Improving Affordability in Cancer Care Through Economic Screening and Support (I-ACCESS)

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUNC Lineberger Comprehensive Cancer Center

About this trial

Screening and referral program to proactively identify financial hardship in adult patients with cancer and connect those at-risk with education, counseling, and resources. Patients with cancer will be screened as part of routine care and referred to available resources at their institution, following the referral processes developed and mapped in Aim 1.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients: Treatment for cancer at study site, over age 18 years, speak/read English or Spanish; Caregivers: Identified caregiver of a patient with cancer offered financial hardship screening, over age 18 years, speak/read English or Spanish; Staff/Clinicians: Involvement with I-ACCESS pilot implementation; over age 18 years, speak/read English or Spanish

Disqualifiers

Unable to read of speak English or Spanish

Under the age of 18 years old

Trial design

Design model

Single group

Treatments tested in this trial

  • Financial counseling and navigation

    Behavioral

    Patients who screen positive for financial toxicity on the 2-question screener tool, will be referred to available counseling or navigation resources available at each site.

Treatment groups

220 Participants
are divided into 1 treatment group
Group A: Financial ScreenerOther 1 intervention

Trial outcomes

Primary outcomes

1

Screening completion

Ratio of the number of completed screens to the number of eligible patients

Time frame
From enrollment to the end of the intervention at 8 months.
2

Rate of referral assistance

Ratio of the number of patients referred to counseling to the number of patients screened positive for financial distress

Time frame
From enrollment to the end of the intervention at 8 months.

Secondary outcomes

1

Type of referral

Count/percent of reason for referral (out-of-pocket costs, non-medical expense, benefit counseling, medication cost, other)

Time frame
From enrollment to the end of the intervention at 8 months.
2

Counseling content

Count/percent of counseling disposition (general, insurance, external referral, other)

Time frame
From enrollment to the end of the intervention at 8 months.
3

Applications for assistance

Count/percent of external referrals (including, but not limited to, foundation/charity support, local non-medical expense resources)

Time frame
From enrollment to the end of the intervention at 8 months.
4

Referrals to external resources

Count/percent of external referrals (including, but not limited to, foundation/charity support, local non-medical expense resources)

Time frame
From enrollment to the end of the intervention at 8 months.

Other outcomes

Sponsors and contacts

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This trial is not recruiting at the moment. You can still explore other options: