Colorectal Cancer, Gynecologic Cancer, Lung Cancer
Conditions
Brief 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.
Interventions
BEHAVIORALI Can PIC
-Online decision tool that explains health insurance terms and health insurance terms, provides tips on lowering health care costs, advises patient to discuss costs with provider and insurance, and provides financial resources for patient.
OTHERHistorical control survey
-31 questions including overall experience with cancer care provider, previous discussions with care team regarding health care costs, preferences for discussing health care costs with physician, confidence level on discussing health care costs with physician, feelings about current financial situation, delays or avoidance of medical care in the past 12 months, confidence in health care choices and health insurance choices, current health conditions, and demographic data.
OTHERPost-intervention survey (I Can PIC participants)
-31 questions including overall experience with cancer care provider, previous discussions with care team regarding health care costs, preferences for discussing health care costs with physician, confidence level on discussing health care costs with physician, feelings about current financial situation, delays or avoidance of medical care in the past 12 months, confidence in health care choices and health insurance choices, current health conditions, and demographic data.
OTHERFollow-Up survey (I Can PIC participants)
-19 questions including overall experience with cancer care provider, discussion with care team regarding health care costs, preferences for discussing health care costs with physician, confidence level on discussing health care costs with physician, feelings about current financial situation, delays or avoidance of medical care in the past 12 months, and confidence in health care choices and health insurance choices.
Sponsors
National Cancer Institute (NCI)
Washington University School of Medicine
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion 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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs | Completion of survey (estimated to be approximately 1-14 days after enrollment)] | * Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score either no (did not refer to resources) or yes (referred to resources) * Also score the number of cost-related topics discussed, if yes |
| Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be approximately 1-14 days after enrollment) | * Health insurance literacy will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 12 (worst) to 48 (best). Higher scores indicate greater health insurance literacy |
| Difference in the Number of Clinicians That Discussed Health Care Cost Topics With Participants Between the Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be approximately 1-14 days after enrollment) | * Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score either no (did not discuss health care costs with clinician) or yes (discussed one more cost-related topics with clinicians) * Also score the number of cost-related topics discussed, if yes |
| Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be approximately 1-14 days after enrollment) | -Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey |
| Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be approximately 1-14 days after enrollment) | -Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey |
| Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be approximately 1-14 days after enrollment) | * Confidence communicating about health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 4 (worst) to 16 (best). Higher scores indicate greater confidence communicating about care costs |
| Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be Day 1 for historical control participants and estimated to be Day 14 for I Can PIC participants) | * Financial toxicity will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0 (best) to 44 (worst). Higher scores indicate greater financial toxicity |
| Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be approximately 1-14 days after enrollment) | * Health insurance knowledge will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0% (worst) to 100% (best). Higher scores indicate greater health insurance knowledge |
| Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Completion of survey (estimated to be approximately 1-14 days after enrollment) | -Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health Insurance Knowledge Sustained Over Time (I Can PIC Arm) | Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months) | * Sustained Health insurance knowledge will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 0% (worst) to 100% (best). Higher scores indicate greater health insurance knowledge |
| Health Insurance Literacy Sustained Over Time (I Can PIC Arm) | Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months) | * Sustained Health insurance literacy will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 12 (worst) to 48 (best). Higher scores indicate greater health insurance literacy |
| Confidence Communicating About Health Care Costs With Physician (I Can PIC Arm) | Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months) | * Confidence communicating about health care costs will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 4 (worst) to 16 (best). Higher scores indicate greater confidence communicating about care costs |
| Sustained Financial Toxicity (I Can PIC Arm) | Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months) | * Sustained Financial toxicity will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 0 (best) to 44 (worst). Higher scores indicate greater financial toxicity |
Other
| Measure | Time frame | Description |
|---|---|---|
