Improving Treatment Cost Discussions Between Cancer Patients and Their Oncologists: Feasibility and Utilization of an Application-based Question Prompt List
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 35
- 试验地点
- 2
- 主要终点
- Patient-oncologist treatment cost discussions
研究概览
简要总结
This trial studies how well an application-based question prompt list works in improving treatment cost discussion between patients with breast, prostate, lung, or colorectal cancer and their oncologists. An application-based question prompt list, called Discussion of Cost Application (DISCO App), may help to improve how patients and oncologists discuss cancer treatment costs.
详细描述
The overall goal of this research is to reduce financial toxicity related to the cost of cancer treatment in a diverse patient population. The research tests the feasibility of an application-based ("app") communication intervention designed to improve the frequency and quality of patient-oncologist treatment cost discussions during clinical interactions, which, in turn, should improve other short- and longer-term patient outcomes, including referrals to economic support (e.g., social work); efficacy in managing treatment cost; treatment cost distress; financial toxicity; and treatment adherence. If successful, this study will result in an evidence-based tool that can reduce financial toxicity and improve medical outcomes for a diverse patient population.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
盲法说明
There is only one arm and patients will know they are testing the intervention. Physicians will not be told explicitly which of their patients are enrolled in the study but they may see patients with the intervention (either on an iPad or in a printed version).
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Medical oncologists or radiation oncologists at KCI McLaren Detroit, McLaren Flint, McLaren Macomb and McLaren Port Huron oncology centers
- •Oncologists will be eligible if they treat patients with prostate, breast, lung or colorectal cancers.
- •Oncologists will be consented
- •Patients must be 18 yrs. old or older
- •Patients will be consented
- •Patients must be able to read and write in English
- •Patients must have a confirmed diagnosis of breast, prostate, lung or colorectal cancer and are scheduled to see an oncologist for an initial treatment discussion.
排除标准
- 未提供
结局指标
主要结局
Patient-oncologist treatment cost discussions
时间窗: Collected immediately after the interaction with the oncologist
Self-report measures of if and how patients and oncologists discuss treatment cost.
次要结局
- Change in patient efficacy in managing treatment cost (10-item scale). This measure will assess any change in the patients' efficacy in paying for the cost of their cancer treatment before and after the intervention.(Collected immediately prior to and immediately after the interaction with the oncologist)
- Length of the interaction(During the patient-oncologist interaction and observed via video recordings of the treatment discussions)
- DISCO App use (observer measure)(Prior to and during the patient-oncologist interaction)
- Patient financial demographics(Collected immediately prior to the interaction with the oncologist)
- Change in patient treatment cost information desired and gained(Collected immediately prior to and immediately after the interaction with the oncologist)
- Satisfaction with treatment cost discussions (3-item scale). This will assess the extent to which patients are satisfied with any discussions of treatment cost they had with their oncologist.(Collected immediately after the interaction with the oncologist)
研究者
Lauren Hamel
Principal Investigator
Barbara Ann Karmanos Cancer Institute