Neoplasms

Respiratory Tract (Lung and Bronchial) Diseases

All Conditions

Behaviors and Mental Disorders

Lung Neoplasms

Financial Stress

Stress, Psychological

Behavioral Symptoms

-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.

-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.

-Online decision tool that explains health insurance terms and health insurance terms, provides tips on lowering health care costs, advises patient to discuss costs with provider and insurance, and provides financial resources for patient.

I Can PIC

-31 questions including overall experience with cancer care provider, previous discussions with care team regarding health care costs, preferences for discussing health care costs with physician, confidence level on discussing health care costs with physician, feelings about current financial situation, delays or avoidance of medical care in the past 12 months, confidence in health care choices and health insurance choices, current health conditions, and demographic data.

Historical control survey

Post-intervention survey (I Can PIC participants)

-19 questions including overall experience with cancer care provider, discussion with care team regarding health care costs, preferences for discussing health care costs with physician, confidence level on discussing health care costs with physician, feelings about current financial situation, delays or avoidance of medical care in the past 12 months, and confidence in health care choices and health insurance choices.

Follow-Up survey (I Can PIC participants)

Mary Politi, Ph.D.

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.

Patient-Centered Intervention to Reduce Cancer Patients' Financial Toxicity

Implementing a Patient-Centered Intervention to Reduce Cancer Patients' Financial Toxicity

* Delayed or forgone care due to costs will be collected on the post-intervention survey and the 3-6 month follow-up survey
* Score from 0 (best) to 8 (worst). Higher scores indicate more frequent delayed and forgone care due to costs

* Delayed or forgone care due to costs will be collected on the historical control survey and the I Can PIC post-intervention survey
* Score from 0 (best) to 8 (worst). Higher scores indicate more frequent delayed and forgone care due to costs

* 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

* 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

* 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

-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey

* 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

* 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

* 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

* Sustained Health insurance knowledge will be collected on the post-intervention survey and the 3-6 month follow-up survey
* Score from 0% (worst) to 100% (best). Higher scores indicate greater health insurance knowledge

* Sustained Health insurance literacy will be collected on the post-intervention survey and the 3-6 month follow-up survey
* Score from 12 (worst) to 48 (best). Higher scores indicate greater health insurance literacy

* Confidence communicating about health care costs will be collected on the post-intervention survey and the 3-6 month follow-up survey
* Score from 4 (worst) to 16 (best). Higher scores indicate greater confidence communicating about care costs

* Sustained Financial toxicity will be collected on the post-intervention survey and the 3-6 month follow-up survey
* Score from 0 (best) to 44 (worst). Higher scores indicate greater financial toxicity

National Cancer Institute (NCI)

Washington University School of Medicine

Historical Control Survey

Total

One participant in the I Can PIC arm did not provide their age.

Age, Continuous

Female

Male

Unknown

Sex/Gender, Customized

Ethnicity (NIH/OMB)

Race (NIH/OMB)

United States

Region of Enrollment

3 participants who withdrew in the Historical Control Survey arm still provided their demographic data before withdrawing from the study and the demographic data is included. 1 participant in the I Can PIC arm did not provide their age which is why the number of participants for age, continuous is 67 and the total for age is 135.

3 participants in the Historical Control Survey arm did not complete the survey.

Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm

Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm

Difference in the Number of Clinicians That Discussed Health Care Cost Topics With Participants Between the Historical Control Arm and I Can PIC Arm

Insurance eligibility or coverage

Time off work during treatment or recovery

Cost of drugs to treat cancer

Costs of getting to and from visits

Costs of specific tests, visits, or equipment

Cost of over-the-counter drugs

Comparing costs of options to help choose care

Cost of day-to-day living

Other

Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm

Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm

Changing logistics of care

Change the dose (amount) of treatment

Choosing a generic drug instead of a brand name drug

Setting up a payment plan

Copay assistance, coupons, or rebates for drugs

Referring to hospital billing office

Stopping or pausing some treatments

Suggesting a community agency or charity

Suggesting a free drug program

Suggesting talking to human resources

Choosing a lower cost procedure or scan

Suggesting government assistance

Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm

4 participants in the Historical Control Survey arm did not complete the survey.

Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm

3 participants in the Historical Control Survey arm did not complete the survey

Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm

Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs

Post-intervention survey

3-6 month follow-up survey

Only participants enrolled in the I Can PIC Arm were evaluable for this outcome measure.

Spots Global Cancer Trial Database for Patient-Centered Intervention to Reduce Cancer Patients' Financial Toxicity

Trial Identification

Conditions

Interventions

Study Description

Keywords

Eligibility

Locations

Contact Details

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