Cost Communication and Financial Navigation in Cancer Patients (COSTCOM)

Conditions

• Malignant Solid Neoplasm

Eligibility Criteria

Sex

ALL

Age

N/A - N/A

Healthy Volunteers

Accepted

Interventions

• Best Practice — OTHER
  Receive PAF brochure describing financial navigation services
• Financial Navigation — OTHER
  Receive CostCOM financial counseling
• Interview — OTHER
  Participate in a 1 on 1 in-depth interview
• Survey Administration — OTHER
  Ancillary studies

Study Details

This clinical trial evaluates the effect of Cost Communication and Financial Navigation (CostCOM) intervention on adherence to care and financial burden in cancer patients. Many cancer patients experience financial hardship due to high medical out of pocket costs (OOPC), changes in employment, income and insurance. Financial hardship can lead to a delay or a stop in cancer care, and is linked to poor quality of life. Financial navigation programs, such as CostCOM, provide financial counseling, education and connections to appropriate resources to reduce financial barriers to healthcare and minimize financial stress and burden. CostCOM may improve adherence to care and decrease financial burden in patients with cancer.

Key Dates

Start date

Feb 29, 2024

Status verified

May 2026

Primary completion

Dec 1, 2027

Completion

Dec 1, 2027

Study Design

Enrollment

760 participants (estimated)

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Arms

• Active Comparator: ARM A (Enhanced usual care)
  Patients receive PAF brochure describing financial navigation services.
• Experimental: ARM B (CostCOM)
  Patients receive usual financial care per practice standard of care and CostCOM financial counseling sessions over 1 hour within 30 days after enrollment and at 3, 6 and 12 months.
• Experimental: Non-patient participants: (interview)
  Non-patient participants complete surveys and participant in 1 on 1 in depth semi-structured interview over 20-30 minutes at 15-39 months after first patient enrollment.

Primary Outcome Measure

Cost-related cancer care non-adherence [ Time Frame: 12 months ]

Locations (384)

Find similar trials in Anchorage, AK

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