Improving personalized care for colorectal cancer patients

Coproducing Personalised Care in a Digital Age: Using the Adversity, Restoration and Compatibility (ARC) Framework to Inform the Co-design of a Digital Care Planning Tool for People With Colorectal Cancer.

This study is testing a digital tool to see if it can improve the care experience for people with colorectal cancer by helping doctors and patients work together better.

Quick facts

• Study type: Observational
• Enrollment: 55 (estimated)
• Ages: 18 Years and up
• Sex: All
• Sponsor: King's College London (Academic / other)
• Locations: 1 site (London)
• Trial ID: NCT05702684 on ClinicalTrials.gov

What this trial studies

This study aims to enhance the experience of care for individuals living with and beyond colorectal cancer by exploring the effectiveness of personalized care and support planning through a digital tool known as the electronic Holistic Needs Assessment (eHNA). Utilizing a collaborative methodology called Video-Reflexive Ethnography, the research will involve observing and recording patient-clinician interactions to identify strengths and areas for improvement in the care process. The study will gather insights from both patients and clinicians to co-develop better care practices and improve the quality of digital health contributions to personalized cancer care.

Who should consider this trial

Good fit: Ideal candidates include adults over 18 who are living with colorectal cancer and are willing to participate in the eHNA intervention.

Not a fit: Patients who do not speak conversational English or are not diagnosed with colorectal cancer may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved personalized care strategies that enhance the overall experience and outcomes for colorectal cancer patients.

How similar studies have performed: Other studies have shown promise in using digital tools for personalized cancer care, suggesting that this approach may yield beneficial results.

Eligibility criteria

Inclusion Criteria:

Patients

1. Patients (who are living with and beyond colorectal cancer) who have agreed to complete the eHNA intervention within 31 days of diagnosis OR patients who received the ARC clinic HNA intervention.
2. Over 18 years of age
3. Speak a conversational level of English Patients will be sampled purposively to ensure a range of experiences. Patients will be sampled on ethnicity, gender, age, time since diagnosis, socio-economic status, and digital maturity, so that findings can also be used to explore and address cancer inequalities.

Paired clinicians

1. Clinicians (e.g., CNS, AHP, cancer support worker) who work in cancer services and provide the eHNA/ARC intervention to (the recruited) patients who are living with colorectal cancer.
2. Over the age of 18
3. Speak a conversational level of English.

Team members

1. Clinicians (e.g., CNS, AHP, cancer support worker) who work in the colorectal cancer team or who work in close liaison with the colorectal cancer team and are responsible for providing the eHNA and care planning consultation.
2. Over the age of 18
3. Speak a conversational level of English.

Exclusion Criteria:

Patients

1. Patients (who are living with and beyond cancer) who are receiving treatment but who have not agreed to complete an eHNA /patients who did not attend the ARC clinic.
2. Under 18 years of age
3. Do not speak a conversational level of English
4. Patients who lack capacity to consent

Patients that are approached to take part in the study but who do not want to participate will automatically be excluded from the project. Insufficient ability to understand/speak English is an exclusion criterion for this study because the research uses audio recordings of verbal conversation and relies on understanding of written study materials in order to ensure informed consent. Participants with a low level of literacy (but with adequate conversational level of English) can be supported by having the researcher read out the participant information sheet and consent form, and to check for understanding.

Paired Clinicians 1. Clinicians who do not provide the eHNA intervention /ARC intervention to patients who are living with and beyond cancer.

Team members

1. Clinicians (e.g., CNS, AHP, cancer support worker) who do not work in the colorectal cancer team or in close liaison with the colorectal cancer team.

Where this trial is running

London

• Guy's & St Thomas' NHS Foundation Trust — London, United Kingdom (Recruiting)

Study contacts

• Principal investigator: Clair Le Boutillier — King's College London
• Study coordinator: Clair Le Boutillier

Conditions Colorectal Cancer