Integrating eHealth and Lay Navigation to Optimize Treatment Initiation and Adherence (REALIZ) among Black Women with Breast Cancer: A Pilot Implementation Feasibility Study
Categories (click each to see list of all clinical trials associated with that category): Breast (ONC), College of Nursing Oncology (ONC)
Current Status: Open
Phase: N/A (Cancer Control)
Principal Investigator: Lally, Robin
Contact Information:
Becky Johnson Beller
r.johnsonbeller@unmc.edu
Summary
The purpose of this study is to collect data on the initial implementation of lay- and nurse navigation-influenced eHealth and their integration in a pilot feasibility implementation study with three aims:
Aim 1: to evaluate key implementation variables of feasibility, appropriateness, and acceptance of lay navigation within the Nebraska Breast Health Navigation Program (NBHNP) at the Fred & Pamela Buffett Cancer Center among a sample of navigated Black women undergoing multimodal breast cancer therapy and their care team.
Aim 2: to explore the feasibility, appropriateness and acceptance by Lay Navigators and patients of adding to lay navigation the evidence-based, eHealth, nurse navigation-influenced program Caring Guidance After Breast Cancer Diagnosis containing racial/ethnically congruent content for Black women and using psychoeducation and cognitive-behavioral approaches to reduce psychological distress through coping and decision-making strategies.
Aim 3: to collaborate with community consultants and Black breast cancer survivors to develop Lay Navigator led online content for reinforcement of Caring Guidance 's psychoeducational strategies aimed at supporting psychological adjustment while maintaining patient engagement in navigation.
This project will yield preliminary data for a NCI R01 comparing the effect of lay navigation, lay navigation plus Caring Guidance, and that combination plus online Lay Navigator led reinforcement of Caring Guidance content on treatment initiation and adherence. We hypothesize that the combination of all three interventions will improve patient psychological adjustment and increase adherence to cancer therapy over lay navigation alone. The expected impact is that findings from the R01 will produce initial evidence on an optimal combination of clinically based breast cancer patient navigation to support Black women's initiation and adherence to therapy with the potential to reduce the number of Black women's lives lost to breast cancer.