Feasibility and Utilization of an Application-based Question Prompt List

Barbara Ann Karmanos Cancer Institute35 enrolled

Overview

This trial studies how well an application-based question prompt list works in improving treatment cost discussion between patients with breast, prostate, lung, or colorectal cancer and their oncologists. An application-based question prompt list, called Discussion of Cost Application (DISCO App), may help to improve how patients and oncologists discuss cancer treatment costs.

The overall goal of this research is to reduce financial toxicity related to the cost of cancer treatment in a diverse patient population. The research tests the feasibility of an application-based ("app") communication intervention designed to improve the frequency and quality of patient-oncologist treatment cost discussions during clinical interactions, which, in turn, should improve other short- and longer-term patient outcomes, including referrals to economic support (e.g., social work); efficacy in managing treatment cost; treatment cost distress; financial toxicity; and treatment adherence. If successful, this study will result in an evidence-based tool that can reduce financial toxicity and improve medical outcomes for a diverse patient population.

Study Type

INTERVENTIONAL

Allocation

Purpose

OTHER

Masking

NONE

Enrollment

Conditions

Financial Toxicity Cancer Question Prompt List

Interventions

Discussions of Cost App (DISCO App)BEHAVIORAL

The DISCO App is an app-based and patient-focused intervention designed to improve the frequency and quality of patient-oncologist treatment cost discussions. The DISCO App allows patients to provide basic demographic information (e.g., employment status, insurance status, etc), and uses that information to provide patients with an individually-tailored list of treatment cost questions they can ask their provider.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Medical oncologists or radiation oncologists at KCI McLaren Detroit, McLaren Flint, McLaren Macomb and McLaren Port Huron oncology centers * Oncologists will be eligible if they treat patients with prostate, breast, lung or colorectal cancers. * Oncologists will be consented * Patients must be 18 yrs. old or older * Patients will be consented * Patients must be able to read and write in English * Patients must have a confirmed diagnosis of breast, prostate, lung or colorectal cancer and are scheduled to see an oncologist for an initial treatment discussion. Exclusion Criteria: * N/A

Locations (1)

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Outcomes

Primary Outcomes

Patient-oncologist treatment cost discussions

Observational measures using video-recorded patient-oncologist treatment discussions

Time frame: During the treatment discussions and observed via video recordings of those discussions.

Patient-oncologist treatment cost discussions

Self-report measures of if and how patients and oncologists discuss treatment cost.

Time frame: Collected immediately after the interaction with the oncologist

Secondary Outcomes

Patient financial demographics

Patient financial situation (e.g., income, perceived economic burden, etc.)

Time frame: Collected immediately prior to the interaction with the oncologist

Change in patient treatment cost information desired and gained

What cost treatment information patients want before the interaction and if they gained it during the interaction with their oncologist.

Time frame: Collected immediately prior to and immediately after the interaction with the oncologist

Change in patient efficacy in managing treatment cost (10-item scale). This measure will assess any change in the patients' efficacy in paying for the cost of their cancer treatment before and after the intervention.

If patients think they will be able to pay for the cost of their cancer treatment. This is adapted from a validated 10-item scale (Peterson AM, Harper FW, Albrecht TL, et al. Parent caregiver self-efficacy and child reactions to pediatric cancer treatment procedures. J Pediatr Oncol Nurs. 2014;31(1):18-27.) An example item is: "I am confident I can pay for the costs of my treatment." Patients will respond to a scale from Strongly Disagree (1) to Strongly Agree (5) with higher values representing a better outcome.

Time frame: Collected immediately prior to and immediately after the interaction with the oncologist

Data from ClinicalTrials.gov

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