Enhancing Triadic Communication About Cognition for Older Adults With Alzheimer's Disease or Related Dementias Facing a Cancer Management Decision
About this study
Building upon prior work, the investigator team developed a communication intervention for older adults with ADRD who are considering a decision about cancer management (adapted intervention: COACH-Cog). The investigators hypothesize that for patients with dual diagnoses of ADRD and cancer, COACH-Cog will increase autonomy support of care partners and patients in the decision-making process, leading to greater acknowledgement and support of cognitive concerns and cognitive-related goals, thereby improving goal concordant care. The investigators are conducting a pilot randomized controlled trial (RCT; cluster randomized by physician) including approximately 45 oncology clinicians and 130 patient/care partner dyads evaluating the effect of COACH-Cog on care partner and patient autonomy support, care partner well-being, goal-concordance, and communication.
- Condition
- Cancer, Dementia
- Tested
- COACH-Cog
- Sponsor
- University of Rochester
Who can join
- Age
- 65 years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
Inclusion 24
- Minimum age: 65 years
- Study condition: Cancer, Dementia
- PATIENTS:
- Patient Inclusion Criteria:
- Be age 65 or older
- Have a clinical diagnosis of Alzheimer's disease or related dementia (ADRD \[Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia, or dementia of unknown subtype\])
- Have a clinical diagnosis of cancer (any type or stage)
- Anticipate a potential decision about cancer-related management, as confirmed by the patient's primary medical oncology clinician.
- Have a care partner willing and able to participate in the study
- Are able to read and understand English. The communication coaching session will be delivered in English, thus necessitating this requirement.
- Be able to provide informed consent (as measured by UBACC) or have a Legally Authorized Representative to provide informed consent
- Patient Exclusion Criteria:
- Patient exclusion criteria: None
- CARE PARTNER:
- Care partner inclusion criteria:
- Age 18 or over
- Able to read and understand spoken English
- Able to provide informed consent
- Care partner exclusion criteria:
- ONCOLOGY CLINICIAN:
- Oncology clinician inclusion criteria:
- Oncology clinicians affiliated with the Wilmot Cancer Institute
- Do not intend to move or retire within the next 2 years.
- Oncology clinician exclusion criteria:
Where
1 site, 1 recruiting
University of Rochester Wilmot Cancer Institute
Rochester, New York, United States
Contact
-
Allison Magnuson
585-602-5085 allison_magnuson@urmc.rochester.edu
-
Jessica Bauer
585-602-5085 JessicaC_Bauer@URMC.Rochester.edu
Potential match only. Final eligibility is determined by the study team.