194
Participants
Start Date
October 25, 2025
Primary Completion Date
December 31, 2030
Study Completion Date
December 31, 2032
Lay Health Worker (LHW) Planning
Patients randomized to the LHW group will receive usual care provided by their oncology (or primary) clinical team along with an initial 30-minute telephone call with the LHW from Palo Alto, followed by weekly 15-minute phone calls (or as needed) for 6months. These calls are designed to assist with healthcare planning, symptom management, and discussions about care preferences and goals.
Usual Care Group
Participants randomized to the usual care group will receive usual care provided by their oncology clinical team. These teams have been trained in symptom assessment, goals-of-care (GoC) discussions, and documentation of such clinical services. As part of usual care, participants may engage in symptom and GoC discussions at any time, initiated by either the patient or the clinician.
Veterans Affairs Palo Alto Health Care System (VAPAHCS), Palo Alto
United States Department of Defense
FED
US Department of Veterans Affairs
FED
Palo Alto Veterans Institute for Research
OTHER