Effectiveness of Out-of-Pocket Cost COMmunication and Financial Navigation (CostCOM) in Cancer Patients
ECOG-ACRIN Cancer Research Group
Summary
This clinical trial evaluates the effect of Cost Communication and Financial Navigation (CostCOM) intervention on adherence to care and financial burden in cancer patients. Many cancer patients experience financial hardship due to high medical out of pocket costs (OOPC), changes in employment, income and insurance. Financial hardship can lead to a delay or a stop in cancer care, and is linked to poor quality of life. Financial navigation programs, such as CostCOM, provide financial counseling, education and connections to appropriate resources to reduce financial barriers to healthcare and minimize financial stress and burden. CostCOM may improve adherence to care and decrease financial burden in patients with cancer.
Description
PRIMARY OBJECTIVE: I. To compare patient-reported cost-related cancer care non-adherence at 12 months after completion of baseline survey between the enhanced usual care (EUC) and CostCOM study arms. SECONDARY OBJECTIVES: I. To compare patient-reported material financial hardship at 12 months after completion of baseline survey between the EUC and CostCOM study arms. II. To compare patient-reported financial worry at 12 months after completion of baseline survey between the EUC and CostCOM study arms. III. To compare patient-reported quality of life at 12 months after completion of baseli…
Eligibility
- Age range
- Not specified
- Sex
- All
- Healthy volunteers
- Yes
Inclusion Criteria: * NON-PATIENTS PARTICIPANTS: Participant must speak English * NON-PATIENTS PARTICIPANTS: Participant must be employed at National Cancer Institute Community Oncology Research Program (NCORP) site for at least six months * NON-PATIENTS PARTICIPANTS: Participant must be able to provide informed consent to participate in this study * NON-PATIENTS PARTICIPANTS: Participant must be one of the following: * A study coordinator with a role involving use of CostCOM intervention price transparency and financial navigation platform * A practice oncology provider (i.e., physician…
Interventions
- OtherBest Practice
Receive PAF brochure describing financial navigation services
- OtherFinancial Navigation
Receive CostCOM financial counseling
- OtherInterview
Participate in a 1 on 1 in-depth interview
- OtherSurvey Administration
Ancillary studies
Locations (181)
- Fairbanks Memorial HospitalFairbanks, Alaska
- Mercy Hospital Fort SmithFort Smith, Arkansas
- CARTI Cancer CenterLittle Rock, Arkansas
- Contra Costa Regional Medical CenterMartinez, California
- BASS Medical Group - LennonWalnut Creek, California
- Rocky Mountain Cancer Centers-AuroraAurora, Colorado