Advancing Safe, Comprehensive, Digitally-Enabled Cancer Pain managemeNT (ASCENT)
Mayo Clinic
Summary
This clinical trial tests a collaborative pain management intervention (ASCENT) for improving cancer pain in cancer survivors. Cancer pain is prevalent, under-treated, and remains a major cause of suffering, impairment, and disability for millions of Americans. Individual pain interventions and care models show promise for cancer pain in controlled settings. All cancer survivors stand to benefit from electronic health record innovations, as they can experience profound pain outcomes, including marked under- and over-prescribing of opioids. Digitally facilitated solutions are especially helpful and can be customized to address patient needs. The ASCENT intervention provides patients with an educational guide that describes techniques for addressing cancer pain, and uses community health workers and pain care managers to coach patients through a personalized pain management plan. This study may help researchers learn how pain management strategies can improve cancer pain and lower risk of opioid exposure and dependency in cancer survivors.
Description
NOTE: Although Mayo Clinic in Arizona, Mayo Clinic in Florida, and Mayo Clinic in Rochester are the main study locations, this study is also recruiting (enrolling remotely) at the following Mayo Clinic Health System locations. The study is virtual/remote, so no travel is required. Mayo Clinic Health Systems-Mankato Mankato, MN 56001, US Mayo Clinic Health System in Albert Lea Albert Lea, MN 56007, US Mayo Clinic Health System in Austin Austin, MN 55912, US Mayo Clinic Health System-Eau Claire Clinic Eau Claire, WI 54701, US Mayo Clinic Health System-Franciscan Healthcare La Crosse, WI 546…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * A qualifying liquid or solid cancer diagnosis with visits at a participating Mayo site in the past 15 years * Including malignant hematology * Lymphoma * Myeloma * Chronic leukemias * Age \>= 18 * Numeric Rating Scale (NRS) pain score of \>= 5/10 * Pain that developed or worsened following cancer diagnosis * Fit the description of either rural or Hispanic or both Exclusion Criteria: * Patient Health Questionnaire - 8 (PHQ8) score of \>= 13 * Hospice enrollment * Skilled nursing facility, inpatient rehabilitation facility, or long-term care placement * E…
Interventions
- OtherBest Practice
Receive enhanced usual care
- OtherEducational Intervention
Receive ASCENT guide
- OtherQuestionnaire Administration
Ancillary studies
- OtherElectronic Health Record Review
Ancillary studies
- ProcedureHealth Telemonitoring
Attend video or phone calls with a CHW and/or PCM
- BehavioralCancer Pain Management
Receive personalized pain management plan
Locations (3)
- Mayo Clinic in ArizonaScottsdale, Arizona
- Mayo Clinic in FloridaJacksonville, Florida
- Mayo Clinic in RochesterRochester, Minnesota