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Dr Joseph Clark Joseph.Clark@hull.ac.uk
Research Fellow in Palliative Care

Project Description

Unmet needs in patients with cancer and their carers are common but poorly identified and addressed. The Needs Assessment Tool- Cancer (NAT-C) is a structured consultation guide to identify and triage patient and carer unmet needs. The NAT-C is validated, but its effectiveness in reducing unmet patient and carer needs in primary care is unknown.

Cluster randomised controlled trial with internal pilot and embedded process evaluation to test the clinical and cost effectiveness of the NAT-C in primary care for people with active cancer in reducing unmet patient and carer need, compared with usual care. We will recruit 1080 patients with active cancer (and carers if relevant) from 54 general practices in England.

Participating practices will be randomised 1:1 to either deliver a NAT-guided clinical consultation plus usual care or to usual care alone. Consenting participants with active cancer and their carers (if nominated) will be asked to complete study questionnaires at baseline, one and three months for all, six months except for those recruited outside of the last three months of recruitment and attend a NAT-C appointment if allocated to an intervention practice. An internal pilot will assess site and participant recruitment, intervention uptake, and follow-up rates. The primary outcome, the proportion of patients with an unmet need on the Supportive Care Needs Survey Short Form 34 (SCNS-SF34) at three months post registration, will be analysed using a multi-level logistic regression. Mixed-methods process evaluation informed by Normalisation Process Theory will use quantitative survey and interview data from clinicians and key stakeholders in cancer care to develop an implementation strategy for nationwide rollout of the NAT-C if the intervention is cost-effective.

Status Project Complete
Value £1,800.00
Project Dates Apr 11, 2022 - Dec 31, 2022
Partner Organisations No Partners

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