CancerFRAMENCT07281820
FRAME - Implementation of a PRO Measure to Inform Patient-Centered Survivorship Care in Oncology Outpatient Visits
A study testing FRAME model (questionnaire + dialogue + management plan) in people with Cancer and Late Effects, run by Vejle Hospital at 1 site in Denmark.
Trial summary
FRAME is a patient-centered survivorship care model embedded in routine oncology visits. It consists of: (1) a pre-visit patient-reported questionnaire (FRAME-PRO), (2) a clinician-patient dialogue guided by the responses, and (3) a tailored management plan including stepped-care referrals (general practitioner and… Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Cancer, Late Effects
- What is being tested?
- FRAME model (questionnaire + dialogue + management plan)
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteDenmark
- Study dates
- 1 Mar 2025to 31 Dec 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- All oncologists conducting outpatient visits at the Department of Oncology, Vejle Hospital during the study period.
Who cannot join
- None.
- Participants for interviews:
- A purposive sample of patients, informal caregivers, and clinicians approached ≥6 months after launch
- written and verbally informed consent.
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Karin Larsen contact
Denmark1 site, 1 recruiting
- Recruiting
Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark
Vejle, Region Syddanmark, 7100
Johanne LYHNE, PhD, +4524453561, JOHANNE.DAM.LYHNE@RSYD.DK
Karin Larsen, Karin.Larsen1@rsyd.dk
About this study
Official title: FRAME (Focused Recognition, Assessment and Management of Late Effects): A Single-Center Implementation Study Using RE-AIM to Guide Evaluation in the Department of Oncology, Vejle Hospital
FRAME is a patient-centered survivorship care model embedded in routine oncology visits. It consists of: (1) a pre-visit patient-reported questionnaire (FRAME-PRO), (2) a clinician-patient dialogue guided by the responses, and (3) a tailored management plan including stepped-care referrals (general practitioner and municipality; oncology department supportive services; specialized late-effects clinics). The implementation is evaluated with the RE-AIM framework supplemented by Proctor implementation outcomes. Data sources include the "Mit Sygehus" app, departmental registries, purpose-built questionnaires, fidelity checklists, and qualitative interviews with clinicians, patients, and informal caregivers.
Read the detailed description
The project implements FRAME at the Department of Oncology, Vejle Hospital. The FRAME-PRO enables patients and informal caregivers to reflect on late effects and needs before the visit. During the visit, clinicians access FRAME-PRO electronically to prioritize what matters most, assess severity (triage), and co-create a management plan documented in the electronic health record using a purpose-developed standard phrase to support cross-sector information transfer. Implementation strategies are informed by the Expert Recommendations for Implementing Change (ERIC) and local logs (education, audit \& feedback, reminders, local champions, technical assistance). Evaluation follows RE-AIM: Reach (completion of FRAME-PRO), Effectiveness (referrals to supportive care, quality of life, time use), Adoption (clinician use), Implementation (fidelity to opening, discussing, and managing needs), and Maintenance (sustained use). Quantitative data are summarized descriptively; qualitative data are analyzed with content analysis. Ethics approval covers interviews with patients, caregivers, and clinicians.
- Conditions
- Cancer, Late Effects
- Being tested
- FRAME model (questionnaire + dialogue + management plan)
- Keywords
- Patient-reported outcomes, Survivorship, Oncology, Implementation science, RE-AIM, Proctor Outcomes, Stepped-care
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FRAME model (questionnaire + dialogue + management plan)Behavioural
Administration of the patient-developed FRAME-PRO prior to the visit; clinician-patient dialogue guided by responses; stepped-care management/referrals; documentation via standard EHR phrase. Implementation strategies include educational meetings/materials, ongoing training, audit \& feedback at weekly huddles, reminders/prompts, local champions, and local technical assistance.
| Study group | Role | What they receive |
|---|---|---|
| Single Arm - Department-wide implementation of FRAME | Other | FRAME model (questionnaire + dialogue + management plan) Receives: Behavioral: FRAME model (questionnaire + dialogue + management plan) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Proportion of oncologists who actively use FRAME in ≥50% of eligible outpatient visits.
Adoption
Measured: 3 months
Secondary outcomes (11)
Proportion of eligible outpatient visits with completed FRAME-PRO (via "Mit Sygehus").
