Cancer, Financial Hardship, Psychological Distress
Conditions
Brief summary
The goal of this pilot, feasibility study is to evaluate the feasibility and preliminary impact of a finance-specific psycho-oncology intervention, as well as to explore perceptions of and experiences with this financial psycho-oncology intervention for patients with cancer experiencing financial hardship. The main questions it aims to answer are: 1. Is this financial psycho-oncology intervention feasible, acceptable, and appropriate for patients with cancer experiencing financial hardship? 2. How can we refine the financial psycho-oncology intervention to best address financial distress for patients with cancer experiencing financial hardship? Patients enrolled in the intervention will receive 2, 60-minute long, finance-specific psycho-oncology sessions per month over the course of 3 months, for a total of 6 sessions over the course of the intervention. Patients will complete surveys during intervention enrollment and after intervention completion to assess secondary outcomes of financial hardship, psychological distress, stress, and anxiety. Individuals who consent to the financial psycho-oncology intervention will also be invited to participate in a 30-minute semi-structured interview to explore their perceptions of and experiences with the financial psycho-oncology intervention, including concepts of participation and engagement, relevance and acceptability, content and understanding, logistics and practicality, and potential impact.
Interventions
BEHAVIORALFinancial psycho-oncology intervention
Program which integrates emotional support, coping strategies, and financial psychoeducation to enhance patients' capacity to cope with both their emotional and financial burdens due to cancer.
Sponsors
University of Alabama at Birmingham
UAB Center for Palliative and Supportive Care
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Adult patients with cancer receiving treatment at the UAB Medical Oncology and/or UAB Supportive Care clinics
Exclusion criteria
* non-English speakers * patients with non-melanoma skin cancers * patients with dementia/cognitive impairments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recruitment as a measure of feasibility | From enrollment to the end of the financial psycho-oncology intervention at 3 months | 50% of contacted patients consenting to participate |
| Retention as a measure of feasibility | From enrollment to the end of the financial psycho-oncology intervention at 3 months | 70% of consenting patients completing the program per protocol |
| Completion as a measure of feasibility | From enrollment to the end of the financial psycho-oncology intervention at 3 months | \<15% missing survey data |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Financial hardship | From enrollment to the end of the financial psycho-oncology intervention at 3 months | as measured by COmprehensive Score for financial Toxicity (COST) |
| Change in Psychological distress | From enrollment to the end of the financial psycho-oncology intervention at 3 months | as measured by National Comprehensive Cancer Network Distress Thermometer and Problem List |
| Change in Perceived stress | From enrollment to the end of the financial psycho-oncology intervention at 3 months | as measured by Perceived Stress Scale (PSS-10) |
| Change in Anxiety | From enrollment to the end of the financial psycho-oncology intervention at 3 months | as measured by PROMIS Emotional Distress - Anxiety - Short Form 4 |
| Change in Depression | From enrollment to the end of the financial psycho-oncology intervention at 3 months | as measured by PROMIS Emotional Distress - Depression - Short Form 4 |
Countries
United States
Contacts
CONTACTHayden Reeves
PRINCIPAL_INVESTIGATORCourtney Williams, DrPH
University of Alabama at Birmingham
Outcome results
None listed