A Phase 2 Trial of the Discussion of Cost (DISCO) App as an Intervention to Improve Financial Outcomes in Hematologic Cancer Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 25
- 试验地点
- 2
- 主要终点
- Presence of cost discussion observed via video recordings of patient-physician treatment discussions.
研究概览
简要总结
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
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Care Provider, Outcomes Assessor)
盲法说明
Trained research assistants and oncologists
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •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
排除标准
- 未提供
结局指标
主要结局
Presence of cost discussion observed via video recordings of patient-physician treatment discussions.
时间窗: 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.
次要结局
- Referrals for financial or psychological support(Immediately after the patient-physician interaction)
- Financial toxicity(3 months after the patient-physician interaction)
- Self-efficacy in managing treatment cost(Immediately after the patient-physician interaction)
- Self-efficacy in patient-physician interactions(Immediately after the patient-physician interaction)
- Treatment cost distress(Immediately after the patient-physician interaction)
- Anticipated material hardship(Immediately after the patient-physician interaction)
研究者
Lauren Hamel
Principal Investigator
Barbara Ann Karmanos Cancer Institute