Feasibility and Utilization of an Application-based Question Prompt List

NCT ID: NCT03676920

Last Updated: 2024-04-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-08-21

Study Completion Date

2019-12-31

Brief Summary

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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.

Detailed Description

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The overall goal of this research is to reduce financial toxicity related to the cost of cancer treatment in a diverse patient population. 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, which, in turn, should improve other short- and longer-term patient outcomes, including referrals to economic support (e.g., social work); efficacy in managing treatment cost; treatment cost distress; financial toxicity; and treatment adherence. If successful, this study will result in an evidence-based tool that can reduce financial toxicity and improve medical outcomes for a diverse patient population.

Conditions

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Financial Toxicity Cancer Question Prompt List

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

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.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

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).

Study Groups

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Intervention Arm

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

Group Type EXPERIMENTAL

Discussions of Cost App (DISCO App)

Intervention Type 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.

Interventions

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Discussions of Cost App (DISCO App)

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.

Intervention Type BEHAVIORAL

Other Intervention Names

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DISCO App

Eligibility Criteria

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Inclusion Criteria

* 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.

Exclusion Criteria

* N/A
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Barbara Ann Karmanos Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Lauren Hamel

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Lauren Hamel, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Barbara Ann Karmanos Cancer Institute

Locations

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Barbara Ann Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status

Countries

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United States

References

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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.

Reference Type DERIVED
PMID: 37364004 (View on PubMed)

Other Identifiers

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2017-129

Identifier Type: -

Identifier Source: org_study_id

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