Oncology Legal Navigation- Medical Legal Partnership
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 1
- 主要终点
- Number of participants enrolled
研究概览
简要总结
The overall objective of this study is to implement a sustainable oncology legal navigation program that will provide direct legal navigation services to help patients and caregivers overcome legal barriers to care in order to reduce cancer-related financial toxicity (FT) and improve health-related quality of life (QOL) among patients/caregivers.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •receiving or have received services at the Markey Cancer Center, University of Kentucky
- •patient with cancer diagnosis
- •caregiver of patient with cancer diagnosis
- •18 years or older
- •facing legal barriers to care
排除标准
- •Unable to provide consent
研究组 & 干预措施
Adult patient or caregiver of patient with cancer diagnosis
legal navigation program in oncology care
干预措施: oncology legal navigation services (Other)
结局指标
主要结局
Number of participants enrolled
时间窗: 12 months
Feasibility was defined as 60% or higher enrolled participant retention and resolution of financial or legal issue (based on existing oncology financial navigation studies)
Acceptability assessed by 5-item survey
时间窗: Post intervention at 12 months
Acceptability is measured using a 5 item post-intervention survey of relevance, helpfulness, convenience, recommendation to others, and value. Ratings on a scale from 0 to 10 where a higher score means greater acceptability
Change in Total Financial Toxicity
时间窗: Baseline and post intervention,up to 12 months
Measured using the COmprehensive Score for financial Toxicity (COST) tool, a measure that describes the financial distress experienced by cancer patients. Scores range from 0-44 with a higher score representing better financial well-being.
Change in Participant Quality of Life (physical and mental)
时间窗: Baseline and post intervention, up to 12 months
Measured using the 10-item PROMIS® (Patient-Reported Outcomes Measurement Information System) Parent Proxy Global Health scale. A 7-item summary assessment of a child's self-reported health with higher scores representing better quality of life. Values range from 7-35, with higher scores representing better health.
Change in Participant Quality of Life (Depression)
时间窗: Baseline and post intervention, up to 12 months
Measured using the 6-item Patient-Reported Outcomes Measurement Information System PROMIS® Depression Short Form. Scores range from 6 to 30. Higher scores indicate more of the construct being measured.
Change in Participant Quality of Life (Anxiety)
时间窗: Baseline and post intervention, up to 12 months
Measured using the 4-item Patient-Reported Outcomes Measurement Information System PROMIS® Anxiety short form. Scores range from 4 to 20. Higher scores indicate more of the construct being measured.
Resolution of legal Issue
时间窗: 12 months
Number of participants that resolved a legal or financial case as a result of the intervention
次要结局
- Number of Participants Receiving Financial Benefit(12 months)
- Single Item Literacy Screener (SILS)(Baseline and post-intervention at 12 months)
- Health Insurance Literacy (HIL)(Baseline and post-intervention at 12 months)
研究者
Jean Edward
Associate Professor
University of Kentucky