Reach
Measured: Continuously during implementation (up to 6 months)
Change in proportion of visits/patients with referrals to supportive care units compared with pre-implementation baseline.
Effectiveness. Target: +15% (exploratory).
Measured: Up to 6 months
Change in patient-reported global quality of life measured on a Likert-like scale from 1 (poor) to 5 (excellent).
Effectiveness. Target: +10% relative increase (exploratory).
Measured: Up to 6 months
Degree to which clinicians and patients (a) open FRAME-PRO during the visit (yes/no), (b) discuss reported needs (yes/no), and (c) manage needs aligned with preferences (yes/no)
Implementation / fidelity
Measured: Up to 6 months
Perceived feasibility of active FRAME use among clinicians on a likert-like scale from 1 (not feasible) to 5 (very feasible)
Feasibility of FRAME (Proctor outcome)
Measured: 6 months
Clinician-perceived acceptability of FRAME-supported visits on a scale from 1 (not acceptable) to 5 (very acceptable)
Acceptability (Proctor outcome)
Measured: 6 months
Perceived fit of FRAME to the oncology outpatient setting and patient population on a scale from 1 (not appropriate) to 5 (very appropriate).
Appropriateness (Proctor outcome)
Measured: 6 months
Time needed to include FRAME-PRO in the visit on a scale from 1 (definitely shorter time with FRAME) to 5 (definitely longer time with FRAME).
Cost
Measured: 6 months
Integration of FRAME within the outpatient clinic (e.g., percent of clinicians using FRAME routinely)
Penetration
Measured: 6 months
Sustained active use of FRAME among clinicians in the last 3 months of the study window.
Maintenance
Measured: Up to 12 months
Proportion of patients referred to supportive care units (actual numbers)
Effectiveness
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted15 Dec 2025
- Study start1 Mar 2025
- Primary completion31 Dec 2026 (estimated)
- Study completion31 Dec 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Vejle Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Torben F Hansen, Dr. Med., Study director, Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Denmark
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07281820
- Sponsor's protocol ID
- FRAME-PRO
- Other IDs
- R392-A23403
- Acronym
- FRAME
- Status last verified
- Dec 2025
- First submitted
- 14 Nov 2025
- Last updated
- 15 Dec 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Lyhne JD, Gade L, Hansen L, Johansen A, Smith A', Jensen LH, Ventzel L. Survivor-driven development of a PROM for use in routine colorectal cancer care. Acta Oncol. 2025 Mar 27;64:475-483. doi: 10.2340/1651-226X.2025.42032.
PubMed 40150842
Study at a glance
From the registry record, last updated by the sponsor on 15 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- FRAME (Focused Recognition, Assessment and Management of Late Effects): A Single-Center Implementation Study Using RE-AIM to Guide Evaluation in the Department of Oncology, Vejle Hospital
- ClinicalTrials.gov ID
- NCT07281820
- Acronym / sponsor ID
- FRAME / FRAME-PRO
- Conditions
- Cancer, Late Effects
- Keywords
- Patient-reported outcomes, Survivorship, Oncology, Implementation science, RE-AIM, Proctor Outcomes, Stepped-care
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Vejle HospitalUniversity, hospital or other
- Study start
- 1 Mar 2025 (actual)
- Primary completion
- 31 Dec 2026 (estimated)
- Study completion
- 31 Dec 2027 (estimated)
- First posted
- 15 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
FRAME is a patient-centered survivorship care model embedded in routine oncology visits. It consists of: (1) a pre-visit patient-reported questionnaire (FRAME-PRO), (2) a clinician-patient dialogue guided by the responses, and (3) a tailored management plan including stepped-care referrals (general practitioner and municipality; oncology department supportive services; specialized late-effects clinics). The implementation is evaluated with the RE-AIM framework supplemented by Proctor implementation outcomes. Data sources include the "Mit Sygehus" app, departmental registries, purpose-built questionnaires, fidelity checklists, and qualitative interviews with clinicians, patients, and informal caregivers.
