{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T13:11:06Z","timestamp":1791637866179,"version":"4.3.4"},"reference-count":55,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002338","name":"Ministry of Education of the People's Republic of China","doi-asserted-by":"publisher","award":["25YJA84001"],"award-info":[{"award-number":["25YJA84001"]}],"id":[{"id":"10.13039\/501100002338","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100017950","name":"Shanghai Municipal Health Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100017950","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","thebreastonline.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Breast"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.breast.2026.104824","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T16:33:52Z","timestamp":1779899632000},"page":"104824","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["The effects of a financial navigation intervention on financial toxicity among patients with breast cancer in China: A randomized controlled trial"],"prefix":"10.1016","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6591-9638","authenticated-orcid":false,"given":"Feng","family":"Jing","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoyi","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yimin","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxuan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liqin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lichen","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiajia","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weijie","family":"Xing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"3","key":"10.1016\/j.breast.2026.104824_bib1","first-page":"229","article-title":"Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries","volume":"74","author":"Bray","year":"2024","journal-title":"CA Cancer J Clin"},{"issue":"3","key":"10.1016\/j.breast.2026.104824_bib2","doi-asserted-by":"crossref","first-page":"199","DOI":"10.2165\/00019053-200927030-00003","article-title":"The costs of treating breast cancer in the US","volume":"27","author":"Campbell","year":"2009","journal-title":"Pharmacoeconomics"},{"issue":"3","key":"10.1016\/j.breast.2026.104824_bib3","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1007\/s10549-020-05654-x","article-title":"Medical costs associated with metastatic breast cancer in younger, midlife, and older women","volume":"181","author":"Trogdon","year":"2020","journal-title":"Breast Cancer Res Treat"},{"issue":"12","key":"10.1016\/j.breast.2026.104824_bib4","doi-asserted-by":"crossref","first-page":"1670","DOI":"10.1093\/jnci\/djab192","article-title":"Annual report to the nation on the status of cancer, part 2: patient economic burden associated with cancer care","volume":"113","author":"Yabroff","year":"2021","journal-title":"J Natl Cancer Inst"},{"key":"10.1016\/j.breast.2026.104824_bib5","doi-asserted-by":"crossref","DOI":"10.3389\/fpubh.2021.704700","article-title":"Catastrophic health expenditure and its determinants among households with breast cancer patients in China: a multicentre, cross-sectional survey","volume":"9","author":"Sun","year":"2021","journal-title":"Front Public Health"},{"issue":"1","key":"10.1016\/j.breast.2026.104824_bib6","first-page":"1","article-title":"Cancer incidence and mortality in China, 2016","volume":"2","author":"Zheng","year":"2022","journal-title":"J Natl Cancer Cent"},{"issue":"6","key":"10.1016\/j.breast.2026.104824_bib7","first-page":"830","article-title":"Status and influencing factors of cancer-related financial toxicity of breast cancer survivors","volume":"22","author":"Yuan","year":"2022","journal-title":"Chinese Nursing Management"},{"issue":"2","key":"10.1016\/j.breast.2026.104824_bib8","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.55388","article-title":"Financial toxicity among patients with breast cancer worldwide: a systematic review and meta-analysis","volume":"6","author":"Ehsan","year":"2023","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.breast.2026.104824_bib9","article-title":"Understanding and mitigating cancer-related financial toxicity in China: challenges and recommendations","volume":"60","author":"Xing","year":"2025","journal-title":"Lancet Reg Health West Pac"},{"issue":"3","key":"10.1016\/j.breast.2026.104824_bib10","doi-asserted-by":"crossref","first-page":"e166","DOI":"10.1097\/NCC.0000000000001262","article-title":"Financial toxicity among breast cancer patients: a scoping review of risk factors and outcomes","volume":"48","author":"Kuang","year":"2025","journal-title":"Cancer Nurs"},{"issue":"1","key":"10.1016\/j.breast.2026.104824_bib11","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1002\/jso.25374","article-title":"Financial