Interventions addressing health-related social needs among patients with cancer

Author:

Graboyes Evan M123ORCID,Lee Simon C45,Lindau Stacy Tessler678,Adams Alyce S910,Adjei Brenda A11ORCID,Brown Mary12,Sadigh Gelareh13,Incudine Andrea14,Carlos Ruth C1516,Ramsey Scott D1718,Bangs Rick19ORCID

Affiliation:

1. Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina , Charleston, SC, USA

2. Department of Public Health Sciences, Medical University of South Carolina , Charleston, SC, USA

3. Hollings Cancer Center, Medical University of South Carolina , Charleston, SC, USA

4. Department of Population Health, University of Kansas School of Medicine , Kansas City, KS, USA

5. University of Kansas Cancer Center, University of Kansas , Kansas City, KS, USA

6. Department of Obstetrics and Gynecology, The University of Chicago , Chicago, IL, USA

7. Department of Medicine-Geriatrics and Palliative Medicine, The University of Chicago , Chicago, IL, USA

8. Comprehensive Cancer Center, The University of Chicago , Chicago, IL, USA

9. Departments of Health Policy/Epidemiology and Population Health, Stanford University School of Medicine , Stanford, CA, USA

10. Office of Cancer Health Equity and Community Engagement, Stanford Cancer Institute, Stanford Medicine , Stanford, CA, USA

11. Office of the Associate Director, Healthcare Delivery Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute , Rockville, MD, USA

12. Adena Cancer Center, Hematology and Oncology , Chillicothe, OH, USA

13. Department of Radiological Sciences, University of California-Irvine , Irvine, CA, USA

14. Family Reach , Boston, MA, USA

15. Department of Radiology, University of Michigan , Ann Arbor, MI, USA

16. Rogel Cancer Center, University of Michigan , Ann Arbor, MI, USA

17. Department of Pharmacy, University of Washington , Seattle, WA, USA

18. Fred Hutchinson Cancer Center, University of Washington , Seattle, WA, USA

19. SWOG Cancer Research Network , Portland, OR, USA

Abstract

Abstract Health-related social needs are prevalent among cancer patients; associated with substantial negative health consequences; and drive pervasive inequities in cancer incidence, severity, treatment choices and decisions, and outcomes. To address the lack of clinical trial evidence to guide health-related social needs interventions among cancer patients, the National Cancer Institute Cancer Care Delivery Research Steering Committee convened experts to participate in a clinical trials planning meeting with the goal of designing studies to screen for and address health-related social needs among cancer patients. In this commentary, we discuss the rationale for, and challenges of, designing and testing health-related social needs interventions in alignment with the National Academy of Sciences, Engineering, and Medicine 5As framework. Evidence for food, housing, utilities, interpersonal safety, and transportation health-related social needs interventions is analyzed. Evidence regarding health-related social needs and delivery of health-related social needs interventions differs in maturity and applicability to cancer context, with transportation problems having the most maturity and interpersonal safety the least. We offer practical recommendations for health-related social needs interventions among cancer patients and the caregivers, families, and friends who support their health-related social needs. Cross-cutting (ie, health-related social needs agnostic) recommendations include leveraging navigation (eg, people, technology) to identify, refer, and deliver health-related social needs interventions; addressing health-related social needs through multilevel interventions; and recognizing that health-related social needs are states, not traits, that fluctuate over time. Health-related social needs–specific interventions are recommended, and pros and cons of addressing more than one health-related social needs concurrently are characterized. Considerations for collaborating with community partners are highlighted. The need for careful planning, strong partners, and funding is stressed. Finally, we outline a future research agenda to address evidence gaps.

Funder

American College of Surgeons/Triologic Society

University of Chicago Comprehensive Cancer Center

Publisher

Oxford University Press (OUP)

Subject

Cancer Research,Oncology

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