About this trial
The purpose of this study is to understand the implementation and impact of a pragmatically-delivered oncology financial navigation program. The main questions it aims to answer are:
1. How did oncology financial navigation implementation strategies affect implementation outcomes? 2. What is the impact of financial navigation on patient financial hardship, quality of life, and psychological distress? 3. How were implementation strategies utilized to overcome barriers to oncology financial navigation?
Researchers will examine secondary, standard-of-care collected, patient-reported data, electronic medical record data, and qualitative interview data to answer these questions.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
All patients with cancer seen at the University of Alabama at Birmingham (UAB) Medical Oncology clinic
UAB oncology financial navigators
Disqualifiers
Patients with cancer seen at the UAB Medical Oncology clinic
Patients with non-missing patient-reported outcome data
Patients who have received oncology financial navigation
Providers (oncology financial navigators, social workers, nurse managers, oncologists) involved with the oncology financial navigation program
Trial design
Parallel
Treatments tested in this trial
Financial navigation
BehavioralOncology financial navigation is an evidence-based intervention which helps patients prepare for out-of-pocket treatment costs, optimize health insurance, and access financial resources to reduce cancer-related financial hardship.
Treatment groups
Trial outcomes
Primary outcomes
Change in financial hardship
Change in patient-reported financial distress (COmprehensive Score for financial Toxicity)
Change in financial difficulties
Change in patient-reported financial difficulties (trouble paying for basic needs, utilities, transportation or lodging for treatment, medications, medical supplies, upfront medical payments, insurance or medical bills, child or eldercare, and employment or disability issues)
Change in quality of life
Change in patient-reported quality of life (PROMIS v1.1 Global Health)
Change in psychological distress
Change in patient-reported psychological distress (National Comprehensive Cancer Network Distress Thermometer)
Sponsors and contacts
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University of Alabama at Birmingham
Lead sponsor
National Cancer Institute (NCI)
Collaborator