Detailed description
The project implements FRAME at the Department of Oncology, Vejle Hospital. The FRAME-PRO enables patients and informal caregivers to reflect on late effects and needs before the visit. During the visit, clinicians access FRAME-PRO electronically to prioritize what matters most, assess severity (triage), and co-create a management plan documented in the electronic health record using a purpose-developed standard phrase to support cross-sector information transfer. Implementation strategies are informed by the Expert Recommendations for Implementing Change (ERIC) and local logs (education, audit \& feedback, reminders, local champions, technical assistance). Evaluation follows RE-AIM: Reach (completion of FRAME-PRO), Effectiveness (referrals to supportive care, quality of life, time use), Adoption (clinician use), Implementation (fidelity to opening, discussing, and managing needs), and Maintenance (sustained use). Quantitative data are summarized descriptively; qualitative data are analyzed with content analysis. Ethics approval covers interviews with patients, caregivers, and clinicians.
Study design
- Primary purpose
- Health services research
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single Arm - Department-wide implementation of FRAME | Other | Behavioral: FRAME model (questionnaire + dialogue + management plan)FRAME model (questionnaire + dialogue + management plan) |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (1 listed)
- All oncologists conducting outpatient visits at the Department of Oncology, Vejle Hospital during the study period.
Key exclusion criteria (4 listed)
- None.
- A purposive sample of patients, informal caregivers, and clinicians approached ≥6 months after launch
- written and verbally informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FRAME model (questionnaire + dialogue + management plan)Administration of the patient-developed FRAME-PRO prior to the visit; clinician-patient dialogue guided by responses; stepped-care management/referrals; documentation via standard EHR phrase. Implementation strategies include educational meetings/materials, ongoing training, audit \& feedback at weekly huddles, reminders/prompts, local champions, and local technical assistance. | Behavioural | Single Arm - Department-wide implementation of FRAME |
Primary outcome
Proportion of oncologists who actively use FRAME in ≥50% of eligible outpatient visits.
Time frame: 3 months
Adoption
11 secondary outcomes
Proportion of eligible outpatient visits with completed FRAME-PRO (via "Mit Sygehus").
Time frame: Continuously during implementation (up to 6 months)
Change in proportion of visits/patients with referrals to supportive care units compared with pre-implementation baseline.
Time frame: Up to 6 months
Change in patient-reported global quality of life measured on a Likert-like scale from 1 (poor) to 5 (excellent).
Time frame: Up to 6 months
Degree to which clinicians and patients (a) open FRAME-PRO during the visit (yes/no), (b) discuss reported needs (yes/no), and (c) manage needs aligned with preferences (yes/no)
Time frame: Up to 6 months
Perceived feasibility of active FRAME use among clinicians on a likert-like scale from 1 (not feasible) to 5 (very feasible)
Time frame: 6 months
Clinician-perceived acceptability of FRAME-supported visits on a scale from 1 (not acceptable) to 5 (very acceptable)
Time frame: 6 months
Perceived fit of FRAME to the oncology outpatient setting and patient population on a scale from 1 (not appropriate) to 5 (very appropriate).
Time frame: 6 months
Time needed to include FRAME-PRO in the visit on a scale from 1 (definitely shorter time with FRAME) to 5 (definitely longer time with FRAME).
Time frame: 6 months
Integration of FRAME within the outpatient clinic (e.g., percent of clinicians using FRAME routinely)
Time frame: 6 months
Sustained active use of FRAME among clinicians in the last 3 months of the study window.
Time frame: Up to 12 months
Proportion of patients referred to supportive care units (actual numbers)
Time frame: 6 months
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Dec 2025.
- Background: PubMed 40150842Lyhne JD, Gade L, Hansen L, Johansen A, Smith A', Jensen LH, Ventzel L. Survivor-driven development of a PROM for use in routine colorectal cancer care. Acta Oncol. 2025 Mar 27;64:475-483. doi: 10.2340/1651-226X.2025.42032.
- Individual participant dataSharing planned: Undecided
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Karin Larsen contact
Torben F Hansen, Dr. Med. study director
Department of Oncology, Vejle Hospital, University Hospital of Southern Denmark, Denmark
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing FRAME model (questionnaire + dialogue + management plan) in people with Cancer and Late Effects, run by Vejle Hospital at 1 site in Denmark.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 4 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 15 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Denmark. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Johanne D Lyhne, PhD (004522910740, JOHANNE.DAM.LYHNE@RSYD.DK), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Proportion of oncologists who actively use FRAME in ≥50% of eligible outpatient visits. (time frame: 3 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07281820, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Dec 2025.