A TED Talk style patient video education intervention to improve care coordination for rural patients with early-stage cancer: A feasibility study.

• DOI: 10.1200/op.2024.20.10_suppl.236
• Publication Date: 2024-09-30T13:33:33Z
• Authors: Izumi Okado; Christa M. Braun-...; Kehau Matsumoto; Shin Chang; Carry Elhajj; Kevin Cassel; Jeffrey L. Berenberg; Randall F. Holcombe

236 Background: Effective care coordination is a key component of high-quality, patient-centered cancer care. However, patients residing in rural areas often experience substantial barriers to and suboptimal coordination. To date, there paucity interventions improve for patients. In this pilot trial, we assessed the feasibility preliminary efficacy remote, tablet-based patient video education intervention focused on among Hawaii. Methods: We conducted single-arm study assess effects novel, TED-talk style presented by clinicians advocate. Video content basics, coordination, self-advocacy. Eligible participants were newly diagnosed with early-stage (I-III), within one month starting adjuvant chemotherapy, able speak/read English, (defined as RUCA ≥ 4). patient-reports acceptability satisfaction using semi-structured interviews. Validated instruments administered at baseline post-intervention used patients’ perceptions (CCI; Care Coordination Instrument) self-advocacy (adapted Cancer Self-Advocacy Scale; Hagan et al. 2018). Descriptive statistics outcomes. Results: From 01/2022 12/2022, 19 enrolled (21 approached); 74% female, 42.1% identified two or more races, 26.3% Asian, 21.1% White. Mean age was 52.2. The majority receiving treatment breast cancer. Five became ineligible after enrolling (disease progression, relocation). 71.4% eligible completed all assessments. No changes observed overall Improved scores CCI communication domain (+4.5; Cohen’s d = -0.76, 95% CI: -1.45, -0.03). For self-advocacy, an trend improved informed decision making connected strengths subscales. All reported high intervention. Conclusions: Results support feasibility, satisfaction, Although are unclear, data suggest that may aspects Further needed evaluate other areas. Funding support: HOPE Foundation Research/SWOG. Clinical trial information: NCT05162404 .