Randomized pilot trial of an unconditional cash transfer intervention to address food insecurity in oncology.

IF 3.4 Q2 ONCOLOGY JNCI Cancer Spectrum Pub Date : 2024-10-24 DOI:10.1093/jncics/pkae107
Jean A Mcdougall, Shoshana Adler Jaffe, Kendal Jacobson, Tori L Shaver, Jennifer L F Wilson, Katrina Baca, Tawny Boyce, Bernard Tawfik, Janet Page-Reeves
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Abstract

Screening for food insecurity and other social determinants of health is being integrated into oncology practice. We performed a pilot randomized trial to investigate whether an unconditional cash transfer (UCT) could be used to address food insecurity among female breast and gynecologic cancer survivors. Food insecure cancer survivors completed a baseline survey and were randomized to receive $100/month for three months (UCT) or usual care (UC). Participants (n = 14) completed a follow-up survey after 3-months and we compared changes in health-related quality of life, indicators of food insecurity, diet quality, and whether a participant had to forgo, delay, or make changes to medical care because of cost. The UCT was associated with higher physical health scores, fewer indicators of food insecurity, better diet quality, and a lower likelihood of forgoing medical care than those who received UC. Our results suggest that UCTs can improve outcomes for food insecure cancer survivors.

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无条件现金转移干预的随机试点试验,以解决肿瘤患者的粮食不安全问题。
食品不安全及其他健康社会决定因素的筛查正被纳入肿瘤治疗实践中。我们进行了一项试点随机试验,研究是否可以使用无条件现金转移(UCT)来解决女性乳腺癌和妇科癌症幸存者的食物不安全问题。食物无保障的癌症幸存者完成了一项基线调查,并被随机分配到每月 100 美元、为期 3 个月(UCT)或常规护理(UC)中。参与者(n = 14)在 3 个月后完成了后续调查,我们比较了他们在健康相关生活质量、食物不安全指标、饮食质量以及是否因费用而放弃、推迟或改变医疗护理等方面的变化。与接受 UC 的人相比,接受 UCT 的人身体健康得分更高,食物不安全指标更少,饮食质量更好,放弃医疗的可能性更低。我们的研究结果表明,"统一治疗方案 "可以改善食物无保障癌症幸存者的治疗效果。
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来源期刊
JNCI Cancer Spectrum
JNCI Cancer Spectrum Medicine-Oncology
CiteScore
7.70
自引率
0.00%
发文量
80
审稿时长
18 weeks
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