toxicity in cancer care: prevalence, causes, consequences, and reduction strategies","volume":"120","author":"Lentz","year":"2019","journal-title":"J Surg Oncol"},{"issue":"10","key":"10.1016\/j.breast.2026.104824_bib12","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.6004\/jnccn.2019.7305","article-title":"Financial burdens of cancer treatment: a systematic review of risk factors and outcomes","volume":"17","author":"Smith","year":"2019","journal-title":"J Natl Compr Cancer Netw"},{"issue":"21","key":"10.1016\/j.breast.2026.104824_bib13","doi-asserted-by":"crossref","first-page":"2291","DOI":"10.1200\/JCO.21.02184","article-title":"Financial navigation in cancer care delivery: state of the evidence, opportunities for research, and future directions","volume":"40","author":"Offodile","year":"2022","journal-title":"J Clin Oncol"},{"issue":"5","key":"10.1016\/j.breast.2026.104824_bib14","first-page":"437","article-title":"Navigating financial toxicity in patients with cancer: a multidisciplinary management approach","volume":"72","author":"Smith","year":"2022","journal-title":"CA Cancer J Clin"},{"issue":"4","key":"10.1016\/j.breast.2026.104824_bib15","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1200\/JCO.19.01564","article-title":"Understanding financial hardship among cancer survivors in the United States: strategies for prevention and mitigation","volume":"38","author":"Yabroff","year":"2020","journal-title":"J Clin Oncol"},{"issue":"10","key":"10.1016\/j.breast.2026.104824_bib16","doi-asserted-by":"crossref","first-page":"1778","DOI":"10.1158\/1055-9965.EPI-20-1853","article-title":"Evidence of the feasibility and preliminary efficacy of oncology financial navigation: a scoping review","volume":"30","author":"Doherty","year":"2021","journal-title":"Cancer Epidemiol Biomarkers Prev"},{"key":"10.1016\/j.breast.2026.104824_bib17","doi-asserted-by":"crossref","DOI":"10.1016\/j.critrevonc.2023.104140","article-title":"Interventions for financial toxicity among cancer survivors: a scoping review","volume":"192","author":"Yuan","year":"2023","journal-title":"Crit Rev Oncol Hematol"},{"issue":"Supplement 1","key":"10.1016\/j.breast.2026.104824_bib18","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1182\/blood-2023-174451","article-title":"A randomized controlled trial of a financial navigation program for patients with multiple myeloma","volume":"142","author":"Djulbegovic","year":"2023","journal-title":"Blood"},{"issue":"10","key":"10.1016\/j.breast.2026.104824_bib19","doi-asserted-by":"crossref","first-page":"1366","DOI":"10.6004\/jnccn.2020.7581","article-title":"A pilot study of a comprehensive financial navigation program in patients with cancer and caregivers","volume":"18","author":"Watabayashi","year":"2020","journal-title":"J Natl Compr Cancer Netw"},{"issue":"8","key":"10.1016\/j.breast.2026.104824_bib20","doi-asserted-by":"crossref","first-page":"557","DOI":"10.6004\/jnccn.2024.7030","article-title":"Impact of a comprehensive financial navigation intervention to reduce cancer-related financial toxicity","volume":"22","author":"Wheeler","year":"2024","journal-title":"J Natl Compr Cancer Netw"},{"issue":"1","key":"10.1016\/j.breast.2026.104824_bib21","doi-asserted-by":"crossref","first-page":"93","DOI":"10.21037\/hbsn-2021-3","article-title":"An overview of the Chinese healthcare system","volume":"10","author":"Yi","year":"2021","journal-title":"Hepatobiliary Surg Nutr"},{"issue":"18","key":"10.1016\/j.breast.2026.104824_bib22","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1146\/annurev.so.18.080192.000311","article-title":"Social stress: theory and research","volume":"18","author":"Aneshensel","year":"1992","journal-title":"Annu Rev Sociol"},{"issue":"7","key":"10.1016\/j.breast.2026.104824_bib23","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1200\/OP.24.00399","article-title":"Strategies for mitigating cancer-related financial toxicity in China: a multiperspective qualitative study based on the socioecological framework","volume":"21","author":"Yuan","year":"2025","journal-title":"JCO Oncol Pract"},{"key":"10.1016\/j.breast.2026.104824_bib24","doi-asserted-by":"crossref","DOI":"10.1016\/j.apjon.2025.100668","article-title":"The development and preliminary evaluation of a financial navigation program among patients with breast cancer in China","volume":"12","author":"Yuan","year":"2025","journal-title":"Asia Pac J Oncol Nurs"},{"key":"10.1016\/j.breast.2026.104824_bib25","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.c332","article-title":"CONSORT 2010 statement: updated guidelines for reporting parallel group randomised