Perceived financial hardship among patients with advanced cancer

Gallups, Sarah; Copeland, Valire Carr; Rosenzweig, Margaret

doi:10.12788/jcso.0341

Cited by 11 publications

(23 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…20 Our study supports the growing evidence that financial hardship is associated with poor HRQoL among those with chronic diseases. 16,35 -37 However, our study with older Latinos showed that while the relationship between Financial Hardship Treatment Adherence and Physical and Functional Well-Being was statistically significant, Financial Worry was the only variable associated with Social/Family and Functional Well-Being. Financial Worry is the experience of being concerned about one’s current financial situation.…”

Section: Discussionmentioning

confidence: 54%

Financial Hardship and Health Related Quality of Life Among Older Latinos With Chronic Diseases

Nedjat-Haiem

Cadet

Parada

et al. 2020

Am J Hosp Palliat Care

View full text Add to dashboard Cite

Background: Financial hardship influences health-related quality of life (HRQoL) of older adults. However, little is known about the relationship between financial hardship and HRQoL among vulnerable populations. Objective: We examined the associations between financial hardship and HRQoL among older Latinos living with chronic disease, including cancer. Methods: This cross-sectional study included 68 Latinos (age range 50-87) with one or more chronic health conditions who participated in a pilot randomized clinical trial. Participants responded to 11 financial hardship questions. We used factor analysis to explore constructs of financial hardship. HRQoL was assessed using the 27-item Functional Assessment of Cancer Therapy-General (FACT-G). Multiple linear regression examined the associations between financial hardship and HRQoL subscales (physical, social/family, emotional, functional well-being). Results: The factor analysis revealed 3 constructs of financial hardship: medical cost concerns, financial hardship treatment adherence, and financial worry. A 1-point increase in the factor score for financial hardship treatment adherence was associated with a 2.1-point (SE = 0.771) decrease in physical well-being and with a 1.71-point (SE = 0.761) decrease in functional well-being. A 1-point increase in the financial stress factor score was associated with a 2.0-point (SE = 0.833) decrease in social/family well-being, and with a 2.1-point (SE = 0.822) decrease in functional well-being. Conclusion: In this study of older Latinos with chronic diseases, financial hardship was associated with worse HRQoL across several domains. Healthcare providers should refer older Latinos living with chronic disease to appropriate support providers, such as care coordinators, social workers, or patient navigators, who can assist them with obtaining financial assistance and other resources.

show abstract

Section: Discussionmentioning

confidence: 54%

Financial Hardship and Health Related Quality of Life Among Older Latinos With Chronic Diseases

Nedjat-Haiem

Cadet

Parada

et al. 2020

Am J Hosp Palliat Care

View full text Add to dashboard Cite

show abstract

“…Even if cancer survivors have no signs of cancer after initial treatment, FT will be further increased due to the impact of cancer on work performance and income and difficulty in returning to work and with family support . Previous studies noted that psychological and social distress caused by cancer are easily undetected by healthcare professionals and may result in more than 22.3 missed workdays per year and reductions in income . Job loss, low income, and public health insurance were the major factors contributing to 34% of cancer survivors being in debt .…”

Section: Discussionmentioning

confidence: 99%

“…25 Previous studies noted that psychological and social distress caused by cancer are easily undetected by healthcare professionals and may result in more than 22.3 missed workdays per year and reductions in income. 14,34,35 Job loss, low income, and public health insurance were the major factors contributing to 34% of cancer survivors being in debt. 36 Therefore, as suggested by Fitch's study, healthcare professionals should be aware of such distress, such as cancer's catastrophic hit to the patient's career trajectory, especially for younger adults.…”

Section: Conqual Summarymentioning

confidence: 99%

Cancer survivors' experiences with financial toxicity: A systematic review and meta‐synthesis of qualitative studies

