[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100638320":3},{"organization":4,"outcomesModule":7,"designInfo":37,"detailedDescription":36,"studyPopulation":36,"armGroups":43,"interventions":56,"overallOfficials":64,"centralContacts":70,"locations":75,"responsibleParty":93,"collaborators":95,"id":99,"slug":36,"hasResults":100,"nctId":101,"briefTitle":102,"officialTitle":102,"acronym":36,"eligibilityCriteria":103,"healthyVolunteers":100,"sex":104,"minAge":105,"maxAge":106,"enrollmentInfo":107,"targetDuration":36,"studyType":110,"phases":111,"briefSummary":113,"conditions":114,"keywords":116,"overallStatus":121,"whyStopped":36,"lastUpdateSubmitDate":122,"lastUpdatePostDateStruct":123,"startDateStruct":126,"completionDateStruct":128,"leadSponsor":130,"locationsCount":131},{"fullName":5,"class":6},"Children's Hospital Los Angeles","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":36},[9],{"measure":10,"description":11,"timeFrame":12},"Proportion of participants with Transition to Adult-Focused Survivorship Care","The proportion of participants who complete a qualifying adult-focused survivorship care visit, defined as:\n\nFor higher-risk survivors: a visit to the designated adult survivorship clinic For lower-risk survivors: a visit to a primary care provider that includes discussion of cancer history and\u002For late effects\n\nTransition success is:\n\nSelf-reported by participants and Validated by study staff through contact with the receiving provider\n\nParticipants without a cancer-focused component to the visit (e.g., urgent care, vaccination-only visits) will not be considered successful transitions.\n\nThe outcome will be analyzed as a binary proportion (success vs. no success).","Within 18 months following transition \"launch\" (study enrollment\u002Fbaseline)",[14,18,21,24,27,30,33],{"measure":15,"description":16,"timeFrame":17},"Change in HRSN score from baseline to each follow-up time point in each study arm.","Change in the number of unmet health-related social needs assessed using the CMS Accountable Health Communities (AHC) HRSN Screening Tool, including domains such as:\n\nHousing instability, Food insecurity, Transportation barriers, Utility assistance needs, and Employment, education, mental health, and disability (supplemental items)\n\nCount 6 (all social needs endorsed) to 0 (no social needs endorsed)","Baseline to 18 months post-enrollment",{"measure":19,"description":20,"timeFrame":17},"Change in Global Health-Related Quality of Life Score using Likert scale","Change in patient-reported quality of life measured using the PROMIS Global Health Scale (10-item instrument), generating:\n\nPhysical health summary score Mental health summary score\n\n0 (poor self reported health) -10 (best self reported health)",{"measure":22,"description":23,"timeFrame":17},"Change in General Self-Efficacy using Likert scale","Change in perceived self-efficacy measured using the PROMIS General Self-Efficacy 10-item scale.\n\nScores reflect participants' confidence in managing health and behavior and are reported as standardized scores.\n\n1 ( Lowest Confidence ) - 5 ( Highest Confidence )",{"measure":25,"description":26,"timeFrame":17},"Change in mean scores for Patient-Reported Access to and Experience with Healthcare as measures by CAHPS (Consumer Assessment of Healthcare Providers and Systems)","Patient-reported measures derived from CAHPS (Consumer Assessment of Healthcare Providers and Systems) assessing:\n\nGlobal rating of healthcare Access barriers Insurance-related difficulties\n\nOutcomes reported as mean scores\n\nCount 0 (Worst Possible Assessment) to 10 (Best Possible Assessment)",{"measure":28,"description":29,"timeFrame":17},"Change in count for barriers to care as measured by Likert scale barriers to care questionnaire","39-item questionnaire that includes subscales of pragmatics, health knowledge and beliefs, expectations about care, skills, and marginalization.