Feasibility and Utilization of an Application-based Question Prompt List

Not Applicable

Completed

• Conditions: Financial Toxicity; Cancer; Question Prompt List
• Interventions: Behavioral: Discussions of Cost App (DISCO App)

• Registration Number: NCT03676920
• Lead Sponsor: Barbara Ann Karmanos Cancer Institute

Brief Summary

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.

Detailed Description

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.

Study Timeline

• Study Start: 2018-08-21
• Study First Submitted: 2018-09-12
• Study First Submitted QC: 2018-09-18
• Study First Posted: 2018-09-19
• Primary Completion: 2019-12-31
• Study Completion: 2019-12-31
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-17
• Last Update Posted: 2024-04-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• 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.

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Exclusion Criteria

• N/A

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Intervention Arm	Discussions of Cost App (DISCO App)	This feasibility study includes only one arm. All enrolled patients will be asked to use the intervention.

Primary Outcome Measures

Name	Time	Method
Patient-oncologist treatment cost discussions	Collected immediately after the interaction with the oncologist	Self-report measures of if and how patients and oncologists discuss treatment cost.

Secondary Outcome Measures

Name	Time	Method
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	If patients think they will be able to pay for the cost of their cancer treatment. This is adapted from a validated 10-item scale (Peterson AM, Harper FW, Albrecht TL, et al. Parent caregiver self-efficacy and child reactions to pediatric cancer treatment procedures. J Pediatr Oncol Nurs. 2014;31(1):18-27.) An example item is: "I am confident I can pay for the costs of my treatment." Patients will respond to a scale from Strongly Disagree (1) to Strongly Agree (5) with higher values representing a better outcome.
Length of the interaction	During the patient-oncologist interaction and observed via video recordings of the treatment discussions	Observer measure of the length of the patient-oncologist collected using video recordings.
DISCO App use (observer measure)	Prior to and during the patient-oncologist interaction	Observer measure of how patients use the DISCO App collected using video recordings
Patient financial demographics	Collected immediately prior to the interaction with the oncologist	Patient financial situation (e.g., income, perceived economic burden, etc.)
Change in patient treatment cost information desired and gained	Collected immediately prior to and immediately after the interaction with the oncologist	What cost treatment information patients want before the interaction and if they gained it during the interaction with their 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	The extent to which patients are satisfied with any treatment cost discussion they had with their oncologist. This is an investigator-developed 3-item scale. An example item is: "I am satisfied with how my oncologist and I discussed treatment cost today." Patients will respond to a scale from Strongly Disagree (1) to Strongly Agree (5) with higher values representing a better outcome.

Trial Locations

Locations (1)

Barbara Ann Karmanos Cancer Institute; 🇺🇸 Detroit, Michigan, United States