Financial and Insurance Assistance- Oncology Financial and Legal Navigation Program

Number of participants enrolled

Feasibility was defined as 60% or higher enrolled participant retention and resolution of financial or legal issue (based on existing oncology financial navigation studies)

Time frame: 12 months

FINassist Adherence

Adherence is defined by the percentage of participants that maintain communication with the team and provide documents necessary for issue resolution

Time frame: through issue resolution up to 12 months

FINassist Retention

percentage of participants that complete both pre and post-intervention surveys

Time frame: through study completion up to 12 months

FINassist Acceptability assessed by 5-item survey

Acceptability is measured using a 5 item post-intervention survey of relevance, helpfulness, convenience, recommendation to others, and value. Ratings on a scale from 0 to 10 where a higher score means greater acceptability

Time frame: Post intervention at 12 months

Change in Total Financial Toxicity

Measured using the COmprehensive Score for financial Toxicity (COST) tool, a measure that describes the financial distress experienced by cancer patients. Scores range from 0-44 with a higher score representing better financial well-being.

Time frame: Baseline and post intervention, approximately 12 weeks

Change in Participant Quality of Life (physical and mental)

Measured using the 10-item PROMIS® (Patient-Reported Outcomes Measurement Information System) Parent Proxy Global Health scale. A 7-item summary assessment of a child's self-reported health with higher scores representing better quality of life. Values range from 7-35, with higher scores representing better health.

Time frame: Baseline and post intervention, approximately 12 weeks

Change in Participant Quality of Life (Depression)

Measured using the 6-item Patient-Reported Outcomes Measurement Information System PROMIS® Depression Short Form. Scores range from 6 to 30. Higher scores indicate more of the construct being measured.

Time frame: Baseline and post intervention, approximately 12 weeks

Change in Participant Quality of Life (Anxiety)

Measured using the 4-item Patient-Reported Outcomes Measurement Information System PROMIS® Anxiety short form. Scores range from 4 to 20. Higher scores indicate more of the construct being measured.

Time frame: Baseline and post intervention, approximately 12 weeks

Change in Patient-Provider Trust

Measured using the the Health Care Relationship (HCR) Trust Scale. The HCR-Trust scale is scored from 0 to 4 with a maximum score of 52. Higher scores represent more trust in healthcare providers

Time frame: Baseline and post intervention, approximately 12 weeks

Resolution of Socio-legal Issue

Number of participants that resolved a legal or financial case as a result of FINassist

Time frame: 12 months

Change in PROMIS Parent Proxy Global Health

used to measure child QOL (when applicable), with summary scores for proxy measures of global health, pain interference, and fatigue Overall evaluation of physical, mental health, and social health.

Time frame: Baseline and post intervention, approximately 12 weeks

Change in PROMIS Parent Proxy Pain Interference

used to measure child QOL (when applicable), with summary scores for proxy measures of global health, pain interference, and fatigue Consequences of pain on relevant aspects of one's life. This includes the extent to which pain hinders engagement with social, cognitive, emotional, physical, and recreational activities.

Time frame: Baseline and post intervention, approximately 12 weeks

Change in PROMIS Parent Proxy Fatigue

used to measure child QOL (when applicable), with summary scores for proxy measures of global health, pain interference, and fatigue Range of symptoms, from mild subjective feelings of tiredness to an overwhelming, debilitating, and sustained sense of exhaustion.

Time frame: Baseline and post intervention, approximately 12 weeks