Evaluating the Implementation and Impact of Standard-of-care Delivered Oncology Financial Navigation
Purpose
The purpose of this study is to understand the implementation and impact of a pragmatically-delivered oncology financial navigation program. The main questions it aims to answer are: 1. How did oncology financial navigation implementation strategies affect implementation outcomes? 2. What is the impact of financial navigation on patient financial hardship, quality of life, and psychological distress? 3. How were implementation strategies utilized to overcome barriers to oncology financial navigation? Researchers will examine secondary, standard-of-care collected, patient-reported data, electronic medical record data, and qualitative interview data to answer these questions.
Conditions
- Oncology
- Financial Toxicity
- Counseling
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
As oncology financial navigation will be implemented as standard of care, implementation outcomes will be evaluated for: 1. All patients with cancer seen at the University of Alabama at Birmingham (UAB) Medical Oncology clinic 2. UAB oncology financial navigators
Exclusion Criteria
None. Aim 2: Inclusion criteria: This will be a secondary data analysis of patient-reported data routinely collected since 2020, which will include: 1. Patients with cancer seen at the UAB Medical Oncology clinic 2. Patients with non-missing patient-reported outcome data Exclusion criteria: None. Aim 3: Inclusion criteria: 1. Patients who have received oncology financial navigation 2. Providers (oncology financial navigators, social workers, nurse managers, oncologists) involved with the oncology financial navigation program 3. Health system team members (billing specialists, cancer service line leadership) involved with the oncology financial navigation program Exclusion criteria: None.
Study Design
- Phase
- N/A
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Parallel Assignment
- Intervention Model Description
- This will be a secondary data analysis of patient-reported data routinely collected since 2020 for patients with cancer seen at the UAB Medical Oncology clinic. All patients with data will be included in the analysis, as this is an evaluation of oncology financial navigation integration into real-world clinical teams. Therefore, due to a lack of comparable controls during the oncology financial navigation intervention, we will use historical controls matched by sociodemographic and cancer characteristics for comparison.
- Primary Purpose
- Health Services Research
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Patients receiving standard-of-care-delivered financial navigation |
|
|
|
No Intervention Historical control patients who did not receive financial navigation |
|
Recruiting Locations
Birmingham 4049979, Alabama 4829764 35233
More Details
- Status
- Recruiting
- Sponsor
- University of Alabama at Birmingham
Detailed Description
Guided by the RE-AIM Extension for Equitable Sustainability framework, the investigators will use a series of implementation and effectiveness aims to evaluate equitable implementation of oncology financial navigation into routine cancer care delivery. The investigators hypothesize the proposed assessment will identify potential areas to improve implementation of oncology financial navigation, which will result in better financial and clinical outcomes for patients with cancer. The investigators propose a pragmatic, hybrid effectiveness-implementation study to assess outcomes of oncology financial navigation delivered as routine cancer care and collect information on strategies to address implementation barriers. Outcomes will be assessed overall and for inequities by race, residence, and insurance status using the following specific aims: Aim 1. Track oncology financial navigation implementation strategies and their effect on implementation outcomes Aim 2. Evaluate oncology financial navigation effectiveness Aim 3. Assess how implementation strategies were utilized to overcome barriers to oncology financial navigation