Evidence map›Paper›PMID 37794203›Full record

Trial reportCancer causes & control : CCC2024

A point-of-care pilot randomized intervention to connect patients with cancer-induced financial toxicity to telehealth financial counseling.

Caterina Alacevich, Anna Maria Abi Nehme, Ji-Hyun Lee, Derek Li, Erin M Mobley, Julia L Close, Thomas J George, Jennifer H LeLaurin, Young-Rock Hong, Elizabeth A Shenkman and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer causes & control : CCC, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.6field-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

13 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Exploring the barriers to optimal survivorship care for people living with Cancer in NSW.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  3. Quality of Life in CAR-T Cell Therapy.Hematology reports · 2026
    Review
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  5. Article
  6. Article
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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

12 authors at 3 institutions in 1 country.

Caterina AlacevichHealth Outcomes and Biomedical Informatics, University of Florida, Gainesville, USA. calacevich@ufl.edu.
Anna Maria Abi NehmeHealth Outcomes and Biomedical Informatics, University of Florida, Gainesville, USA.
Ji-Hyun LeeDepartment of Biostatistics, University of Florida, Gainesville, USA.
Derek LiDepartment of Biostatistics, University of Florida, Gainesville, USA.
Erin M MobleyDepartment of Surgery, University of Florida, Jacksonville, USA.
Julia L CloseDivision of Hematology and Oncology, University of Florida, Gainesville, USA.
Thomas J GeorgeDivision of Hematology and Oncology, University of Florida, Gainesville, USA.
Jennifer H LeLaurinHealth Outcomes and Biomedical Informatics, University of Florida, Gainesville, USA.
Young-Rock HongHealth Services Research, Management and Policy, University of Florida, Gainesville, USA.
Elizabeth A ShenkmanHealth Outcomes and Biomedical Informatics, University of Florida, Gainesville, USA.
Michael S GutterDepartment of Family, Youth and Community Sciences, University of Florida, Gainesville, USA.
Ramzi G SalloumHealth Outcomes and Biomedical Informatics, University of Florida, Gainesville, USA.
University of Florida Health · USUniversity of Florida · USJacksonville University · US

Funding

Using social networks to map and evaluate team science across CTSA hubsUL1TR001427 · NCATS · UNIVERSITY OF FLORIDA · PI MITCHELL, DUANE A. · 2015 to 2024
$37.2M
University of Florida Health Cancer Center Support GrantP30CA247796 · NCI · UNIVERSITY OF FLORIDA · PI JI-HYUN LEE · 2023 to 2026
$10.9M
NCATS NIH HHS UL1 TR001427NCI NIH HHS P30 CA247796
6 · The paper itself

Abstract

purposeElevated costs of cancer treatment can result in economic and psychological "financial toxicity" distress. This pilot study assessed the feasibility of a point-of-care intervention to connect adult patients with cancer-induced financial toxicity to telehealth-delivered financial counseling.

methodsWe conducted a three-armed parallel randomized pilot study, allocating newly referred patients with cancer and financial toxicity to individual, group accredited telehealth financial counseling, or usual care with educational material (1:1:1). We assessed the feasibility of recruitment, randomization, retention, baseline and post-intervention COmprehensive Score for Financial Toxicity (COST), and Telehealth Usability Questionnaire (TUQ) scores.

resultsOf 382 patients screened, 121 were eligible and enrolled. 58 (48%) completed the intervention (9 individual, 9 group counseling, 40 educational booklet). 29 completed follow-up surveys: 45% female, 17% African American, 79% white, 7% Hispanic, 55% 45-64 years old, 31% over 64, 34% lived in rural areas, 24% had cancer stage I, 21% II, 7% III, 31% IV. Baseline characteristics were balanced across arms, retention status, surveys completion. Mean (SD) COST was 12.4 (6.1) at baseline and 16.0 (8.4) post-intervention. Mean (SD) COST score differences were 6.3 (11.6) after individual counseling, 5.8 (8.5) after group counseling, and 2.5 (6.4) after usual care. Mean TUQ score among nine counseling participants was 5.5 (0.9) over 7.0. Non-parametric comparisons were not statistically meaningful.

conclusionRecruitment and randomization were feasible, while study retention presented challenges. Nine participants reported good usability and satisfaction with telehealth counseling. Larger-scale trials focused on improving participation, retention, and impact of financial counseling among patients with cancer are justified.

Indexed as

NeoplasmsTelemedicineAdultCounselingFemaleFinancial StressHumansMaleMiddle AgedPilot ProjectsPoint-of-Care SystemsCancerFeasibilityFinancial counselingFinancial toxicitySDOHTelehealth

Identifiers

PMID37794203
PMCPMC10872295
OpenAlexW4387330268

What OpenQuestion holds

Textmetadata
LicenceTDM
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.