorded in the problem list or past medical history in the medical record\n\nInclusion Criteria (clinicians):\n\n-employed clinicians (e.g. physicians, nurses, pharmacists, or other allied health professionals) and non-clinician staff of the participating CHC clinics",[68,69],"ADULT","OLDER_ADULT",[71],{"facility":13,"city":72,"state":73,"zip":74,"country":75,"geoPoint":76},"Houston","Texas","77030","United States",{"lat":77,"lon":78},29.76328,-95.36327,[],[81,84],{"name":82,"affiliation":13,"role":83},"Bijal Balasubramanian, MBBS, PhD","PRINCIPAL_INVESTIGATOR",{"name":85,"affiliation":86,"role":83},"Simon Craddock Lee, PhD","University of Kansas Medical Center",[88],{"pmid":89,"type":90,"citation":91},"41454266","DERIVED","Millett ME, Malthaner LQ, McCallister K, Craig DW, Eary R, Valerio-Shewmaker MA, Shay LA, Rajan SS, Ma HY, Ghosh S, Crabtree BF, Lee SJC, Balasubramanian BA. Community and Academic Synergy for Cancer Survivorship Care Delivery Enhancement (Project CASCADE): a study protocol for a pragmatic, stepped-wedge, cluster-randomized trial in Texas primary care community health centers. BMC Prim Care. 2025 Dec 27;27(1):18. doi: 10.1186\u002Fs12875-025-03108-1.",[],{"nct_id":4,"conditions":94,"biomarkers":95},[19],[],{"nct_id":4,"found":15,"summary":17,"prompt_version":17}]