DISCO Application for the Improvement of Financial Outcomes in Patients With Hematologic Cancer

Barbara Ann Karmanos Cancer Institute

Status: Completed

Conditions: Plasma Cell Myeloma; Chronic Myelogenous Leukemia, BCR-ABL1 Positive; Chronic Lymphocytic Leukemia

Treatments: Behavioral: The DISCO App; Behavioral: Usual Care

Study type: Interventional

Funder types: Other

Identifiers

NCT04282343

2019-131

Details and patient eligibility

About

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

Full description

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.

Enrollment: 25 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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25 participants in 2 patient groups

Arm I- Usual care

Other group

Description:

Patients receive usual care consisting of general cancer treatment information on a sheet of paper before attending video-recorded meetings with their oncologist to discuss treatment plans.

Treatment:

Behavioral: Usual Care

Arm II - DISCO app

Other group

Description:

Patients use the DISCO education and communication app before attending video-recorded meetings with their oncologist to discuss treatment plans.

Treatment:

Behavioral: The DISCO App