Financial-legal navigation reduces financial toxicity of pediatric, adolescent, and young adult cancers.
JNCI Cancer Spectr
; 8(3)2024 Apr 30.
Article
em En
| MEDLINE
| ID: mdl-38552323
ABSTRACT
BACKGROUND:
Pediatric, adolescent, and young adult patients with cancer and their caregivers are at high risk of financial toxicity, and few evidence-based oncology financial and legal navigation programs exist to address it. We tested the feasibility, acceptability, and preliminary effectiveness of Financial and Insurance Navigation Assistance, a novel interdisciplinary financial and legal navigation intervention for pediatric, adolescent and young adult patients and their caregivers.METHODS:
We used a single-arm feasibility and acceptability trial design in a pediatric hematology and oncology clinic and collected preintervention and postintervention surveys to assess changes in financial toxicity (3 domains psychological response/Comprehensive Score for Financial Toxicity [COST], material conditions, and coping behaviors); health-related quality of life (Patient-Reported Outcomes Measurement Information System Physical and Mental Health, Anxiety, Depression, and Parent Proxy scales); and perceived feasibility, acceptability, and appropriateness.RESULTS:
In total, 45 participants received financial navigation, 6 received legal navigation, and 10 received both. Among 15 adult patients, significant improvements in FACIT-COST (P = .041) and physical health (P = .036) were noted. Among 46 caregivers, significant improvements were noted for FACIT-COST (P < .001), the total financial toxicity score (P = .001), and the parent proxy global health score (P = .0037). We were able to secure roughly $335â323 in financial benefits for 48 participants. The intervention was rated highly for feasibility, acceptability, and appropriateness.CONCLUSIONS:
Integrating financial and legal navigation through Financial and Insurance Navigation Assistance was feasible and acceptable and underscores the benefit of a multidisciplinary approach to addressing financial toxicity. CLINICALTRIALS.GOV REGISTRATION NCT05876325.
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Base de dados:
MEDLINE
Assunto principal:
Qualidade de Vida
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Estudos de Viabilidade
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Cuidadores
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Neoplasias
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article