Evaluating the availability of oncology financial legal navigation services in languages other than English: A systematic review.

275 Background: Oncology Financial Legal Navigation (OFLN) can help mitigate the impact of financial toxicity (FT) experienced by cancer patients and their caregivers. The availability of OFLN resources in languages other than English is relatively unknown. The purpose of this systematic review was to assess the availability of OFLN services in non-English languages. Methods: Utilizing the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a literature search was conducted across PubMed, Embase, and Ovid MEDLINE. Studies were included if published in the United States, written in English, and implemented or described an OFLN service provided in a language other than English. Studies were excluded if published before 2/2014 or after 5/2025. Results: A total of 6 studies were included in this review. 5 implemented patient navigators (PN) to deliver OFLN in Spanish, Cantonese, Vietnamese, or Mandarin, and the remaining study utilized a Spanish screening survey for financial burden. 5 interventions assisted only patients, while 1 intervention included caregivers. 2 interventions targeted legal concerns, such as immigration rights, and 1 intervention trained community members to deliver OFLN. The training of PNs ranged from some navigation education to 3 years’ patient navigation experience. Amongst all interventions, PNs assisted with financial assistance, transportation, and health insurance, while 1 intervention reported reduced financial stress and improved medical appointment attendance. All studies assessed the financial burdens and needs of cancer patients, yet varied between the use of self-reporting tools, PN case notes, or screening tools such as Protocol for Responding to & Assessing Patients’ Assets, Risks & Experience. 1 study implemented the American Medical Association’s Caregiver Self-Assessment Questionnaire to assess caregiver financial distress. Common themes demonstrate the unique financial and legal needs of non-English speaking populations in oncology settings, the emphasis on bilingual, multicultural PNs, and the limited availability of OFLN services in non-English languages. Conclusions: This systematic review demonstrates the limited number of OFLN programs available in languages other than English indicating a gap in addressing the FT of non-English speaking cancer patients and caregivers. Additionally, financial and legal navigation services were most often a subset of the patient services provided. Future research should address gaps in OFLN tailored to non-English speakers.