Leveraging Medical Legal Partnerships to Enhance Patient-Centered, Team-Based Cost Conversations With Pediatric Oncology Patients and Families

Change in Total Financial Toxicity

时间窗: Baseline and post intervention, approximately 12 weeks

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 (Depression)

时间窗: Baseline and post intervention, approximately 12 weeks

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.

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)

Change in PROMIS Parent Proxy Pain Interference

时间窗: Baseline and post intervention, approximately 12 weeks

used to measure child QOL (when applicable), with summary scores for proxy measures of global health, pain interference, and fatigue Consequences of pain on relevant aspects of one's life. This includes the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities.

FINassist Adherence

时间窗: through issue resolution up to 12 months

Adherence is defined by the percentage of participants that maintain communication with the team and provide documents necessary for issue resolution

Resolution of Socio-legal Issue

时间窗: 12 months

Number of participants that resolved a legal or financial case as a result of FINassist

Change in PROMIS Parent Proxy Global Health

时间窗: Baseline and post intervention, approximately 12 weeks

used to measure child QOL (when applicable), with summary scores for proxy measures of global health, pain interference, and fatigue Overall evaluation of physical, mental health, and social health.

FINassist 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 Participant Quality of Life (physical and mental)

时间窗: Baseline and post intervention, approximately 12 weeks

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 Patient-Provider Trust

时间窗: Baseline and post intervention, approximately 12 weeks

Measured using the the Health Care Relationship (HCR) Trust Scale. The HCR-Trust scale is scored from 0 to 4 with a maximum score of 52. Higher scores represent more trust in healthcare providers

FINassist Retention

时间窗: through study completion up to 12 months

percentage of participants that complete both pre and post-intervention surveys

Change in Participant Quality of Life (Anxiety)

时间窗: Baseline and post intervention, approximately 12 weeks

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.

Change in PROMIS Parent Proxy Fatigue

时间窗: Baseline and post intervention, approximately 12 weeks

used to measure child QOL (when applicable), with summary scores for proxy measures of global health, pain interference, and fatigue Range of symptoms, from mild subjective feelings of tiredness to an overwhelming, debilitating, and sustained sense of exhaustion.