Rural Cancer Control Research

RFA-CA-8-026 Improving the Reach and Quality of Cancer Care in Rural Populations (R01 Clinical Trial Required)

Selected for Funding

Advancing Palliative Care in Northern Plains American Indians

Project number: R01C4240080
Contact PI: Katrina Armstrong
Massachusetts General Hospital

This proposal arises from a collaboration of eight programs dedicated to improving cancer care among American Indians in Western South Dakota. In this two-phase study, these groups will create and evaluate a culturally appropriate intervention for this population, focusing on two key components prioritized by stakeholders: (1) multidisciplinary provider education and (2) in-home support and care coordination through a palliative care-focused community health worker program. All phases of the project will be guided by a community advisory board composed of tribal health leaders and representative enrolled members from the three tribes. Total cost over the length of the grant: $3,804,932 (5 years)

Enhancing Cancer Care of Rural Dwellers Through Telehealth and Engagement (ENCORE)

Project number: R01C4240093
Contact PI: Debra L. Friedman
Vanderbilt University Medical Center

The proposed study is based at seven rural hospitals in Tennessee and Mississippi, states with large rural populations encompassing a third and a half of the population, respectively. The investigators will evaluate the clinical effectiveness of a multi-level telehealth-based intervention for rural hospitals consisting of provider level access to a molecular tumor board and patient-level access to supportive care; and facilitators and barriers to future larger-scale dissemination and implementation of this multilevel intervention, designed to enhance quality of rural cancer care delivery. Total cost over the length of the grant: $3,892,669 (5 years)

KanSurvive: Testing a Model for Improving Cancer Survivorship Care in Rural Practice

Project number: R01CA240103
Contact PI: Jennifer R. Klemp
University of Kansas Medical Center

This study sets out to evaluate current practices in managing rural cancer survivors and test a KanSurvive Project ECHO intervention to transform practices for delivery of evidence-based survivorship care. This novel project will provide a model for use of implementation science and the development of a "community of practices" working together to improve rural cancer survivorship care from diagnosis to the end-of-life. Total cost over the length of the grant: $2,842,6A9 (5 years)

Addressing Cancer-related Financial Toxicity in Rural Oncology Care Settings

Project number: R01CA240092
Contact PI: Stephanie B. Wheeler
University of North Carolina Chapel Hill
The objectives of this application are to understand the rural oncology practice context to optimize tailored strategies to support financial navigation (FN) implementation; assess FN intervention implementation in rural oncology practices; and evaluate the effects of FN implementation on patient outcomes, including financial toxicity and health-related quality of life, in rural oncology practices. Total cost over the length of the grant: $2,314,413 (4 years)