Feasibility and Utilization of an Application-based Question Prompt List

NCT03676920 | Completed

• 1 other identifier: 2017-129
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

This trial studies how well an application-based question prompt list works in improving treatment cost discussion between patients with breast, prostate, lung, or colorectal cancer and their oncologists. An application-based question prompt list, called Discussion of Cost Application (DISCO App), may help to improve how patients and oncologists discuss cancer treatment costs.

Conditions

Financial Toxicity; Cancer; Question Prompt List

Keywords

cancer treatment cost, patient-provider communication

Outcome Measures

Primary Outcomes (2)

• Patient-oncologist treatment cost discussions

  Observational measures using video-recorded patient-oncologist treatment discussions

  During the treatment discussions and observed via video recordings of those discussions.

• Patient-oncologist treatment cost discussions

  Self-report measures of if and how patients and oncologists discuss treatment cost.

  Collected immediately after the interaction with the oncologist

Secondary Outcomes (6)

• Patient financial demographics

  Collected immediately prior to the interaction with the oncologist

• Change in patient treatment cost information desired and gained

  Collected immediately prior to and immediately after the interaction with the oncologist

• Change in patient efficacy in managing treatment cost (10-item scale). This measure will assess any change in the patients' efficacy in paying for the cost of their cancer treatment before and after the intervention.

  Collected immediately prior to and immediately after the interaction with the oncologist

• Satisfaction with treatment cost discussions (3-item scale). This will assess the extent to which patients are satisfied with any discussions of treatment cost they had with their oncologist.

  Collected immediately after the interaction with the oncologist

• Length of the interaction

  During the patient-oncologist interaction and observed via video recordings of the treatment discussions

Study Arms (1)

Intervention Arm

EXPERIMENTAL

This feasibility study includes only one arm. All enrolled patients will be asked to use the intervention.

Behavioral: Discussions of Cost App (DISCO App)

Interventions

Discussions of Cost App (DISCO App) BEHAVIORAL

The DISCO App is an app-based and patient-focused intervention designed to improve the frequency and quality of patient-oncologist treatment cost discussions. The DISCO App allows patients to provide basic demographic information (e.g., employment status, insurance status, etc), and uses that information to provide patients with an individually-tailored list of treatment cost questions they can ask their provider.

Also known as: DISCO App

Intervention Arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Medical oncologists or radiation oncologists at KCI McLaren Detroit, McLaren Flint, McLaren Macomb and McLaren Port Huron oncology centers
• Oncologists will be eligible if they treat patients with prostate, breast, lung or colorectal cancers.
• Oncologists will be consented
• Patients must be 18 yrs. old or older
• Patients will be consented
• Patients must be able to read and write in English
• Patients must have a confirmed diagnosis of breast, prostate, lung or colorectal cancer and are scheduled to see an oncologist for an initial treatment discussion.

You may not qualify if:

• N/A

Sponsors & Collaborators

• Barbara Ann Karmanos Cancer Institute: lead

Study Sites (1)

Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, 48201, United States

Location

Related Publications (1)

• Hamel LM, Dougherty DW, Hastert TA, Seymour EK, Kim S, Assad H, Phalore J, Soulliere R, Eggly S. The DISCO App: A pilot test of a multi-level intervention to reduce the financial burden of cancer through improved cost communication. PEC Innov. 2021 Oct 30;1:100002. doi: 10.1016/j.pecinn.2021.100002. eCollection 2022 Dec.

  PMID: 37364004 DERIVED

MeSH Terms

Conditions

Financial Stress; Neoplasms

Condition Hierarchy (Ancestors)

Stress, Psychological; Behavioral Symptoms; Behavior

Study Officials

• Lauren Hamel, Ph.D.

  Barbara Ann Karmanos Cancer Institute

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Masking Details: There is only one arm and patients will know they are testing the intervention. Physicians will not be told explicitly which of their patients are enrolled in the study but they may see patients with the intervention (either on an iPad or in a printed version).
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Model Details: The research tests the feasibility of an application-based ("app") communication intervention designed to improve the frequency and quality of patient-oncologist treatment cost discussions during clinical interactions, and associated measures.

Study Record Dates

• First Submitted: September 12, 2018
• First Posted: September 19, 2018
• Study Start: August 21, 2018
• Primary Completion: December 31, 2019
• Study Completion: December 31, 2019
• Last Updated: April 18, 2024

Record last verified: 2024-04

Locations

US (1)