Table 1 Control group versus Intervention group Care Processes

Advanced care planning/ goal setting

Patients receive an initial consult with an oncologist, social worker, nurse, and psychologist.

Initial appointment is arranged for the patient and their caregiver to meet with their CHW, the oncologist, social worker, nurse, and psychologist to create an individualized care plan.

Emergency services

Patients are provided a 24/7 hotline to reach TMC.

Patients receive after hours emergency contact numbers.

Pain and symptom management

Received during visits to TMC

“Patient Pain Assessment Tool” is utilized weekly by CHW. Medication and non-pharmacological interventions are discussed with caregiver as needed. CHWs obtain morphine from TMC and bring the medication to patients’ homes.

Psychosocial and spiritual support

Basic psychological support provided at TMC if patients express feelings of psychological distress

Provided by CHW weekly, or as needed (if the CHW identifies or the patient express feelings of psychological distress), during each home visit

Caregiver support

Received at TMC visit.

Education is provided, and caregiver wellbeing is assessed and reinforced by CHW at each weekly home visit