ArticleCancer control : journal of the Moffitt Cancer Center
AYA-NAV, A Patient-Informed, Tailored Needs Navigation Intervention for Adolescents and Young Adults With Cancer: A Pilot Study.
Article in Cancer control : journal of the Moffitt Cancer Center. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Application of digital health interventions in the management of economic toxicity in cancer patients: a scoping review.Frontiers in public health · 2026Article
- Development of Educational Guidance Sessions for Adolescents and Young Adults With Cancer and Their Caregivers: A Component of the AYA-NAV Intervention.Cancer control : journal of the Moffitt Cancer CenterArticle
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Authors and funding
16 authors.
Funding
Abstract
IntroductionAdolescents and young adults (AYAs; 15-39 years old) with cancer experience poorer health outcomes and lower engagement in survivorship care often due to disproportionate financial toxicity and unmet health-related social needs (HRSN; e.g., food insecurity, housing instability, transportation barriers). Research has shown that needs navigation, the systematic screening, referral, and follow-up to resolve these barriers, is a potential strategy to reduce financial hardship. We assessed the feasibility of AYA-NAV, a centralized needs navigation intervention, through a pilot study involving AYAs with cancer.MethodsA prospective pilot study at a comprehensive cancer center screened AYAs for financial toxicity (i.e., COmprehensive Score for financial Toxicity (COST) score ≤22) and unmet HRSN. Patients who screened positive received the intervention, AYA-NAV, including case management support and digital HRSN navigation. Participants completed monthly check-ins with the study navigator to assess needs and, if appropriate, request navigation support. Participants completed surveys at 6 months to explore changes in COST or HRSN.ResultsThirty AYAs consented (23 female, mean age: 32.3 years, range: 18-39 years) to participate. Twenty-six (87%) screened positive for either financial toxicity or unmet HRSN, and 23 of them received AYA-NAV (88%). Retention at 6 months was 15 of 23 (65%). Participants who received AYA-NAV indicated that the intervention was acceptable and appropriately addressed needs through various referrals to community organizations. Among AYAs who participated in AYA-NAV and completed a 6-month questionnaire, COST scores increased significantly (
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