CClinicalTrials.gg
Enrolling by invitationNCT05400941Updated May 6, 2026

Aim 3, Adapting and Implementing Evidence-based Breast Cancer Follow-up in Primary Care

An interventional study of Practice Led Intervention in Cancer, Breast and Health Care Utilization, sponsored by Rutgers, The State University of New Jersey. Enrolling by invitation at 1 site in United States. Open to participants aged 21 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-06.

Sponsored by Rutgers, The State University of New Jersey · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
910
Allocation
Randomized
Ages
21 Years and older
Sex
All
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Study summary

This mixed methods study evaluates the effectiveness of an organizational intervention to enhance implementation of strategies to increase breast cancer survivorship symptom and risk management.

Read the detailed description

Aim 3 is a hybrid type 1 effectiveness-implementation cluster randomized study with a waitlist control in 26 primary care practices. This study uses a tailored combination of practice facilitation, expert consultation, collaborative learning events, and audit and feedback as intervention strategies, and a mixed-methods comparative case study learning evaluation for primary care practices to adapt priority recommendations of evidence-based activities for breast cancer survivorship care. Intervention effectiveness will be assessed in two groups of clinics: 13 cases that will receive the implementation intervention and 13 waitlist controls. Impact of this implementation will be measured using mixed methods to assess Exploration, Preparation, Implementation and Sustainment factors related to how organizational and contextual variables affect adoption, implementation and early sustainability for provision of follow-up care, symptom, and risk management activities at 6 and 12 months post implementation. Aim 3 surveys 20 clinicians and staff members from 26 intervention practices (n=520) and conducts key informant interviews with 5 health care team members (who have participated in the survey; n=130) and 15 breast cancer survivors per practice (n=390; 5 per assessment point at baseline, 6 months and 12 months post intervention). Medical records of 20 patients with a history of breast cancer per practice per assessment point at baseline, 6 months and 12 months post intervention will be randomly selected for review (N=1,560) to assess and compare comprehensive breast cancer follow-up care outcomes. Sustainment will be measured through continued monitoring of the medical records for the 13 initial intervention practices at 18 and 24 months (N=520).

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Conditions studied

  • Cancer, Breast
  • Health Care Utilization
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In context

Breast Neoplasms

12,544 studies on the registry are indexed under Breast Neoplasms; 2,892 are open to participants now.

This study's planned enrollment of 910 is above the median of 72 across 9,303 interventional studies indexed under Breast Neoplasms.

Browse Breast Neoplasms studies →

Lead sponsor

Rutgers, The State University of New Jersey is the lead sponsor of 496 studies on the registry; 130 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 30 (79%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
21 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Self-identification as a staff member or patient who has had breast cancer in a participating practice

Exclusion criteria

Exclusion Criteria:

  • Unable to speak, understand and/or read English
  • Unable to provide informed consent
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
910 participants (estimated)

Study arms

  • Active comparator
    Practice Led Intervention

    Clinic staff will participate in learning collaborative and practice facilitation as well as receive expert consultation and audit and feedback.

    Behavioral: Practice Led Intervention

  • No intervention
    Standard of Care

    No intervention.

Interventions

  • BehavioralPractice Led Intervention

    This is a quality improvement intervention that includes learning collaboratives, practice facilitation, expert consultation and audit and feedback.

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What researchers measure

Primary outcomes

  1. Change in Comprehensive Breast Cancer Follow-up Care

    Percent of eligible recommendations performed per patient to assess the comprehensiveness of the follow up care received

    Time frame: Repeated measures at baseline, 6 months, 12 months, 18 months and 24 months

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Study locations

1 site
  • Rutgers University
    New Brunswick, New Jersey 08901, United States
08

References and documents

Publications

  • Fadem SJ, Hudson SV, Crabtree BF, Howard J, Hemler JR, Ferrante J, Mikesell L, April-Sanders AK, Bator A, O'Malley DM. Using co-design to develop actionable strategies to identify and follow-up on breast cancer survivors in primary care. BMC Health Serv Res. 2026 Apr 18;26(1):777. doi: 10.1186/s12913-026-14538-7. PubMed 42001107 ↗
  • Fadem SJ, Maniaci A, Devine KA, O'Malley DM, Hemler JR, Holover G, Hudson SV, Crabtree BF. "I had to work it out for myself": opportunities for primary care to fill a void for early-onset breast cancer survivors. J Cancer Surviv. 2026 Mar 18:10.1007/s11764-026-02001-9. doi: 10.1007/s11764-026-02001-9. Online ahead of print. PubMed 41844926 ↗
  • Fadem SJ, Crabtree BF, O'Malley DM, Mikesell L, Ferrante JM, Toppmeyer DL, Ohman-Strickland PA, Hemler JR, Howard J, Bator A, April-Sanders A, Kurtzman R, Hudson SV. Adapting and implementing breast cancer follow-up in primary care: protocol for a mixed methods hybrid type 1 effectiveness-implementation cluster randomized study. BMC Prim Care. 2023 Nov 9;24(1):235. doi: 10.1186/s12875-023-02186-3. PubMed 37946132 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 6, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT05400941
Lead sponsor
Rutgers, The State University of New Jersey
Collaborators
National Cancer Institute (NCI)
Responsible party
Shawna V. Hudson, PhD (Professor, Rutgers, The State University of New Jersey) — Principal investigator
First posted
Jun 2, 2022
Start date
Jun 24, 2024
Primary completion
Jul 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
May 6, 2026

Study contacts

Shawna V Hudson, PhD
principal investigator · Rutgers University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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