Patient-Centered Intervention to Reduce Cancer Patients' Financial Toxicity

The Washington University

Status: Completed

Conditions: Gynecologic Cancer; Lung Cancer; Colorectal Cancer

Treatments: Other: Historical control survey; Behavioral: I Can PIC; Other: Follow-Up survey (I Can PIC participants); Other: Post-intervention survey (I Can PIC participants)

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT04314284

1P50CA244431-01 (U.S. NIH Grant/Contract)

202003033

Details and patient eligibility

About

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.

Enrollment: 150 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Eligibility criteria for I Can Pic Arm only:

Inclusion Criteria:

• 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

Exclusion Criteria:

• Not able to read and understand English
• Cannot give informed consent due to cognitive or emotional barriers

Trial design

Primary purpose: Health Services Research

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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150 participants in 2 patient groups

Historical Control Survey

Other group

Description:

-The investigators will conduct a historic control survey of 80-100 recently diagnosed gynecologic, colorectal, and lung cancer patients. They can complete the survey in-person, over the phone, or online. The survey will take approximately 15 minutes to complete. It will ask about their knowledge of health insurance and confidence communicating about care costs.

Treatment:

Other: Historical control survey

I Can PIC

Experimental group

Description:

-Approximately 80-100 participants will use I Can PIC. This will take approximately 10-15 minutes. After their next appointment with their provider, they will complete a brief survey about their knowledge of health insurance and confidence communicating about care costs. This will take about 10 mins. Patient participants who choose to complete the study in person may view I Can PIC on a tablet provided in the clinic or at the office. Then after their appointment, they can complete the survey on a tablet provided in the clinic or at the office. If they choose to complete it over the phone, the investigators will email them the link to I Can PIC and then call them when it is time to complete the survey. If they wish to complete it online, the investigators will email them the link to I Can PIC, and then the survey after their appointment. After 3-6 months, participants will receive a 5-10 minute follow-up survey which they can complete in-person, online, or over the phone.

Treatment:

Other: Post-intervention survey (I Can PIC participants)

Behavioral: I Can PIC

Other: Follow-Up survey (I Can PIC participants)