Patients with cancer, survivors, and their families incur considerable out‐of‐pocket costs for their medical and health needs regardless of healthcare insurance coverage 1, 2, 3, 4, 5.
The RBCS four components included one intake assessment; three education and support sessions; one follow‐up education and support session; and six support calls.
The WFI is a descriptive 46‐item survey, adapted and modified from Given et al.
28, with items asking about OOP costs incurred since the end of primary breast cancer treatment (baseline assessment), or since the last time the participant was surveyed (follow‐up assessments).
To assess participants’ characteristics and treatment, we used the Breast Cancer Survivor Socio‐demographic and Treatment Survey which includes questions on socio‐demographics (i.e., age, race, ethnicity, education level, marital status, type of health insurance, work status, and number of people living in the home) and questions on breast cancer treatment (i.e., months since diagnosis and months since end of treatment, type of breast cancer surgery, radiation therapy, chemotherapy, hormonal therapy, and/or anti‐HER2 therapy) 7, 8, 29.
In addition, we measured depressive symptoms using the Centers for Epidemiologic Studies Depression Scale (CES‐D) 30.