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Completed

NCT Number: NCT05620979

Financial Navigation Study Among Young Adult Blood Cancer Survivors

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.

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Key information

Conditions

Survivorship Behavior Behavioral Symptoms Cancer Financial Stress Neoplasms Stress, Psychological

Age range

18 year–39 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Children's Hospital Los Angeles, Los Angeles, California, United States

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About this study

This fully remote, multi-site study will evaluate the role of financial navigators in relieving financial distress in young adults (18-39y) who have completed treatment for blood cancer at least three years ago. Serial Assessments at study entry, 3-months, and 6-months measure financial distress measured using the study's primary outcome measure the Personal Financial Wellness Scale™ (PFW) (see below), hypothesized effect modifiers (emotional distress, self-efficacy, cognitive functioning), as well as care seeking, household finances and insurance characteristics. Randomization will occur following completion of baseline measures (see below for description of study arms). In addition to a formal evaluation of the intervention at 3- and 6-months, an optional interview will occur following the 6-month assessment/navigation intervention period to gain further insight from participants about the acceptability of the intervention. For ethical considerations related to the topic of study, all participants will be provided with the Leukemia & Lymphoma Society's information specialist hotline.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • On parent or guardian's insurance

Treatment and study plan

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

Behavioral

Providing financial navigation to blood cancer survivors.

Primary outcomes

  1. Personal Financial Wellness Scale (PFW)

    Time frame: 6 months

    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.

Secondary outcomes

  1. Health-Related Quality of Life (HrQoL) Measures

    Time frame: 6 months

    As part of Aim 1, we will explore whether changes in financial distress (baseline to 6-months) are moderated by emotional distress, self-efficacy, and cognitive functioning, as measured by Patient-Reported Measurement Information System (PROMIS) 4-item short forms for emotions distress (depression and anxiety) and self-efficacy, as well as the 4-item cognitive functioning scale from the Quality of Life in Neurological Disorders (Neuro-Qol) battery. For each of these short forms, high scores connote better functioning.

Sponsors and collaborators

Lead sponsor

Tufts Medical Center

Other

Collaborators

  • The Leukemia and Lymphoma Society

Registry information

Official study title

Evaluating the Role of Financial Navigation in Alleviating Financial Distress Among Young Adult Survivors of Blood Cancer

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Nov 17, 2022
Registry last updated
Nov 21, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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