| Delayed or Forgone Care Due to Costs (Historical Control Arm and I Can PIC Arm) | Completion of survey (estimated to be approximately 1-14 days after enrollment) | * Delayed or forgone care due to costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0 (best) to 8 (worst). Higher scores indicate more frequent delayed and forgone care due to costs |
| Delayed or Forgone Care Due to Costs (I Can PIC Arm) | Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months) | * Delayed or forgone care due to costs will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 0 (best) to 8 (worst). Higher scores indicate more frequent delayed and forgone care due to costs |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Historical Control Survey -The investigators will conduct a historic control survey of 80-100 recently diagnosed gynecologic, colorectal, and lung cancer patients. They can complete the survey in-person, over the phone, or online. The survey will take approximately 15 minutes to complete. It will ask about their knowledge of health insurance and confidence communicating about care costs. | 68 |
| I Can PIC -Approximately 80-100 participants will use I Can PIC. This will take approximately 10-15 minutes. After their next appointment with their provider, they will complete a brief survey about their knowledge of health insurance and confidence communicating about care costs. This will take about 10 mins. Patient participants who choose to complete the study in person may view I Can PIC on a tablet provided in the clinic or at the office. Then after their appointment, they can complete the survey on a tablet provided in the clinic or at the office. If they choose to complete it over the phone, the investigators will email them the link to I Can PIC and then call them when it is time to complete the survey. If they wish to complete it online, the investigators will email them the link to I Can PIC, and then the survey after their appointment. After 3-6 months, participants will receive a 5-10 minute follow-up survey which they can complete in-person, online, or over the phone. | 68 |
| Total | 136 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Consented but did not complete survey | 0 | 6 |
| Overall Study | Withdrawal by Subject | 4 | 7 |
Baseline characteristics
| Characteristic | Historical Control Survey | Total | I Can PIC |
|---|---|---|---|
| Age, Continuous | 61.5 years | 61 years | 60 years |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants | 1 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 64 Participants | 132 Participants | 68 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 3 Participants | 3 Participants | 0 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Black or African American | 4 Participants | 7 Participants | 3 Participants |
| Race (NIH/OMB) More than one race | 2 Participants | 2 Participants | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 3 Participants | 3 Participants | 0 Participants |
| Race (NIH/OMB) White | 58 Participants | 123 Participants | 65 Participants |
| Region of Enrollment United States | 68 participants | 136 participants | 68 participants |
| Sex/Gender, Customized Female | 40 Participants | 83 Participants | 43 Participants |
| Sex/Gender, Customized Male | 25 Participants | 50 Participants | 25 Participants |
| Sex/Gender, Customized Unknown | 3 Participants | 3 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | 7 / 68 | 2 / 68 |
| other Total, other adverse events | 0 / 68 | 0 / 68 |
| serious Total, serious adverse events | 0 / 68 | 0 / 68 |
Outcome results
Primary
Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm
* Confidence communicating about health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 4 (worst) to 16 (best). Higher scores indicate greater confidence communicating about care costs
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Population: 4 participants in the Historical Control Survey arm did not complete the survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Historical Control Survey | Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm | 13.59 score on a scale | Standard Deviation 2.92 |
| I Can PIC | Difference in Confidence Communicating About Health Care Costs With Physician Between Historical Control Arm and I Can PIC Arm | 13.81 score on a scale | Standard Deviation 2.75 |
p-value: 0.65Kruskal-Wallis
Primary
Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm
* Financial toxicity will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0 (best) to 44 (worst). Higher scores indicate greater financial toxicity
Time frame: Completion of survey (estimated to be Day 1 for historical control participants and estimated to be Day 14 for I Can PIC participants)
Population: 3 participants in the Historical Control Survey arm did not complete the survey
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Historical Control Survey | Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm | 17.71 score on a scale | Standard Deviation 11.2 |
| I Can PIC | Difference in Financial Toxicity Between Historical Control Arm and I Can PIC Arm | 16.06 score on a scale | Standard Deviation 9.83 |
p-value: 0.52Kruskal-Wallis
Primary
Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm
* Health insurance knowledge will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0% (worst) to 100% (best). Higher scores indicate greater health insurance knowledge
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Population: 3 participants in the Historical Control Survey arm did not complete the survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Historical Control Survey | Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm | 72.45 score on a scale | Standard Deviation 18.77 |
| I Can PIC | Difference in Health Insurance Knowledge Between Historical Control Arm and I Can PIC Arm | 77.02 score on a scale | Standard Deviation 19.03 |
p-value: 0.15Kruskal-Wallis
Primary
Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm
* Health insurance literacy will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 12 (worst) to 48 (best). Higher scores indicate greater health insurance literacy
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Population: 3 participants in the Historical Control Survey arm did not complete the survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Historical Control Survey | Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm | 33.03 score on a scale | Standard Deviation 8.56 |
| I Can PIC | Difference in Health Insurance Literacy Between Historical Control Arm and I Can PIC Arm | 34.71 score on a scale | Standard Deviation 7.65 |
p-value: 0.35Kruskal-Wallis
Primary
Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs
* Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score either no (did not refer to resources) or yes (referred to resources) * Also score the number of cost-related topics discussed, if yes
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)]
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Historical Control Survey | Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs | 11 Participants |
| I Can PIC | Difference in Number of Clinicians Who Referred Patients to Resources to Discuss Costs | 14 Participants |
p-value: 0.51Chi-squared
Primary
Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Historical Control Survey | Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm | 32 Participants |
| I Can PIC | Difference in the Number of Clinicians That Discussed Health Care Cost Strategies Between the Historical Control Arm and I Can PIC Arm | 33 Participants |
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
* Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score either no (did not discuss health care costs with clinician) or yes (discussed one more cost-related topics with clinicians) * Also score the number of cost-related topics discussed, if yes
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| Historical Control Survey | 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 Participants |
| I Can PIC | Difference in the Number of Clinicians That Discussed Health Care Cost Topics With Participants Between the Historical Control Arm and I Can PIC Arm | 39 Participants |
p-value: 0.22Chi-squared
Primary
Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Time off work during treatment or recovery | 16 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Cost of over-the-counter drugs | 3 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Costs of getting to and from visits | 8 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Comparing costs of options to help choose care | 3 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Cost of drugs to treat cancer | 9 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Cost of day-to-day living | 2 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Costs of specific tests, visits, or equipment | 7 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Other | 1 cost-related topics discussed |
| Historical Control Survey | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Insurance eligibility or coverage | 32 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Other | 2 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Insurance eligibility or coverage | 33 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Time off work during treatment or recovery | 15 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Cost of drugs to treat cancer | 11 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Costs of getting to and from visits | 1 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Costs of specific tests, visits, or equipment | 5 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Cost of over-the-counter drugs | 6 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Comparing costs of options to help choose care | 0 cost-related topics discussed |
| I Can PIC | Difference in the Number of Cost-related Topics Discussed With Participants Between the Historical Control Arm and I Can PIC Arm | Cost of day-to-day living | 2 cost-related topics discussed |
Primary
Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm
-Information regarding clinicians who discussed health care costs will be collected on the historical control survey and the I Can PIC post-intervention survey
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Choosing a generic drug instead of a brand name drug | 6 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting a community agency or charity | 2 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Copay assistance, coupons, or rebates for drugs | 2 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting a free drug program | 1 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Change the dose (amount) of treatment | 7 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting talking to human resources | 1 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Referring to hospital billing office | 8 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Choosing a lower cost procedure or scan | 0 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Setting up a payment plan | 2 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting government assistance | 0 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Stopping or pausing some treatments | 4 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Other | 4 cost strategies discussed |
