Financial Navigation Program for Improving Financial Toxicity Among Breast Cancer in China

Evaluation of the Financial Navigation Program for Improving Financial Toxicity Among Breast Cancer in China

The goal of this study is to access the impact of a financial navigation program on improving financial toxicity among patients with breast cancer in China.

The main questions it aims to answer are:

• Does the intervention alleviate participants' financial toxicity?
• Does the intervention enhance participants' cost-related health literacy?
• Does the intervention improve participants' shared decision-making?
• Does the intervention reduce participants' perceived stress?

Researchers will compare the financial navigation program with usual oncology care to evaluate its effectiveness.

Participants will receive the comprehensive financial navigation, including:

• Needs assessment;
• Cost-related health education, mainly including topics regarding communication of cost, treatment-related cost, health insurance policies, and family support;
• Resource and service referral;
• Personalized counseling.

Inclusion Criteria:

• Newly diagnosed with breast cancer and undergoing surgery during this admission;
• Female, age 18 years or older;
• Receiving or expected to receive one or more of the following therapies: chemotherapy, radiotherapy, endocrine therapy, targeted therapy, and immunotherapy;
• Eastern Cooperative Oncology Group Performance Status 0-2;
• Provided informed consent to participate in this study.

Exclusion Criteria:

• Diagnosed with ductal carcinoma in situ (DCIS)
• Presence of any serious psychiatric disorders;
• Cognitive impairments;
• Difficulty in reading, writing, or communicating in Chinese.