Zhu

Xing

et al. 2020

Psycho-Oncology

View full text Add to dashboard Cite

Objective The aim of this study was to synthesize qualitative research evidence on cancer survivors' experiences with financial toxicity (FT). Methods We carried out a systematic review of qualitative studies using a meta‐aggregation approach. Papers published prior to 31 August 2019, were collected from electronic databases, including PubMed/MEDLINE, MEDLINE (Ovid), EMBASE (Ovid), CINAHL (EBSCO), Web of Science, ProQuest Dissertations and Theses, and Cochrane Library (Wiley). Results Six synthesized findings were derived from 14 studies covering cancer patients' awareness of FT, cancer‐related expenditures, and the risk factors, impacts, coping strategies, and unmet needs related to FT. Conclusions Cancer survivors incur FT; however, their awareness of FT is limited. Cancer‐related FT has multiple impacts on survivors' lives. Although cancer survivors try to cope with FT through adjustments, they still have unmet needs for the management of FT. Nurses and social workers can play a critical role in helping survivors manage FT by increasing pre‐awareness of FT, strengthening emotional empowerment, and providing personalized informative support.

show abstract

“…15,27 Equipping PNs with the skills and tools to engage patients in cost discussions is an identified need. 15,27,28 Our study was limited by the sample size and characteristics. Although this study was successful in gaining the perspectives of patients with breast cancer, PNs, and PN administrators, the participants were not representative of the general population of patients with breast cancer that are navigated.…”

Section: Personalized Patient Care Through Assessment and Communicationmentioning

confidence: 99%

“…Coordinating Ongoing Individualized CareAnswers any question the patient has and if they don't know, they get the answers. (35) Provide patient contact information for follow-up, future questions, or concerns and encourage to contact as needed (28). Help them through the process of losing hair (offer donated handmade caps and scarves, where they can get a free wig or purchase if they prefer).…”

mentioning

confidence: 99%

Using Concept Mapping to Explore Interpersonal Communication Components of Patient Navigation in Breast Cancer Care

et al. 2022

View full text Add to dashboard Cite

BackgroundResearch exploring the relational dimensions of patient navigation identifies interpersonal communication as fundamental to the patient navigator’s (PN’s) ability to reduce barriers to care and improve cancer care outcomes. Although interpersonal communication is a core competency for PNs, its key components are commonly understudied and overlooked.ObjectiveThe purpose of this study was to identify the key interpersonal communication components of patient navigation in breast cancer care that patients, PNs, and PN administrators perceived to impact the patient-navigator relationship.MethodsThis study used concept mapping, a community-engaged research method. Participants completed 3 concept mapping activities: brainstorming, sorting and rating, and interpretation.ResultsA total of 31 persons participated in the study: 13 patients, 14 PNs, and 4 PN administrators. The concept mapping analysis produced a 6-cluster concept map, and each concept was named through a group consensus process. Among the 6 concepts, both patients and PNs emphasized the importance of “Empathetic, Comprehensive, and Compassionate Support,” “Bridge to Clinical Education and Supportive Resources,” and “Ongoing Individualized Coordination of Care” as the most important components for facilitating the patient-navigator relationship.ConclusionPatients, PNs, and PN administrators all emphasized the essential role of interpersonal communication in the PN-patient relationship and how it is woven into every aspect of the PN role.Implications for PracticeAs a core competency, we need to work toward the development and testing of evidence-based training to support their professional development and ultimately promote positive cancer care outcomes.

show abstract

Perceived financial hardship among patients with advanced cancer

Cited by 11 publications

References 0 publications

Financial Hardship and Health Related Quality of Life Among Older Latinos With Chronic Diseases

Financial Hardship and Health Related Quality of Life Among Older Latinos With Chronic Diseases

Cancer survivors' experiences with financial toxicity: A systematic review and meta‐synthesis of qualitative studies

Using Concept Mapping to Explore Interpersonal Communication Components of Patient Navigation in Breast Cancer Care

Contact Info

Product

Resources

About