Cancer, Financial Stress, Survivorship
Conditions
Brief summary
Young adult cancer survivors (18-39y) are at increased risk of financial distress. This study seeks to better understand the financial challenges experienced by these individuals via quantitative serial assessments, study-based financial navigator encounters and an end of study qualitative interview.
Detailed description
This fully remote, multi-site study will evaluate the role of financial navigators in relieving financial distress in young adults (18-39y) who have completed treatment for blood cancer at least three years ago. Serial Assessments at study entry, 3-months, and 6-months measure financial distress measured using the study's primary outcome measure the Personal Financial Wellness Scale™ (PFW) (see below), hypothesized effect modifiers (emotional distress, self-efficacy, cognitive functioning), as well as care seeking, household finances and insurance characteristics. Randomization will occur following completion of baseline measures (see below for description of study arms). In addition to a formal evaluation of the intervention at 3- and 6-months, an optional interview will occur following the 6-month assessment/navigation intervention period to gain further insight from participants about the acceptability of the intervention. For ethical considerations related to the topic of study, all participants will be provided with the Leukemia & Lymphoma Society's information specialist hotline.
Interventions
BEHAVIORALProviding financial navigation via active navigation, ad hoc navigation or no study-based navigation.
Providing financial navigation to blood cancer survivors.
Sponsors
The Leukemia and Lymphoma Society
Tufts Medical Center
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Masking description
no blinding
Intervention model description
This is a multi-site, three-arm, financial navigation intervention
Eligibility
Sex/Gender
ALL
Age
18 Years to 39 Years
Healthy volunteers
No
Inclusion criteria
1. Previous diagnosis and treatment of blood cancer (leukemia, lymphoma, myeloma, myelodysplastic syndrome, or myeloproliferative neoplasm) 2. Current age between 18-39 years old 3. Blood cancer diagnosis during childhood (0-17 years of age) or young adulthood (18-36 years of age) 4. At least three years post blood cancer diagnosis 5. Off treatment for blood cancer or on a long-term regimen with an oral anti-cancer medication with stable disease 6. Off treatment for a second cancer (non-blood cancer) or on a stable long-term regimen, such as hormone therapy or hormone replacement therapy 7. Primary residence in United States 8. Able to understand and read the English language
Exclusion criteria
* On parent or guardian's insurance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Personal Financial Wellness Scale (PFW) | 6 months | To evaluate the change in financial distress associated with randomization group assignment from baseline to 6-month follow up as measured by the 8-item Personal Financial Wellness Scale (PFW). The PFW scores range from 1-10 where lower scores indicate greater financial distress. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Health-Related Quality of Life (HrQoL) Measures | 6 months | As part of Aim 1, we will explore whether changes in financial distress (baseline to 6-months) are moderated by emotional distress, self-efficacy, and cognitive functioning, as measured by Patient-Reported Measurement Information System (PROMIS) 4-item short forms for emotions distress (depression and anxiety) and self-efficacy, as well as the 4-item cognitive functioning scale from the Quality of Life in Neurological Disorders (Neuro-Qol) battery. For each of these short forms, high scores connote better functioning. |
Countries
United States
Outcome results
None listed