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DISCO App for Cancer Costs (DISCO Trial)

N/A
Recruiting
Led By Lauren Hamel, PhD
Research Sponsored by Lauren Hamel
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 1 month after the video-recorded patient-physician interaction
Awards & highlights

DISCO Trial Summary

This trial seeks to improve patient outcomes by increasing active participation and knowledge around treatment costs, as well as self-efficacy for managing interactions with physicians.

Who is the study for?
This trial is for English-reading and writing patients with new diagnoses of breast, prostate, lung, or colorectal cancer at Karmanos Cancer Institute. They should be likely to receive systemic therapy and have an email account. Oncologists treating these cancers can also participate.Check my eligibility
What is being tested?
The DISCO App aims to help patients discuss treatment costs with oncologists and manage financial aspects of care. The study compares usual care (Group 1) against the app alone (Group 2) and the app with additional support (Group 3).See study design
What are the potential side effects?
Since this intervention involves an application designed to facilitate communication rather than a drug or medical procedure, traditional physical side effects are not expected.

DISCO Trial Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~1 month after the video-recorded patient-physician interaction
This trial's timeline: 3 weeks for screening, Varies for treatment, and 1 month after the video-recorded patient-physician interaction for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Knowledge of types of treatment cost An example item from the original measure: Cancer treatment may cost me in the following ways? Data will be aggregated using frequency counts.
Patient self-report of level of satisfaction with any treatment cost discussions with physician assessed via an original scale: satisfaction with any treatment cost discussed with the physician that occurred.
Patient-Centered Communication scale. The observed quality of patient-physician communication assessed a validated coding system. Minimum = 1; Maximum =5; higher is a better outcome
+5 more
Secondary outcome measures
Clinical appointment adherence. The rate of appointments a patient is scheduled for and attends.
Financial toxicity
Follow up with social work/financial navigator
+4 more
Other outcome measures
Assessment of the intervention booster An example item from the original measure: The reminder email or text message was helpful with my cost questions and concerns.
Assessment of the intervention.
Intervention presence in video-recorded patient-physician interaction

DISCO Trial Design

3Treatment groups
Experimental Treatment
Group I: Group 3: The DISCO App + BoosterExperimental Treatment1 Intervention
The patient will be asked to arrive 30 minutes early to their next scheduled appointment with their oncologist so they can complete a survey. The patient will be shown an iPad with an "app" while waiting to see your oncologist. The app includes a short video and asks questions about your financial concerns. The app will give the patient a list of questions they may want to ask their oncologist during their appointment. The patient will then meet with their oncologist. The meeting with their oncologist will be video recorded. The oncologist has agreed to be video recorded. Immediately after meeting their oncologist, they will complete another brief survey. The questions will ask about how the meeting went and what they thought of the app. The patient's meeting with the oncologist will not be delayed or changed in any way because of this study. Two months after that appointment, the patient will be sent a reminder of the information that was presented on the app.
Group II: Group 2: The DISCO AppExperimental Treatment1 Intervention
The patient will be asked to arrive 30 minutes early to their next scheduled appointment with their oncologist so they can complete a survey. The patient will be shown an iPad with an "app" while waiting to see their oncologist. The app includes a short video and asks questions about the patient's financial concerns. The app will give the patient a list of questions the patient may want to ask their oncologist during their appointment. The patient will then meet with their oncologist. The meeting with the patient's oncologist will be video recorded. The oncologist has agreed to be video recorded. Immediately after meeting the oncologist, the patient will complete another brief survey. The questions will ask about how the meeting went and what the patient thought of the app. The meeting with the oncologist will not be delayed or changed in any way because of this study.
Group III: Group 1: Usual CareExperimental Treatment1 Intervention
The patient will be asked to arrive 30 minutes early to their next scheduled appointment with their oncologist so they can complete a survey. The patient will be video recorded at their appointment. The oncologist has agreed to be video recorded. Immediately after this appointment, the patient will be asked to complete another brief survey that takes about 20 minutes. The questions will ask about how the meeting went. The patient's meeting with the oncologist will not be delayed or changed in any way because of this study.

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Who is running the clinical trial?

Lauren HamelLead Sponsor
Lauren Hamel, PhDPrincipal Investigator - Barbara Ann Karmanos Cancer Insitute
Barbara Ann Karmanos Cancer Institute
1 Previous Clinical Trials
25 Total Patients Enrolled

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

How many individuals are currently receiving treatment from this experiment?

"Indeed, the clinicaltrials.gov database confirms that enrollment for this experiment is ongoing since it was first posted on February 10th 2021 and last updated on May 31st 2022. A total of 260 volunteers are required at one specified medical institution."

Answered by AI

Are there opportunities to participate in this trial available at the present?

"Affirmative. Clinicaltrials.gov records indicate that this medical trial, posted on the 10th of February 2021, is actively recruiting patients with a targeted total number of 260 individuals from 1 centre."

Answered by AI

What goals has this research project been designed to achieve?

"This clinical trial will assess the efficacy of patient-physician interaction by tracking referral to social work/financial navigator over a defined period. Follow up with social work/financial navigator, financial toxicity, and treatment-cost related adherence are secondary outcomes measured via frequency counts. The latter two being indicative of experiencing financial burden due to cancer treatment costs as well as inability to adhere to it respectively."

Answered by AI
~77 spots leftby Aug 2025