Increasing Patient Participation in Clinical Trials

This study is also called CHOICES: Understanding Clinical Trials as a Treatment Option.

Other sites involved are: Group Health Cooperative, Kaiser Permanente Southern California, Kaiser Permanente Colorado.

##Background

Clinical trials are the primary mechanism by which new approaches to cancer treatment can be evaluated, yet only a very small proportion of eligible cancer patients are offered the opportunity to participate in clinical trials, and fewer actually enroll.

##Specific aims

1. Evaluate in a cluster randomized trial the effectiveness of a telephone counseling intervention to increase enrollment in cancer clinical trials, as well as knowledge about clinical trials and satisfaction with treatment decision. The intervention will be tailored to patient language (English and Spanish), ethnic and cultural background, knowledge, attitudes and beliefs about clinical trials.

2. Assess where in the clinical trials recruitment process the greatest proportion of patients are lost to enrollment and develop estimates—by age, gender, and race/ethnicity—of the proportion of potentially eligible patients who are offered and who enroll in clinical trials.

3. Determine the most strategic places in the recruitment process for future interventions to improve recruitment to cancer clinical trials.

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