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  • Computerized Adaptive Testing to Direct Delivery of Hospital-Based Rehabilitation Rochester, Minn.

    The purpose of this study is to create a computerized multidimensional assessment that can quickly assign hospitalized patients to ability-matched rehabilitation care plans, in three essential areas; Mobility, Daily Activity, and Applied Cognition (ability to think/problem solve).
  • Describing the Determinants and Effects of Variation in the Adoption and Use of the NOHARM Pain Management Intervention Among Diverse Surgical Practices Rochester, Minn., Jacksonville, Fla.

    The purpose of this study is an effort to enrich the ongoing NOHARM pragmatic trial. NOHARM AIM 3 will use a mixed methods analysis of patient and care team factors that affect the adoption, implementation and use of the NOHARM intervention using Epic reports, conduct chart reviews and patient interviews, as well as obtain feedback via suveys.
  • Enhanced, EHR-facilitated Cancer Symptom Control (E2C2) Pragmatic Clinical Trial  (E2C2) Rochester, Minn.

    The Enhanced, EHR-facilitated Cancer Symptom Control (E2C2) Pragmatic Clinical Trial will determine whether systematically assessing patient reported outcomes for sleep disturbance, pain, anxiety, depression, and fatigue among patients with solid and liquid malignancies and using these data to increase the frequency of guideline-concordant care by: 1) reporting these data to their clinical teams, 2) providing patients with needs-matched symptom self-management education, and 3) suggesting evidence-based symptom management strategies to their care teams improves patients' quality of life, symptoms, and adherence to cancer treatment, while reducing their unplanned use of healthcare resources.

     
  • MC1193, Collaborative Care to Preserve Performance in Cancer (COPE) Rochester, Minn.

    This randomized clinical trial studies collaborative targeted case management in improving functional status in patients with stage III-IV cancer. Collaborative targeted case management may improve functional status and preserve performance in patients with advanced cancer
  • Pilot Test of a Pain Management Intervention Preparatory to a Future Pragmatic Trial (ASCENT) (ASCENT) Scottsdale/Phoenix, Ariz., Rochester, Minn. This clinical trial tests how well a pain management intervention preparatory to a future pragmatic trial works in rural dwelling and Hispanic cancer survivors. Cancer pain is a key case study in health disparities in the United States. 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. Hispanic and rural-dwelling cancer survivors stand to benefit the most from electronic health record innovations, as each of these health disparities populations experience profound disparities in pain outcomes, including marked under- and over-prescribing of opioids. Additionally, Hispanics not only comprise a steadily growing proportion of cancer survivors, but are also increasingly immigrating to rural communities, potentially placing them at "double risk" for poor outcomes. This trial will allow for the refinement of pain management intervention components that could help the management of cancer-related pain in rural dwelling and Hispanic cancer survivors.
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