trials","volume":"340","author":"Schulz","year":"2010","journal-title":"BMJ"},{"key":"10.1016\/j.breast.2026.104824_bib26","series-title":"Sample sizes for clinical trials","author":"Julious","year":"2009"},{"issue":"10","key":"10.1016\/j.breast.2026.104824_bib27","first-page":"8173","article-title":"Treatment out-of-pocket cost communication and remote financial navigation in patients with cancer: a feasibility study","volume":"30","author":"Sadigh","year":"2022","journal-title":"Support Care Cancer"},{"issue":"2","key":"10.1016\/j.breast.2026.104824_bib28","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.0040061","article-title":"Reporting methods of blinding in randomized trials assessing nonpharmacological treatments","volume":"4","author":"Boutron","year":"2007","journal-title":"PLoS Med"},{"issue":"9","key":"10.1016\/j.breast.2026.104824_bib29","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J Gen Intern Med"},{"issue":"10","key":"10.1016\/j.breast.2026.104824_bib30","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: the GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch Intern Med"},{"issue":"2","key":"10.1016\/j.breast.2026.104824_bib31","doi-asserted-by":"crossref","DOI":"10.1093\/jnci\/djw205","article-title":"Financial hardships experienced by cancer survivors: a systematic review","volume":"109","author":"Altice","year":"2016","journal-title":"J Natl Cancer Inst"},{"key":"10.1016\/j.breast.2026.104824_bib32","series-title":"Medical expenditure panel survey home","year":"2021"},{"issue":"7","key":"10.1016\/j.breast.2026.104824_bib33","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1634\/theoncologist.2019-0703","article-title":"Improving cancer patients' insurance choices (I can PIC): a randomized trial of a personalized health insurance decision aid","volume":"25","author":"Politi","year":"2020","journal-title":"Oncologist"},{"issue":"20","key":"10.1016\/j.breast.2026.104824_bib34","doi-asserted-by":"crossref","first-page":"3245","DOI":"10.1002\/cncr.28814","article-title":"The development of a financial toxicity patient-reported outcome in cancer: the COST measure","volume":"120","author":"de Souza","year":"2014","journal-title":"Cancer"},{"issue":"1","key":"10.1016\/j.breast.2026.104824_bib35","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1186\/s12955-020-01646-z","article-title":"Translation and validation of the Traditional Chinese version of the COmprehensive score for financial toxicity-functional assessment of chronic illness therapy (version 2)","volume":"19","author":"Chan","year":"2021","journal-title":"Health Qual Life Outcome"},{"issue":"19","key":"10.1016\/j.breast.2026.104824_bib36","first-page":"2017","article-title":"Concept analysis of cost-related health literacy in patients with cancer","volume":"39","author":"Yuan","year":"2024","journal-title":"Chinese J Nurs Train"},{"issue":"1","key":"10.1016\/j.breast.2026.104824_bib37","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.pec.2009.09.034","article-title":"The 9-item shared decision making questionnaire (SDM-Q-9). Development and psychometric properties in a primary care sample","volume":"80","author":"Kriston","year":"2010","journal-title":"Patient Educ Counsel"},{"issue":"7","key":"10.1016\/j.breast.2026.104824_bib38","first-page":"823","article-title":"[Reliability and validity for Chinese version of the 9-item Shared Decision Making Questionnaire]","volume":"44","author":"Luo","year":"2019","journal-title":"Zhong Nan Da Xue Xue Bao Yi Xue Ban"},{"issue":"4","key":"10.1016\/j.breast.2026.104824_bib39","doi-asserted-by":"crossref","first-page":"385","DOI":"10.2307\/2136404","article-title":"A global measure of perceived stress","volume":"24","author":"Cohen","year":"1983","journal-title":"J Health Soc Behav"},{"issue":"1","key":"10.1016\/j.breast.2026.104824_bib40","first-page":"15","article-title":"Validity and reliability of the perceived stress scale among cancer survivors","volume":"32","author":"Deng","year":"2018","journal-title":"Chin Ment Health J"},{"key":"10.1016\/j.breast.2026.104824_bib41","doi-asserted-by":"crossref","DOI":"10.1016\/j.breast.2025.104441","article-title":"Trajectories and predictors of financial toxicity in breast cancer patients: a multicenter longitudinal study in China","volume":"81","author":"Kuang","year":"2025","journal-title":"Breast"},{"issue":"7","key":"10.1016\/j.breast.2026.104824_bib42","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1111\/nep.13709","article-title":"Intention to treat and per protocol analysis in clinical trials","volume":"25","author":"Tripepi","year":"2020","journal-title":"Nephrology"},{"issue":"4","key":"10.1016\/j.breast.2026.104824_bib43","doi-asserted-by":"crossref","first-page":"1049","DOI":"10.2307\/2531734","article-title":"Models for longitudinal data: