Geriatric Assessment and Management with Question Prompt List using a Web-based Application for Elderly Cancer Patients to Communicate Aging-related Concerns - Randomized Controlled Trial -

Interventions: Based on the manual, clinical psychologist, nurses, physicians, or hospital staff as the interventionist will: 1) Explain the Geriatric Assessment (GA) summary to the patient and then discuss the patient’s perception about GA impairments and need for recommended management; then prepare a feedback sheet based on information obtained from the patients, such as aging-related concerns and their interest in the recommendations, 2) Provide communication support using Question Prompt List (QPL), assist patients in organizing and communicating aging-related concerns and intentions for treatment and care to their oncologists; then prepare a feedback sheet including a list of selected questions, 3) Provide feedback on the results of 1) and 2) to their oncologist using a feedback sheet. Interventions will be conducted just prior to the first outpatient visit after randomization. Interventionists are clinical psychologists, nurses, physicians, or hospital staff who have completed training based on the manual in advance. For the 5 months after the initial intervention, interventionists will review and discuss implementation of GA-guided management monthly with the patients and their oncologists to implement management as needed. At 3 months after the initial GA+QPL, GA will be reassessed, and management will be revised if necessary, and feedback on GA+QPL will be provided to patients and oncologists in the same manner as that in the first intervention.
Usual care
Primary outcome(s): Number of conversations about aging-related concerns during consultation at the first outpatient visit after randomization
Study Design: Parallel Randomized