NCT05620979

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
130

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Feb 2022

Typical duration for not_applicable

Geographic Reach
1 country

5 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 14, 2022

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

October 31, 2022

Completed
17 days until next milestone

First Posted

Study publicly available on registry

November 17, 2022

Completed
12 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 6, 2023

Completed
17 days until next milestone

Study Completion

Last participant's last visit for all outcomes

November 23, 2023

Completed
Last Updated

November 21, 2024

Status Verified

November 1, 2024

Enrollment Period

1.7 years

First QC Date

October 31, 2022

Last Update Submit

November 18, 2024

Conditions

SurvivorshipCancerFinancial Stress

Outcome Measures

Primary Outcomes (1)

  • Personal Financial Wellness Scale (PFW)

    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.

    6 months

Secondary Outcomes (1)

  • Health-Related Quality of Life (HrQoL) Measures

    6 months

Study Arms (3)

Active Navigation

ACTIVE COMPARATOR

Active navigation with the study-based financial navigator scheduling four check-in meetings throughout the study with the participant. All participants will complete an assessment at baseline, 3 months and 6 months and be invited to participate in an optional interview after the 6-month assessment.

Behavioral: Providing financial navigation via active navigation, ad hoc navigation or no study-based navigation.

Ad Hoc Navigation

ACTIVE COMPARATOR

Ad hoc navigation in which participant is provided study-based financial navigator to contact as needed. All participants will complete an assessment at baseline, 3 months and 6 months and be invited to participate in an optional interview after the 6-month assessment.

Behavioral: Providing financial navigation via active navigation, ad hoc navigation or no study-based navigation.

No study-based Navigation

ACTIVE COMPARATOR

No access to a study-based financial navigator, but access to a national hotline through the Leukemia \& Lymphoma Society. All participants will complete an assessment at baseline, 3 months and 6 months and be invited to participate in an optional interview after the 6-month assessment.

Behavioral: Providing financial navigation via active navigation, ad hoc navigation or no study-based navigation.

Interventions

Providing financial navigation via active navigation, ad hoc navigation or no study-based navigation.BEHAVIORAL

Providing financial navigation to blood cancer survivors.

Active NavigationAd Hoc NavigationNo study-based Navigation

Eligibility Criteria

Age18 Years - 39 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Previous diagnosis and treatment of blood cancer (leukemia, lymphoma, myeloma, myelodysplastic syndrome, or myeloproliferative neoplasm)
  • Current age between 18-39 years old
  • Blood cancer diagnosis during childhood (0-17 years of age) or young adulthood (18-36 years of age)
  • At least three years post blood cancer diagnosis
  • Off treatment for blood cancer or on a long-term regimen with an oral anti-cancer medication with stable disease
  • Off treatment for a second cancer (non-blood cancer) or on a stable long-term regimen, such as hormone therapy or hormone replacement therapy
  • Primary residence in United States
  • Able to understand and read the English language

You may not qualify if:

  • On parent or guardian's insurance

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Children's Hospital Los Angeles

Los Angeles, California, 90027, United States

Location

University of Southern California (USC Norris Comprehensive Cancer Center & LA County Hospital)

Los Angeles, California, 90033, United States

Location

Tufts Medical Center

Boston, Massachusetts, 02111, United States

Location

Bon Secours Mercy Health System

Greenville, South Carolina, 29607, United States

Location

MD Anderson

Houston, Texas, 77030, United States

Location

Related Publications (4)

  • Ohlsen TJD, Murphy-Banks R, Beauchemin MP, Rodday AM, Freyer DR, Miller KA, Fleisher E, Xiang Q, Linendoll N, Chan RY, Crosswell HE, Roth ME, Parsons SK. Cancer-Related Impacts on Employment and Strategies for Support Among Long-Term Young Adult Survivors of Hematologic Malignancies. JCO Oncol Pract. 2025 Dec 12:OP2500558. doi: 10.1200/OP-25-00558. Online ahead of print.

    PMID: 41385752DERIVED

  • Beauchemin MP, Murphy-Banks R, Rodday AM, Freyer DR, Miller KA, Fleisher E, Ohlsen TJD, Linendoll N, Chan RY, Crosswell HE, Roth ME, Parsons SK. Factors influencing engagement in survivorship care among young adult survivors of hematologic malignancies: a mixed methods report. Support Care Cancer. 2025 Jun 25;33(7):628. doi: 10.1007/s00520-025-09686-1.

    PMID: 40562962DERIVED

  • Zheng DJ, Murphy-Banks R, Rodday AM, Xiang Q, Linendoll N, Beauchemin M, Ohlsen TJD, Fleisher E, Miller KA, Freyer DR, Crosswell HE, Chan RY, Roth ME, Parsons SK. "Nothing Is as Great a Learning Experience as Getting a $15,000 Bill": A Mixed-Methods Study of Young Adult Cancer Survivors' Experience With Insurance Coverage. JCO Oncol Pract. 2025 Jun 16:OP2401075. doi: 10.1200/OP-24-01075. Online ahead of print.

    PMID: 40523211DERIVED

  • Parsons SK, Murphy-Banks R, Rodday AM, Roth ME, Miller K, Linendoll N, Chan R, Crosswell HE, Xiang Q, Freyer DR. Financial distress and medical financial hardship among young adult survivors of blood cancer. JNCI Cancer Spectr. 2024 Sep 2;8(5):pkae071. doi: 10.1093/jncics/pkae071.

    PMID: 39153000DERIVED

MeSH Terms

Conditions

NeoplasmsFinancial Stress

Condition Hierarchy (Ancestors)

Stress, PsychologicalBehavioral SymptomsBehavior

Study Officials

  • Susan K Parsons, MD, MRP

    Tufts Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
no blinding
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Model Details: This is a multi-site, three-arm, financial navigation intervention
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 31, 2022

First Posted

November 17, 2022

Study Start

February 14, 2022

Primary Completion

November 6, 2023

Study Completion

November 23, 2023

Last Updated

November 21, 2024

Record last verified: 2024-11

Data Sharing

IPD Sharing
Will not share

Locations

US(5)