Integrated Actionable Aging Assessment for Cancer Patients (IA3-CP) Example
Background
Aging is the greatest risk factor for cancer incidence and mortality. Geriatric assessment results for adults 65 and older help inform treatment discussions, intensity of treatment, and identify supportive care needs. Yet, despite evidenced-based benefits, social determinants of health (SDoH) and behavioral assessments are not implemented routinely in oncologic clinics.
Goal
Integrated Aging Assessment for Action for Cancer Patients (2022-2024) is a pilot study that aims to integrate assessment of geriatric issues, health behaviors, mental health, and social determinants of health into an efficient, actionable, and contextual assessment system for older cancer patients. Workflow processes were developed which feasibly integrated the IA3-CP into usual initial assessment with the oncology team using the dissemination and implementation strategy of co-creation and functions & forms.
Method
The Function and Forms approach defines the functions (think goals) from the Integrated Actionable Assessment for Cancer Patients intervention to specific forms or workflows, thus providing flexibility in how the intervention is delivered across settings. Using co-creation workshops with clinic personnel and patient partners to refine and prioritize functions and design the intervention’s forms.
Table of Identified Core Functions and Potential Forms of the IA3-CP System*
| Function | Example Form |
| Assess health needs and preferences that may influence cancer treatment decisions | Assessed by MOHR survey of geriatric frailty, SDoH, behavioral and mental health issues and patient preferences. Patient completes IA3-CP via: by self, with staff, with caregiver; at home or in clinic, in English or Spanish |
| Integrated and actionable report that synthesizes this information is viewable in the electronic health record | Feedback on IA3-CP data visually summarized with priorities indicated to patient and clinical team; either via print out, PDF or in EHR. |
Informed patient-clinician interactions – includes standard of care oncology intake and consultation considerations | Clinician (either/both oncologist or other staff) mention IA3-CP data; refer to patient preferences noted; or collaboratively develop patient- centered cancer care plan |
| Inform an individualized, supportive and comprehensive cancer care plan | Care planned shared; referrals made and completed; prioritized behavior changes made |
*These functions and forms will be revised based on clinic team/patient input during the Co-creation workshops.