Implementing a Patient-Centered Intervention to Reduce Cancer Patients' Financial Toxicity
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 150
- 试验地点
- 2
- 主要终点
- Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm
研究概览
简要总结
The purpose of this study is to incorporate feedback from cancer patients and providers to adapt, implement, and test an intervention. The intervention aims to prompt screening for financial distress, facilitate discussions about care costs with cancer patients, support health insurance selection, and ultimately reduce cancer patients' financial toxicity associated with cancer care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
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
- •18 years of age or older
- •Must have been diagnosed with colorectal cancer, lung cancer, or gynecologic cancer < 5 months ago and be patients of one of the 15 providers
- •This cancer diagnosis must be the first and primary diagnosis
排除标准
- •Not able to read and understand English
- •Cannot give informed consent due to cognitive or emotional barriers
结局指标
主要结局
Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)
* Health insurance literacy will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 12 (worst) to 48 (best). Higher scores indicate greater health insurance literacy
Difference in the Number of Clinicians That Discussed Health Care Cost Topics With Participants Between the Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)
* Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score either no (did not discuss health care costs with clinician) or yes (discussed one more cost-related topics with clinicians) * Also score the number of cost-related topics discussed, if yes
Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)]
* Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score either no (did not refer to resources) or yes (referred to resources) * Also score the number of cost-related topics discussed, if yes
Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be Day 1 for historical control participants and estimated to be Day 14 for I Can PIC participants)
* Financial toxicity will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0 (best) to 44 (worst). Higher scores indicate greater financial toxicity
Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)
* Health insurance knowledge will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0% (worst) to 100% (best). Higher scores indicate greater health insurance knowledge
Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm
时间窗: Completion of survey (estimated to be approximately 1-14 days after enrollment)
* Confidence communicating about health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 4 (worst) to 16 (best). Higher scores indicate greater confidence communicating about care costs
次要结局
- Health Insurance Knowledge Sustained Over Time (I Can PIC Arm)(Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months))
- Confidence Communicating About Health Care Costs With Physician (I Can PIC Arm)(Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months))
- Health Insurance Literacy Sustained Over Time (I Can PIC Arm)(Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months))
- Sustained Financial Toxicity (I Can PIC Arm)(Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months))