RecruitingNCT07352579

From Screening to Support: A Multi-Method Analysis of HRSN Integration in Cancer Care

Sponsor

Thomas Jefferson University

Enrollment

500 participants

Start Date

Dec 11, 2025

Study Type

OBSERVATIONAL

Conditions

Cancer

Summary

This observational study aims to identify the factors that influence whether cancer patients accept or decline supportive care services after screening positive for health-related social needs (HRSNs) at the Sidney Kimmel Comprehensive Cancer Center. The study focuses on adult oncology patients who previously reported at least one HRSN-such as transportation, food, housing, or utility needs-but declined assistance when it was offered. The main questions it aims to answer are: * What factors shape cancer patients' intentions to use supportive care services for HRSNs? * Why do patients who screen positive for HRSNs choose not to accept help offered by the healthcare system? Participants will: * Complete a one-time electronic survey delivered via MyChart or email. * Optionally participate in a semi-structured Zoom interview (for a subset of 20-30 survey respondents) to explore decision-making in greater depth.

Eligibility

Min Age: 18 Years

Inclusion Criteria5

Provide informed consent via check box for survey
Provide verbal consent via Zoom for interview
Must be able to read and understand English
Willing to comply with all study procedures and be available for the duration of the study
Patients with existing HRSN data in their EHR that answere4d yes to risk in at least one domain and no to wanting help/follow up

Exclusion Criteria4

An individual who meets any of the following criteria will be excluded from participation in this study:
If they do not consent
Non-patients with existing HRSN data in their EHR
Individuals unable to complete the survey due to language barriers or other cognitive limitations

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

OTHERSurvey

Participants complete a one-time electronic survey to assess factors influencing the decision to decline assistance for identified Health-Related Social Needs (HRSNs). The survey includes questions related to transportation access, food insecurity, housing instability, and utility needs. Survey completion takes approximately 10 minutes.

OTHERInterview

Interviews will be semi-structured and will be offered to 20 participants who have completed the survey and meet eligibility criteria. Interviews will be conducted via a Zoom. Zoom will create a transcription of the interview which will be saved in a secure encrypted space, no video will be saved.