N/A N=150 Health Services Research

Patient-Centered Intervention to Reduce Cancer Patients' Financial Toxicity

Gynecologic Cancer · Colorectal Cancer · Lung Cancer

Bottom Line

View on ClinicalTrials.gov: NCT04314284 ↗

Enrolled (actual)

150

Serious AEs

0.0%

Results posted

Jun 2022

Primary outcome: Primary: Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm — 72.45; 77.02 score on a scale — p=0.15

Study Design & Population

Study type: Interventional
Phase: N/A
Interventions: I Can PIC (Behavioral); Historical control survey (Other); Post-intervention survey (I Can PIC participants) (Other); Follow-Up survey (I Can PIC participants) (Other)
Age: Adult, Older Adult · 18+ yrs
Sex: All
Sponsor: Washington University School of Medicine
Primary completion: Aug 2021

Outcome Measures

Outcome	Result	p-value
PRIMARY Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm	72.45; 77.02	0.15
PRIMARY Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm	33.03; 34.71	0.35
PRIMARY Difference in the Number of Clinicians That Discussed Health Care Cost Topics With Participants Between the Historical Control Arm and I Can PIC Arm	46; 39	0.22
PRIMARY Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm	32; 33; 16; 15; 9; 11	—
PRIMARY Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm	32; 33	—
PRIMARY Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm	21; 18; 7; 8; 6; 8	—
PRIMARY Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm	13.59; 13.81	0.65
PRIMARY Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm	17.71; 16.06	0.52
PRIMARY Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs	11; 14	0.51
SECONDARY Health Insurance Knowledge Sustained Over Time (I Can PIC Arm)	77.02; 75.6	—
SECONDARY Health Insurance Literacy Sustained Over Time (I Can PIC Arm)	34.71; 35.74	—
SECONDARY Confidence Communicating About Health Care Costs With Physician (I Can PIC Arm)	13.81; 14.24	0.71
SECONDARY Sustained Financial Toxicity (I Can PIC Arm)	16.06; 14.17	0.12

Summary

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.

Eligibility Criteria

Eligibility criteria for I Can Pic Arm only:

Inclusion Criteria

18 years of age or older
Must have been diagnosed with colorectal cancer, lung cancer, or gynecologic cancer < 5 months ago and be patients of one of the 15 providers
This cancer diagnosis must be the first and primary diagnosis

Exclusion Criteria

Not able to read and understand English
Cannot give informed consent due to cognitive or emotional barriers

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04314284). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.