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Published on: February 6, 2015
Impact of a Comprehensive Financial Navigation Intervention to Reduce Cancer-Related Financial Toxicity.
Stephanie B Wheeler1,2, Michelle L Manning2, Mindy Gellin2
1Department of Health Policy and Management, UNC Gillings School of Global Public Health, Chapel Hill, NC.
A new financial navigation (FN) intervention significantly reduced financial toxicity in cancer patients. This patient-centered approach improved financial distress scores and provided financial assistance to most participants.
Area of Science:
- Oncology
- Health Services Research
- Patient Support
Background:
- Financial toxicity is a significant burden for cancer patients.
- Few interventions exist to mitigate cancer-related financial distress.
- A novel, patient-centered financial navigation intervention was developed and tested.
Purpose of the Study:
- To evaluate the effectiveness of a new financial navigation intervention in reducing financial toxicity.
- To assess the implementation and acceptability of the financial navigation program.
Main Methods:
- A financial toxicity screening tool, including the COST measure, was developed.
- Fifty patients with cancer experiencing financial distress were enrolled.
- Intervention involved one-on-one consultations with a financial navigator.
Main Results:
- All enrolled patients screened positive for financial distress.
- Mean COST scores significantly improved post-intervention (6.4 to 13.3, P<.0001).
- 96% of participants received financial assistance, with high intervention fidelity.
Conclusions:
- Patient-centered financial navigation integrated into care coordination reduces financial toxicity.
- Further research is needed in diverse oncology settings and populations.
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