| Historical Control Survey | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Changing logistics of care | 21 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Other | 1 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Changing logistics of care | 18 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Change the dose (amount) of treatment | 8 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Choosing a generic drug instead of a brand name drug | 8 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Setting up a payment plan | 12 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Copay assistance, coupons, or rebates for drugs | 6 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Referring to hospital billing office | 5 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Stopping or pausing some treatments | 3 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting a community agency or charity | 2 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting a free drug program | 0 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting talking to human resources | 0 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Choosing a lower cost procedure or scan | 0 cost strategies discussed |
| I Can PIC | Difference in the Number of Cost Strategies Discussed Between the Historical Control Arm and I Can PIC Arm | Suggesting government assistance | 0 cost strategies discussed |
Secondary
Confidence Communicating About Health Care Costs With Physician (I Can PIC Arm)
* Confidence communicating about health care costs will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 4 (worst) to 16 (best). Higher scores indicate greater confidence communicating about care costs
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Population: Only participants enrolled in the I Can PIC Arm were evaluable for this outcome measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| I Can PIC | Confidence Communicating About Health Care Costs With Physician (I Can PIC Arm) | Post-intervention survey | 13.81 score on a scale | Standard Deviation 2.75 |
| I Can PIC | Confidence Communicating About Health Care Costs With Physician (I Can PIC Arm) | 3-6 month follow-up survey | 14.24 score on a scale | Standard Deviation 2.47 |
p-value: 0.71t-test, 2 sided
Secondary
Health Insurance Knowledge Sustained Over Time (I Can PIC Arm)
* Sustained Health insurance knowledge will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 0% (worst) to 100% (best). Higher scores indicate greater health insurance knowledge
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Population: Only participants enrolled in the I Can PIC Arm were evaluable for this outcome measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| I Can PIC | Health Insurance Knowledge Sustained Over Time (I Can PIC Arm) | Post-intervention survey | 77.02 score on a scale | Standard Deviation 19.03 |
| I Can PIC | Health Insurance Knowledge Sustained Over Time (I Can PIC Arm) | 3-6 month follow-up survey | 75.6 score on a scale | Standard Deviation 20.01 |
Secondary
Health Insurance Literacy Sustained Over Time (I Can PIC Arm)
* Sustained Health insurance literacy will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 12 (worst) to 48 (best). Higher scores indicate greater health insurance literacy
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Population: Only participants enrolled in the I Can PIC Arm were evaluable for this outcome measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| I Can PIC | Health Insurance Literacy Sustained Over Time (I Can PIC Arm) | Post-intervention survey | 34.71 score on a scale | Standard Deviation 7.65 |
| I Can PIC | Health Insurance Literacy Sustained Over Time (I Can PIC Arm) | 3-6 month follow-up survey | 35.74 score on a scale | Standard Deviation 8.39 |
Secondary
Sustained Financial Toxicity (I Can PIC Arm)
* Sustained Financial toxicity will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 0 (best) to 44 (worst). Higher scores indicate greater financial toxicity
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Population: Only participants enrolled in the I Can PIC Arm were evaluable for this outcome measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| I Can PIC | Sustained Financial Toxicity (I Can PIC Arm) | Post-intervention survey | 16.06 score on a scale | Standard Deviation 9.83 |
| I Can PIC | Sustained Financial Toxicity (I Can PIC Arm) | 3-6 month follow-up survey | 14.17 score on a scale | Standard Deviation 10.72 |
p-value: 0.12t-test, 2 sided
Other Pre-specified
Delayed or Forgone Care Due to Costs (Historical Control Arm and I Can PIC Arm)
* Delayed or forgone care due to costs will be collected on the historical control survey and the I Can PIC post-intervention survey * Score from 0 (best) to 8 (worst). Higher scores indicate more frequent delayed and forgone care due to costs
Time frame: Completion of survey (estimated to be approximately 1-14 days after enrollment)
Population: 3 participants in the Historical Control Survey arm did not complete the survey.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Historical Control Survey | Delayed or Forgone Care Due to Costs (Historical Control Arm and I Can PIC Arm) | 2.67 score on a scale | Standard Deviation 1.61 |
| I Can PIC | Delayed or Forgone Care Due to Costs (Historical Control Arm and I Can PIC Arm) | 2.33 score on a scale | Standard Deviation 1.58 |
p-value: 0.66Kruskal-Wallis
Other Pre-specified
Delayed or Forgone Care Due to Costs (I Can PIC Arm)
* Delayed or forgone care due to costs will be collected on the post-intervention survey and the 3-6 month follow-up survey * Score from 0 (best) to 8 (worst). Higher scores indicate more frequent delayed and forgone care due to costs
Time frame: Change from post-intervention survey to 3-6 month follow-up survey (estimated to be a total of 6 months)
Population: Only participants enrolled in the I Can PIC Arm were evaluable for this outcome measure.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| I Can PIC | Delayed or Forgone Care Due to Costs (I Can PIC Arm) | Post-intervention survey | 2.33 score on a scale | Standard Deviation 1.58 |
| I Can PIC | Delayed or Forgone Care Due to Costs (I Can PIC Arm) | 3-6 month follow-up survey | 2.38 score on a scale | Standard Deviation 1.5 |