Hematopoietic Neoplasm, Lymphatic System Neoplasm, Malignant Solid Neoplasm
Conditions
Brief summary
This study seeks to develop, test, and revise an intervention designed to address financial hardship (FinFit) among adolescent and young adult (AYA) cancer survivors.
Detailed description
PRIMARY OBJECTIVE: I. To synthesize CHAT and LIFT to create FinFit, an intervention to address the unique, multilevel determinants of financial hardship among AYAs treated in community oncology practices. OUTLINE: This is an observational study. STEP 1: CHAT participants complete an in-depth interview on study. STEP 2: LIFT participants complete a focus group or an interview on study. STEP 3: Participants from steps 1 and 2 complete member-checking processes on study.
Interventions
OTHERCHAT Core Functions
CHAT is a virtually delivered patient-level intervention designed to improve health insurance and cost-related literacy
OTHERLIFT Core Functions
LIFT (Lessening the Impact of Financial Toxicity), an intervention developed to coordinate access to existing financial assistance programs.
OTHERMember-Checking Process
Based on the findings from Steps 1 and 2, investigators will develop a document that outlines the points of overlap, harmony, or conflict identified by participants.
Sponsors
Wake Forest University Health Sciences
National Cancer Institute (NCI)
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
\- Adults (ages 18 years of age or older) with perspectives on CHAT, LIFT, FinFit's proposed forms, and those from any community-based practices that were originally part of CHAT or LIFT administration are eligible for inclusion in Aim 1 interviews.
Exclusion criteria
\- Those not involved in any of the preliminary programs, not familiar with the proposed forms of FinFit, or not involved in the proposed implementation sites will not be eligible for participation.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Combining Data Collection from Steps 1 and 2 for the Creation of FinFit Intervention Protocol | Up to 12 months | Through the analysis of secondary outcomes (CHAT Core Functions - Step 1 LIFT Core Functions - Step 2) to develop, test, and revise an intervention designed to address financial hardship among adolescent and young adults using semi-structured interview data and analysis for the creation of protocol intervention including when, how and to whom the intervention should be delivered to. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CHAT Core Functions - Step 1 | Up to 12 months | Investigators will use ATLAS.ti, multifunctional qualitative data analysis software, to apply a codebook informed by the Model for Adaptation Design and Impact, and identify themes related to CHAT's core functions. Finally, we will use report-back sessions with interview participants to refine themes. |
| LIFT Core Functions - Step 2 | Up to 12 months | Investigators will use ATLAS.ti, multifunctional qualitative data analysis software to apply grounded theory to analyze updates to existing LIFT core functions to apply a codebook informed by the Model for Adaptation Design and Impact, and identify themes related to CHAT's core functions and points of potential overlap, harmony, or conflict with LIFT's and CHAT's core functions using a 90-120 minute focus group to review previously identified core functions. |
| Member Checking Process - Step 3 | Up to 12 months | Based on the findings from Steps 1 and 2, a document that outlines the points of overlap, harmony, or conflict identified by participants will be developed. Investigators will send this document back to all of the previous participants in a member-checking process, that will occur both virtually and asynchronously, to ensure the document reflects their perspectives. Once this document is finalized, investigators will draft the protocol for FinFit. Once drafted this document will be sent to all previous participants in a member-checking exercise for review and comment to ensure that it reflects their perspectives. The Model for Adaptation Design and Impact (MADI) tool will be used to evaluate potential points of overlap, harmony or conflict between the LIFT and CHAT steps to finally assess for potential influence on implementation outcomes (e.g. feasibility, acceptability) and FinFit outcomes (e.g., financial hardship). |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORJohn Salsman, PhD
Wake Forest Baptist Comprehensive Cancer Center
Outcome results
None listed