CARE Tool Study Aim 3

The Washington University

Status: Not yet enrolling

Conditions: Gynecologic Cancer; Lung Cancer; Prostate Cancer; Colorectal Cancer

Treatments: Other: CARE Tool Training; Other: CARE Tool; Other: Financial education information

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT07296887

25-x479

U19CA291430 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study is a multi-site randomized trial to study the implementation of the CARE Tool and evaluate the CARE Tool. The CARE Tool is a web-based tool that gives people information about cancer care costs, health insurance, and resources to help with costs. Overall, the study aims to help patients with cancer overcome barriers they face navigating insurance and accessing financial resources.

Enrollment: 430 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for Implementation champions:

- Members of the cancer care team (e.g., physicians, nurses, research coordinators, financial navigators, social workers) that work with patients receiving treatment for gynecologic, lung, prostate, or colorectal cancer; or members of the billing team and employee of Siteman Cancer Center, Barnes Jewish Hospital, Washington University, Delbert Day Cancer Institute at Phelps Health, or Alton Memorial Hospital

Exclusion Criteria for Implementation champions:

• Implementation champions are ineligible if they are non-employees of Siteman Cancer Center, Barnes Jewish Hospital, Washington University, Delbert Day Cancer Institute at Phelps Health, or Alton Memorial Hospital
• Do not treat patients for gynecologic, prostate, lung, or colorectal cancer

Inclusion Criteria for Patients:

• Age 18 and over
• Primary or recurrent diagnosis of gynecologic, prostate, lung, or colorectal cancer in the last 12 months
• Receiving cancer treatment from Siteman Cancer Center, Delbert Day Cancer Institute at Phelps Health, or Alton Memorial Hospital
• Self-reported ability to read and speak English

Exclusion Criteria for Patients:

• Under the age of 18
• Not diagnosed with gynecologic, prostate, lung, or colorectal cancer within the previous 12 months from recruitment
• Not receiving care at Siteman Cancer Center, Delbert Day Cancer Institute at Phelps Health, or Alton Memorial Hospital
• Cannot give consent due to cognitive or emotional barriers

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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430 participants in 3 patient groups

Arm 1: Patients - Care Tool (Intervention)

Experimental group

Description:

Patients will review the web-based CARE Tool after enrollment. Patients will complete a survey immediately after reviewing the website and a 3 month follow-up survey.

Treatment:

Other: CARE Tool

Arm 2: Patients - Standard of care financial education information (Control)

Active Comparator group

Description:

Patients will review standard web-based financial education information after enrollment. Patients will complete a survey immediately after reviewing the website and a 3 month follow up survey.

Treatment:

Other: Financial education information

Arm 3: Implementation champions - CARE training

Experimental group

Description:

Participants who are members of the care team and have been identified as implementation champions will complete training on the CARE Tool and cost conversations. Participants will complete a survey after the training and a post-recruitment survey at the end of the trial.

Treatment:

Other: CARE Tool Training