\n\nLikert scale with 0-100 range, where 0 indicates the most barriers and 100 indicates no barriers.",{"measure":31,"description":32,"timeFrame":17},"Change in Emotional Social Support score using a Likert scale.","Patient-reported social support measured using PROMIS short forms:\n\nEmotional support (4 items each) Likert scale with 0-5 range, where 0 indicates the lowest social support and 5 indicates highest social support.",{"measure":34,"description":35,"timeFrame":17},"Change in Informational Support score using a Likert scale.","Patient-reported social support measured using PROMIS short forms:\n\nInformational support (4 items each)\n\nLikert scale with 0-5 range, where 0 indicates the lowest social support and 5 indicates highest social support.",null,{"allocation":38,"interventionModel":39,"interventionModelDescription":36,"primaryPurpose":40,"observationalModel":36,"timePerspective":36,"maskingInfo":41},"RANDOMIZED","PARALLEL","TREATMENT",{"masking":42,"maskingDescription":36,"whoMasked":36},"NONE",[44,50],{"label":45,"type":46,"description":47,"interventionNames":48},"Control","ACTIVE_COMPARATOR","Recontacting patients by a nurse case manager after transition launch to determine transition success.",[49],"Behavioral: Control",{"label":51,"type":52,"description":53,"interventionNames":54},"Navigation","EXPERIMENTAL","Patients in the intervention have phone or video session with patient navigator at enrollment, 6, 12 and 18 months, or more frequently as dictated by high-risk social needs.",[55],"Behavioral: Navigation",[57,61],{"type":58,"name":51,"description":59,"armGroupLabels":60,"otherNames":36},"BEHAVIORAL","Follow Up",[51],{"type":58,"name":45,"description":62,"armGroupLabels":63,"otherNames":36},"Standard of Care",[45],[65,68],{"name":66,"affiliation":5,"role":67},"David Freyer, DO, MS","PRINCIPAL_INVESTIGATOR",{"name":69,"affiliation":5,"role":67},"Kimberly Miller, PhD",[71],{"name":66,"role":72,"phone":73,"phoneExt":36,"email":74},"CONTACT","(323) 361-6695","DFreyer@chla.usc.edu",[76],{"facility":5,"status":36,"city":77,"state":78,"zip":79,"country":80,"countryCode":81,"cosmosGeoPoint":82,"geoPoint":87,"contacts":88},"Los Angeles","California","90027","United States","US",{"type":83,"coordinates":84},"Point",[85,86],-118.24368,34.05223,{"lat":86,"lon":85},[89,90,91],{"name":66,"role":72,"phone":36,"phoneExt":36,"email":36},{"name":66,"role":67,"phone":36,"phoneExt":36,"email":36},{"name":69,"role":92,"phone":36,"phoneExt":36,"email":36},"SUB_INVESTIGATOR",{"type":67,"investigatorFullName":66,"investigatorTitle":94,"investigatorAffiliation":5,"oldNameTitle":36,"oldOrganization":36},"Medical Staff\u002FUSC Faculty CWR",[96],{"name":97,"class":98},"National Cancer Institute (NCI)","NIH","100638320",false,"NCT07630831","Patient Navigation for Improving Transition Success Among Multiply Disadvantaged Young Adult Survivors of Childhood Cancer","Inclusion Criteria:\n\n* diagnosed between the ages of 0-19 years with cancer or with any condition treated with cancer-like therapy.\n* currently in follow up at survivorship clinic or had a survivorship launch visit during the 12 months prior to study activation.\n* current age 20-29 (\\>95% of patients will be age 20-21)\n* meet LIFE Clinic transition readiness criteria, as clinically applied:\n* at least 5 years off treatment\n* medically stable\n* demonstrate a workable understanding of transition\n* have an identified primary care provider\n* able to speak and read English or Spanish\n* can provide informed consent.\n\nExclusion Criteria:\n\n* do not meet transition criteria\n* speak a language other than English or Spanish\n* are significantly impaired and cannot provide informed consent.","ALL","20 Years","29 Years",{"count":108,"type":109},190,"ESTIMATED","INTERVENTIONAL",[112],"NA","The goal of this clinical trial is to improve the successful healthcare transition from pediatric to adult-focused care for childhood cancer survivors. The main questions it aims to answer are\n\n* Receipt of the intervention (vs. standard of care control) will increase the proportion of CCS achieving transition success to adult-focused survivorship care from 50% to 70%.\n* Receipt of the intervention (vs. standard of care control) will significantly reduce patients' unmet HRSN.\n* Intervention effectiveness will be moderated by sociodemographic factors (gender, race\u002Fethnicity, insurance status), medical risk for late effects, HRSN burden, and patient-reported outcomes (quality of life, self-efficacy).\n\nResearchers will compare those that receive intervention versus standard of care.\n\nPatients are randomized to either an intervention group, receiving structured PN-led sessions and tailored support for care transitions, or a control group receiving standard follow-up by a nurse case manager. High-HRSN patients in the intervention arm get monthly check-ins and coordinated handoffs to adult care providers for continuity.",[115],"Cancer Childhood",[117,118,119,120],"Childhood Cancer","Transition of care","Health-related social needs","Patient Navigation","NOT_YET_RECRUITING","2026-06-02",{"date":124,"type":125},"2026-06-05","ACTUAL",{"date":127,"type":109},"2026-07-01",{"date":129,"type":109},"2030-09-01",{"name":5,"class":6},1]