a generalized estimating equation approach","volume":"44","author":"Zeger","year":"1988","journal-title":"Biometrics"},{"issue":"2","key":"10.1016\/j.breast.2026.104824_bib44","doi-asserted-by":"crossref","first-page":"e122","DOI":"10.1200\/JOP.2017.024927","article-title":"Pilot feasibility study of an oncology financial navigation program","volume":"14","author":"Shankaran","year":"2018","journal-title":"J Oncol Pract"},{"issue":"3","key":"10.1016\/j.breast.2026.104824_bib45","doi-asserted-by":"crossref","first-page":"241","DOI":"10.2307\/2136956","article-title":"The sociological study of stress","volume":"30","author":"Pearlin","year":"1989","journal-title":"J Health Soc Behav"},{"issue":"3","key":"10.1016\/j.breast.2026.104824_bib46","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1080\/13504620802148881","article-title":"Understanding behavior to understand behavior change: a literature review","volume":"14","author":"Heimlich","year":"2008","journal-title":"Environ Educ Res"},{"issue":"9","key":"10.1016\/j.breast.2026.104824_bib47","doi-asserted-by":"crossref","first-page":"e1392","DOI":"10.1200\/OP.21.00894","article-title":"Financial assistance processes and mechanisms in rural and nonrural oncology care settings","volume":"18","author":"Biddell","year":"2022","journal-title":"JCO Oncol Pract"},{"issue":"21","key":"10.1016\/j.breast.2026.104824_bib48","doi-asserted-by":"crossref","first-page":"2990","DOI":"10.1001\/jama.1984.03350210038026","article-title":"Do patients want to participate in medical decision making?","volume":"252","author":"Strull","year":"1984","journal-title":"JAMA"},{"issue":"4","key":"10.1016\/j.breast.2026.104824_bib49","doi-asserted-by":"crossref","first-page":"523","DOI":"10.5993\/AJHB.40.4.14","article-title":"Assessing the effects of financial literacy on patient engagement","volume":"40","author":"Meyer","year":"2016","journal-title":"Am J Health Behav"},{"issue":"11","key":"10.1016\/j.breast.2026.104824_bib50","doi-asserted-by":"crossref","first-page":"6510","DOI":"10.3390\/ijerph19116510","article-title":"Financial health literacy and the shared decision-making process in healthcare","volume":"19","author":"O'Mara","year":"2022","journal-title":"Int J Environ Res Publ Health"},{"key":"10.1016\/j.breast.2026.104824_bib51","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.neubiorev.2020.10.011","article-title":"Stress and coping in women with breast cancer:unravelling the mechanisms to improve resilience","volume":"119","author":"Borgi","year":"2020","journal-title":"Neurosci Biobehav Rev"},{"issue":"1","key":"10.1016\/j.breast.2026.104824_bib52","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1007\/s10549-018-05078-8","article-title":"Survivorship issues in older breast cancer survivors","volume":"174","author":"Coughlin","year":"2019","journal-title":"Breast Cancer Res Treat"},{"issue":"12","key":"10.1016\/j.breast.2026.104824_bib53","doi-asserted-by":"crossref","first-page":"2700","DOI":"10.1002\/pon.4904","article-title":"Psychological distress, role, and identity changes in mothers following a diagnosis of cancer: a systematic review","volume":"27","author":"Kuswanto","year":"2018","journal-title":"Psychooncology"},{"key":"10.1016\/j.breast.2026.104824_bib54","article-title":"A systematic review and meta-analysis of interventions to reduce perceived stress in breast cancer patients","volume":"54","author":"Ding","year":"2024","journal-title":"Compl Ther Clin Pract"},{"issue":"2","key":"10.1016\/j.breast.2026.104824_bib55","first-page":"153","article-title":"The financial burden and distress of patients with cancer: understanding and stepping-up action on the financial toxicity of cancer treatment","volume":"68","author":"Carrera","year":"2018","journal-title":"CA Cancer J Clin"}],"container-title":["The Breast"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0960977626001347?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0960977626001347?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T21:32:03Z","timestamp":1784928723000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0960977626001347"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":55,"alternative-id":["S0960977626001347"],"URL":"https:\/\/doi.org\/10.1016\/j.breast.2026.104824","relation":{},"ISSN":["0960-9776"],"issn-type":[{"value":"0960-9776","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The effects of a financial navigation intervention on financial toxicity among patients with breast cancer in China: A randomized controlled trial","name":"articletitle","label":"Article Title"},{"value":"The Breast","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.breast.2026.104824","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"104824"}}