The DISCO App is designed to improve, during the interaction, patient active participation and patient-initiated oncologist treatment cost discussions, and, in the short term, patient's treatment cost knowledge, self-efficacy for managing both cost and physician interactions, referrals, perceived financial toxicity (i.e., distress and material hardship); in turn, these will affect longer-term outcomes of financial toxicity and adherence.
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Self-efficacy in patient-physician interactions. An example item from the PEPPI scale: How confident are you in your ability to know what questions to ask your doctor? Data will be aggregated using means and standard deviations.
Timeframe: Immediately after the video-recorded patient-physician interaction
Self-efficacy in managing treatment costs An example item from adapted scale: I am confident I can pay for the direct costs of my treatment. Data will be aggregated using means and standard deviations.
Timeframe: Immediately after video-recorded patient-physician interaction
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.
Timeframe: Immediately after video-recorded patient-physician interaction
Perceived financial toxicity; Scale title: Adapted Comprehensive score for financial toxicity (COST) measure.
Timeframe: Immediately after video-recorded patient-physician interaction
Perceived presence of treatment cost discussion
Timeframe: Immediately after video-recorded patient-physician interaction
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.
Timeframe: Immediately after video-recorded patient-physician interaction
The observed frequency of a cost discussion assessed via an original coding system. Frequency is assessed as the number of distinct cost discussions that occur in each recorded interaction. Higher is a better outcome.
Timeframe: During the video-recorded patient-physician interaction
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
Timeframe: During the video-recorded patient-physician interaction
Referral to social work/financial navigator
Timeframe: Immediately after video-recorded patient-physician interaction