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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
150
-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.
-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.
Washington University School of Medicine
St Louis, Missouri, United States
Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm
* 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
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm
* 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
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Difference in the Number of Clinicians That Discussed Health Care Cost Topics With Participants Between the Historical Control Arm and I Can PIC Arm
* 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
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
-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.
-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.
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm
* 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
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm
* 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
Time frame: Completion of survey (estimated to be Day 1 for historical control participants and estimated to be Day 14 for I Can PIC participants)
Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs
* 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
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)]
Health Insurance Knowledge Sustained Over Time (I Can PIC Arm)
* 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
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Health Insurance Literacy Sustained Over Time (I Can PIC Arm)
* 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
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Confidence Communicating About Health Care Costs With Physician (I Can PIC Arm)
* 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
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Sustained Financial Toxicity (I Can PIC Arm)
* 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
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)