Testing an Educational Program to Improve Goals of Care Conversations Between Patients and Their Care Teams

This clinical trial evaluates an educational program called Algorithm-Enabled Patients Activated in Cancer Care Through Teams (A-PACT) for reducing unplanned hospital visits and improving goals of care conversations with providers among patients with solid cancers. A-PACT is an educational program where lay health workers (educators) help patients talk with their health care team about issues that matter most to them (goals of care). During A-PACT sessions, patients receive assistance in formulating health care and end of life care preferences, assistance in completing advance directives, guidance on how to engage in these conversations with family members, friends, and clinical teams, and encouragement to discuss these topics with their clinical team. A-PACT may reduce unplanned hospital visits and improve goals of care communication with providers among patients with solid cancers.

NCT Number	NCT07278739
Lead Sponsor	SWOG Cancer Research Network Collaborators: National Cancer Institute (NCI)
Conditions	Malignant Solid Neoplasm
Enrollment	1,020 participants
Start Date	2026-09-03
Primary Completion	2032-01-01 (estimated)
Study Completion	2032-07-21 (estimated)
Updated on ClinicalTrials.gov	2026-08-05