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Trial Title: Financial Navigation Study Among Young Adult Blood Cancer Survivors

NCT ID: NCT05620979

Condition: Survivorship
Cancer
Financial Stress

Conditions: Official terms:
Hematologic Neoplasms
Financial Stress

Study type: Interventional

Study phase: N/A

Overall status: Active, not recruiting

Study design:

Allocation: Randomized

Intervention model: Single Group Assignment

Intervention model description: This is a multi-site, three-arm, financial navigation intervention

Primary purpose: Health Services Research

Masking: None (Open Label)

Masking description: no blinding

Intervention:

Intervention type: Behavioral
Intervention name: Providing financial navigation via active navigation, ad hoc navigation or no study-based navigation.
Description: Providing financial navigation to blood cancer survivors.
Arm group label: Active Navigation
Arm group label: Ad Hoc Navigation
Arm group label: No study-based Navigation

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.

Detailed description: 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 Scaleā„¢ (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.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Previous diagnosis and treatment of blood cancer (leukemia, lymphoma, myeloma, myelodysplastic syndrome, or myeloproliferative neoplasm) 2. Current age between 18-39 years old 3. Blood cancer diagnosis during childhood (0-17 years of age) or young adulthood (18-36 years of age) 4. At least three years post blood cancer diagnosis 5. Off treatment for blood cancer or on a long-term regimen with an oral anti-cancer medication with stable disease 6. Off treatment for a second cancer (non-blood cancer) or on a stable long-term regimen, such as hormone therapy or hormone replacement therapy 7. Primary residence in United States 8. Able to understand and read the English language Exclusion Criteria: - On parent or guardian's insurance

Gender: All

Minimum age: 18 Years

Maximum age: 39 Years

Healthy volunteers: No

Locations:

Facility:
Name: Children's Hospital Los Angeles

Address:
City: Los Angeles
Zip: 90027
Country: United States

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

Address:
City: Los Angeles
Zip: 90033
Country: United States

Facility:
Name: Tufts Medical Center

Address:
City: Boston
Zip: 02111
Country: United States

Facility:
Name: Bon Secours Mercy Health System

Address:
City: Greenville
Zip: 29607
Country: United States

Facility:
Name: MD Anderson

Address:
City: Houston
Zip: 77030
Country: United States

Start date: February 14, 2022

Completion date: June 30, 2024

Lead sponsor:
Agency: Tufts Medical Center
Agency class: Other

Collaborator:
Agency: The Leukemia and Lymphoma Society
Agency class: Other

Source: Tufts Medical Center

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05620979

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