Financial Navigation Program for Improving Financial Toxicity Among Breast Cancer in China

Fudan University

Status: Completed

Conditions: Financial Navigation; Financial Toxicity; Breast Neoplasm Female

Treatments: Other: Usual Care; Behavioral: Financial Navigation

Study type: Interventional

Funder types: Other

Identifiers

NCT06484140

XYuan2312288-16

Details and patient eligibility

About

The goal of this study is to access the impact of a financial navigation program on improving financial toxicity among patients with breast cancer in China.

The main questions it aims to answer are:

• Does the intervention alleviate participants' financial toxicity?
• Does the intervention enhance participants' cost-related health literacy?
• Does the intervention improve participants' shared decision-making?
• Does the intervention reduce participants' perceived stress?

Researchers will compare the financial navigation program with usual oncology care to evaluate its effectiveness.

Participants will receive the comprehensive financial navigation, including:

• Needs assessment;
• Cost-related health education, mainly including topics regarding communication of cost, treatment-related cost, health insurance policies, and family support;
• Resource and service referral;
• Personalized counseling.

Enrollment: 82 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Newly diagnosed with breast cancer and undergoing surgery during this admission;
• Female, age 18 years or older;
• Receiving or expected to receive one or more of the following therapies: chemotherapy, radiotherapy, endocrine therapy, targeted therapy, and immunotherapy;
• Eastern Cooperative Oncology Group Performance Status 0-2;
• Provided informed consent to participate in this study.

Exclusion criteria

• Diagnosed with ductal carcinoma in situ (DCIS)
• Presence of any serious psychiatric disorders;
• Cognitive impairments;
• Difficulty in reading, writing, or communicating in Chinese.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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82 participants in 2 patient groups

Financial Navigation

Experimental group

Description:

Participants will receive financial navigation service, including * Needs Assessment: provide a brief introduction of cancer-related FT and assess patients' information needs using a self-made cost-related health literacy questionnaire; * Cost-Related Health Education: mainly include topics regarding communication of cost, treatment-related cost, health insurance policies, and family support; * Resource and Service Referral: promote timely referral to financial assistance programs and clinical professionals when identify unaddressed problems; * Personalized Counseling Module: provide one-on-one counseling for symptom management, cost-related issues, and coping strategies.

Treatment:

Behavioral: Financial Navigation

Usual Care

Active Comparator group

Description:

Participants will receive usual care during hospitalization and regular follow-up after discharge. Participants have the freedom to utilize any financial resources, but financial navigators do not offer comprehensive information support. When participants actively inquire about cancer treatment-related costs or financial planning strategies, financial navigators will answer their questions.

Treatment:

Other: Usual Care