Digital Supportive Care Awareness & Navigation

D-SCAN, a digital patient navigator service in the form of a mobile application ("app"), has
been designed at Duke, with feedback from Duke Cancer Institute (DCI) patients, caregivers
and clinicians (screenshots in Appendix A).3 Its purpose is to facilitate awareness of
available Cancer Patient Support Program (CPSP) services at Duke, and to also help patients
recognize their unmet symptom management needs by answering questions from the Edmonton
Symptom Assessment Scale (ESAS). This novel electronic system helps to connect patients and
their loved ones with existing resources tailored to their unique situations, ensuring that
no supportive care needs go unaddressed, thus improving patients' lives and their cancer
care.

This protocol aims to assess the feasibility, usability, and preliminary efficacy of the
D-SCAN mobile application. The app data, along with quantitative and qualitative feedback
obtained during the pilot, will inform future development and design of a subsequent efficacy
trial.

Inclusion Criteria:

- Patients who are at least age 18

- Patients who have the capacity to give consent

- Patients with advanced cancer who have initiated treatment at the DCI in the last 12
weeks

- Caregivers over the age of 18 caring for either enrolled or not enrolled patients with
advanced cancer who have initiated treatment at the DCI in the last 12 weeks

Exclusion Criteria:

- Patients who are too ill to participate (per clinician discretion)

- Patients not able to read or understand English