Emory University
This clinical trial evaluates whether the Transportation for Cancer Care Navigation Tool (TRACT) can reduce travel barriers among patients with solid tumors receiving radiation therapy. It is estimated that 20-30% patients with cancer experience travel-related barriers for cancer care. This is a particular problem for patients with radiation therapy as these patients frequently receive multiple treatment cycles, which often require daily treatment for multiple weeks or months. Addressing travel barriers has been a prerequisite for cancer care as travel barriers negatively influence cancer treatment adherence and cancer care outcomes, such as survival and quality of life. The TRACT program may help reduce travel barriers and therefore promote health equity among patients with solid tumors receiving radiation therapy.
PRIMARY OBJECTIVES: I. To work collaboratively with a Community Advisory Board (CAB, e.g., patients, caregivers, clinicians, and social workers) to refine a theory-driven TRACT program for solid tumor patients receiving radiation therapy (RT) with travel barriers. II. To evaluate the feasibility of the TRACT program for patients with solid tumors receiving RT with travel barriers. III. To explore the efficacy of the TRACT program on RT adherence (canceling, delaying, missing, or terminating essential care) and patient-reported outcomes (PROs) (distress, financial toxicity, and quality of li…
Inclusion Criteria: * Age ≥ 18 years * Diagnosed with solid tumors * Undergoing RT (not excluded with chemotherapy) * Competent to give consent * English-speaking * With travel barriers as screened by the reliable and validated 10-item Transportation Barriers Measure. In this study, item 2 ("how much trouble is it for you to get transportation to your doctor or treatment?") from the general barriers domain will be used to screen patients for travel barriers Exclusion Criteria: * Receive palliative care * Are non-English-speaking (excluded due to pilot data without fund to support translatio…
Receive usual care
Participate in a CAB
Receive PAF pamphlet
Receive the TRACT program
Receive transportation awareness brief video
Ancillary studies