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DISCO Application for the Improvement of Financial Outcomes in Patients With Hematologic Cancer

Not Applicable
Completed
Conditions
Chronic Lymphocytic Leukemia
Chronic Myelogenous Leukemia, BCR-ABL1 Positive
Plasma Cell Myeloma
Interventions
Behavioral: The DISCO App
Behavioral: Usual Care
Registration Number
NCT04282343
Lead Sponsor
Barbara Ann Karmanos Cancer Institute
Brief Summary

This phase II trial studies how well the DIScussion of COst (DISCO) application (app) works in improving financial outcomes in patients with hematologic cancer. The DISCO app is an electronic, highly scalable and tailorable education and communication intervention that may help researchers learn more about improving how patients and oncologists discuss cancer treatment costs

Detailed Description

PRIMARY OBJECTIVE:

I. To assess the effectiveness of the DISCO app on prompting patient-oncologist treatment cost discussions during patient-physician interactions (as observed in video recordings), patient outcomes related to financial toxicity immediately after the patient-oncologist interaction, and at a 3-month follow up.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
25
Inclusion Criteria
  • ONCOLOGISTS: Eligible if they treat patients with chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), or multiple myeloma (MM) cancers
  • PATIENTS: Able to read and write in English
  • PATIENTS: Have a confirmed diagnosis of CLL, CML, or MM cancers
  • PATIENTS: Are scheduled to see an oncologist at Karmanos Cancer Institute (KCI) Detroit or KCI Farmington Hills/Weisberg for an initial or change in treatment discussion
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Exclusion Criteria
  • None
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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Arm II - DISCO appThe DISCO AppPatients use the DISCO education and communication app before attending video-recorded meetings with their oncologist to discuss treatment plans.
Arm I- Usual careUsual CarePatients receive usual care consisting of general cancer treatment information on a sheet of paper before attending video-recorded meetings with their oncologist to discuss treatment plans.
Primary Outcome Measures
NameTimeMethod
Presence of cost discussion observed via video recordings of patient-physician treatment discussions.Observed during the video-recorded patient-physician interaction.

Number of participates who have a treatment cost discussion will be evaluated with a validated observational scale. This is an investigator-developed scale and its called the Discussion of Cost (DISCO) scale. A higher score means a better outcome.

Secondary Outcome Measures
NameTimeMethod
Financial toxicity3 months after the patient-physician interaction

How much material and psychological hardship the patients experiences due to treatment cost will be evaluated with a validated self-report scale, and its title is: Comprehensive Score for Financial Toxicity (COST). A higher score means a worse outcomes. (max=7; min=1)

Referrals for financial or psychological supportImmediately after the patient-physician interaction

Number of participants who receive a referral for financial or psychological support will be evaluated with a self-report item. This an investigator-developed yes/no one-item response. A "yes" response is a better outcome than a "no" response.

Self-efficacy in managing treatment costImmediately after the patient-physician interaction

How efficacious each participant feels about managing treatment costs will be evaluated with an adapted validated self-report scale and its title is: Managing Treatment Cost Self-Efficacy scale. This an investigator-adapted scale, and a higher score means a better outcome (max =7; min = 1).

Self-efficacy in patient-physician interactionsImmediately after the patient-physician interaction

How efficacious each participant feels about interacting with physicians will be evaluated with a validated self-report scale, and its title is: Perceived efficacy in patient-physician interactions (PEPPI). A higher score means a better outcome.(max =50; min = 10)

Treatment cost distressImmediately after the patient-physician interaction

How distress each participant feels about how much their treatment will cost them will be evaluated with an investigator-developed validated self-report scale, and its title is: Treatment Cost Distress Scale. A higher score means a worse outcome. (max =7; min = 1)

Anticipated material hardshipImmediately after the patient-physician interaction

How much anticipated material hardship each participant feels they may experienced due to treatment costs will be evaluated with a validated self-report scale, and its title is: Economic Hardship Scale. A higher score means a worse outcome. (max =7; min = 1)

Trial Locations

Locations (1)

Barbara Ann Karmanos Cancer Institute

🇺🇸

Detroit, Michigan, United States

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