Evidence map›Paper›PMID 33989065›Full record

ArticlePopulation health management2021

A Scoping Review of Behavioral Interventions Addressing Medical Financial Hardship.

Minal R Patel, Reshma Jagsi, Kenneth Resnicow, Shawna N Smith, Lauren M Hamel, Christopher Su, Jennifer J Griggs, Diamond Buchanan, Nicole Isaacson, Michelle Torby

Open access · greenAbstract readScoping Review
In one paragraph

Article in Population health management, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Lessons from a Pilot Study of a Culturally Tailored Financial Well-Being Intervention Among Latino Family Caregivers.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2025
    Article
  7. Review
  8. Article
  9. Cancer survivor preferences on the timing and content of interventions to mitigate financial toxicity associated with cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Patient-reported benefit from proposed interventions to reduce financial toxicity during cancer treatment.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Article
  17. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 1 country.

Minal R PatelDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Reshma JagsiRogel Cancer Center, Michigan Medicine, Ann Arbor, Michigan, USA.
Kenneth ResnicowDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Shawna N SmithDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Lauren M HamelWayne State University School of Medicine/Karmanos Cancer Institute, Detroit, Michigan, USA.
Christopher SuRogel Cancer Center, Michigan Medicine, Ann Arbor, Michigan, USA.
Jennifer J GriggsRogel Cancer Center, Michigan Medicine, Ann Arbor, Michigan, USA.
Diamond BuchananDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Nicole IsaacsonDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Michelle TorbyDepartment of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan, USA.
Michigan Department of Health and Human Services · USMichigan Medicine · USUniversity of Michigan · USThe Barbara Ann Karmanos Cancer Institute · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Alexey I Nesvizhskii · 1988 to 2026
$178.2M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Improving diabetes outcomes and health disparities through a patient activation intervention addressing unmet resource needsR01DK116715 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PATEL, MINAL R · 2018 to 2022
$3.4M
NCI NIH HHS P30 CA046592NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R01 DK116715
6 · The paper itself

Abstract

Little information has been compiled across studies about existing interventions to mitigate issues of medical financial hardship, despite growing interest in health care delivery. The purpose of this qualitative systematic scoping review was to examine content and outcomes of interventions to address medical financial hardship. PRISMA guidelines were applied to present results using PubMed, Scopus, and CINAHL, published between January 1980 and August 2020. Additional studies were identified through reference lists of selected papers. Included studies focused on mitigating medical financial hardship from out-of-pocket (OOP) health care expenses as an intervention strategy with at least 1 evaluation component. Screening 2412 articles identified 339 articles for full-text review, 12 of which met inclusion criteria. Variation was found regarding targets and outcome measurement of intervention. Primary outcomes were in the following categories: financial outcomes (eg, OOP expenses), behavioral outcomes, psychosocial, health care utilization, and health status. No included studies reported significant reduction in OOP expenses, perceptions of financial burden/toxicity, or health status. However, changes were observed for behavioral outcomes (adherence to treatment, patient needs addressed), some psychosocial outcomes (mental health symptoms, perceived support, patient satisfaction), and care utilization such as routine health care. No patterns were observed in the achievement of outcomes across studies based on intensity of intervention. Few rigorous studies exist in this emerging field, and studies have not shown consistent positive effects. Future research should focus on conceptual clarity of the intervention, align outcome measurement and achieve consensus around outcomes, and employ rigorous study designs, measurement, and outcome follow-up.

Indexed as

Financial StressHealth ExpendituresHumansfinancial toxicityhealth careinterventionsmedical financial hardship

Identifiers

PMID33989065
PMCPMC8713277
OpenAlexW3162794763

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.