Lay Health Worker Expanded Intervention in Community Oncology Practices

Not Recruiting

Trial ID: NCT04463992


Undertreated patient symptoms and resulting acute care use require approaches that improve symptom-burden. Previously a lay health worker (LHW)-led symptom screening intervention was developed for patients with cancer. In pilot work, the intervention was associated with improvements in patient symptom burden and reductions in healthcare use and costs of care at the end of life. This intervention will be expanded across several clinics to evaluate the impact of the LHW intervention on with cancer and the LHW will be trained to refer patients to palliative care. This randomized intervention will evaluate the effect on healthcare use, total costs, palliative care and hospice referral.

Official Title

Lay Health Worker Expanded Intervention in Community Oncology Practices

Stanford Investigator(s)

Manali Patel
Manali Patel

Associate Professor of Medicine (Oncology)


Inclusion Criteria:

   - Newly diagnosed or relapsed cancer diagnosis.

   - 75 years or older with an odd medical record #

   - Diagnosis of relapse or progressive disease (any cancer diagnosis) as identified by
   imaging or biopsy and confirmed by physician.

   - Must have capacity to verbally consent

Exclusion Criteria:

   - Inability to consent to the study due to lack of capacity as documented by the
   referring physician.


behavioral: Program participants

other: Usual Care

Not Recruiting

Contact Information

Stanford University
School of Medicine
300 Pasteur Drive
Stanford, CA 94305
Manali I Patel, MD MPH MS