Breast Cancer, Gastrointestinal Cancer, Lung Cancer
Conditions
Keywords
Breast Cancer, Lung Cancer, Gastrointestinal Cancer
Brief summary
The purpose of this research is to understand how screening for patient resource needs followed by customized resource matching can improve outcomes for adults with breast, lung or gastrointestinal cancer.
Detailed description
This research study is an intervention assessment; this is the first-time investigators are examining the impact of screening for resource needs followed by customized resource matching at Dana-Farber Cancer Institute. * The research study procedures include screening for social determinants of health (resource) needs and, depending on study group, resource matching. * Participants will be randomized into one of two groups. * Usual Care or Usual Care with customized resource matching. It is expected that about 125 participants will take part in this research study.
Interventions
OTHERResource Matching
Resource staff involved in the customized resource matching arm of the intervention will include staff from DFCI Patient Services and DFCI Financial Counseling. Financial counseling will support patients with financial resource needs. DFCI Patient Services will provide assistance for all other patient Social Determinants of Health needs.
OTHERUsual Care
Patients randomized to the control group will receive a pre-existing pamphlet detailing DFCI resources.
Sponsors
Dana-Farber Cancer Institute
Study design
Allocation
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
* Eligible patients will be adults age 18 or older, able to consent, scheduled for a new patient consultation in DFCI BOC, TOP or GCC. To select for patients from demographic groups vulnerable to SDoH needs, two different groups will be eligible to participate. * Group A * BIPOC (Black, Latinx, Native American or Pacific Islander) * LEP Spanish-speaking (As indicated by the EHR) * Low SES (from zip code with median household income \<$32,000/year) OR * Age 70+ * Group B * Any one NPIQ response indicating SDoH need * Health literacy/numeracy, Caregiving/relationships, OR Finances
Exclusion criteria
\- Group A and B \-- Patients not continuing care at Dana Farber Cancer Institute
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Patients Treatment Interruption | 30 Days | Number of interruptions to cancer treatment (defined here as treatment hold, reduction, discontinuation or ED visits/hospitalizations as indicated by the patient medical record) |
| Rate of Treatment Interruption | 00 Days | Rate of interruptions to cancer treatment (defined here as treatment hold, reduction, discontinuation or ED visits/hospitalizations as indicated by the patient medical record) |
Countries
United States
Outcome results
None listed