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RECRUITINGINTERVENTIONAL

Targeted Palliative Care Intervention for Patients With Metastatic Breast Cancer

Randomized Trial of a Targeted Palliative Care Intervention for Patients With Metastatic Breast Cancer

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

Many people living with metastatic breast cancer face challenging symptoms and frequent medical visits. At the same time, conversations about personal goals, values, and preferences for care may not always happen as early or as often as patients and families would like. This multi-site study will test the effectiveness of a five-session palliative care program, designed specifically for people with metastatic breast cancer and their caregivers, to strengthen communication with clinicians about what matters most in their care. The study aims to inform how palliative care services can be delivered in a more timely, personalized, and scalable way for people living with advanced cancers who have long disease trajectories, such as metastatic breast cancer.

Who May Be Eligible (Plain English)

Patient Who May Qualify: - age ≥18 years - diagnosed with metastatic breast cancer - within 8 weeks of the oncology visit at which they were identified as having an eligible Epic EOL Care Index (≥ 15) - functioning independently per an Eastern Cooperative Oncology Group performance status ≤2 - receiving their cancer care at one of the participating institutions - able to complete questionnaires in English or Spanish Patient Who Should NOT Join This Trial: - received outpatient palliative care visit within the last six months - enrolled in hospice services - diagnosed with a comorbid condition that impairs their ability to understand study procedures and/or consent for the trial as per the report of the oncology clinician(s) Caregiver Who May Qualify: - age ≥18 years - identified by the patient as a family member or friend who is primarily involved in their care - able to complete questionnaires in English or Spanish Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Patient Inclusion Criteria: * age ≥18 years * diagnosed with metastatic breast cancer * within 8 weeks of the oncology visit at which they were identified as having an eligible Epic EOL Care Index (≥ 15) * functioning independently per an Eastern Cooperative Oncology Group performance status ≤2 * receiving their cancer care at one of the participating institutions * able to complete questionnaires in English or Spanish Patient Exclusion Criteria: * received outpatient palliative care visit within the last six months * enrolled in hospice services * diagnosed with a comorbid condition that impairs their ability to understand study procedures and/or consent for the trial as per the report of the oncology clinician(s) Caregiver Inclusion Criteria: * age ≥18 years * identified by the patient as a family member or friend who is primarily involved in their care * able to complete questionnaires in English or Spanish

Treatments Being Tested

OTHER

Palliative Care Intervention, "TARGET-PC"

Palliative care intervention focused on eliciting patients' goals and values to facilitate discussion and documentation of health care preferences.

OTHER

Enhanced Usual Care

Oncology clinicians will receive an electronic message to encourage them to discuss and document their patients' health care preferences.

Locations (3)

Massachusetts General Hospital
Boston, Massachusetts, United States
Duke University
Durham, North Carolina, United States
University of Pennsylvania
Philadelphia, Pennsylvania, United States