Improving Health Insurance Literacy Among Young Adult Cancer Survivors

Part of paid clinical trials in Murray, Utah.

Sponsor
University of Utah
Study ID
NCT05829070
Status
Recruiting
Apply to this trial

Conditions

  • Cancer

Eligibility Criteria

Sex
ALL
Age
26 Years - 45 Years
Healthy Volunteers
Not accepted

Interventions

  • CHAT-S — BEHAVIORAL
    The CHAT-S intervention will include 4 videoconference sessions over a 2-month time period that is delivered by a patient navigator. Session 1 will include content to educate participants about survivorship care and common types of follow-up care required for their specific cancer, as well as, basic insurance terms and concepts. Session 2 will teach participants about their own insurance plan (e.g., coverage, benefits, breakdown of bills, and explanation of benefits) so they can better navigate both the medical and insurance systems. Session 3 reviews health insurance laws (e.g., ACA, FMLA, No Surprises Act) and how to proceed with an appeals process. Session 4 explains how to manage the costs through budgeting and cost-of-care conversations with their medical providers.
  • Usual Care — BEHAVIORAL
    Usual care will consist of a resource list that describes organizational and community resources available on insurance, financial burden, and survivorship care. Further, we will track whether participants were referred or engaged in services using the follow-up surveys and via the EHR/claims data.

Study Details

We will conduct a randomized controlled trial to test a 4-session virtual health insurance navigation intervention that will increase knowledge about health insurance, reduce financial burden, and improve surveillance for recurrence among 300 young adult cancer survivors ages 26 to 39. We will combine self-reported survey data with electronic health records and claims data to examine the trial outcomes and efficacy. We will also conduct an economic evaluation using cost-effectiveness and budget impact analyses, to establish the sustainability of the intervention at improving outcomes of young adult survivors through increasing their health insurance knowledge and decreasing their financial burden.

Key Dates

Start date
Nov 8, 2023
Status verified
Apr 2026
Primary completion
Oct 31, 2027
Completion
Mar 31, 2028

Study Design

Enrollment
300 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: CHAT-S
    CHAT-S consists of 4 bi-weekly 35-45 minute videoconferencing sessions with a patient navigator and a patient booklet on insurance, costs, and survivorship care.
  • Placebo Comparator: Usual Care
    Usual care will consist of a resource list sent by the navigator.

Primary Outcome Measure

Health Insurance Literacy Measure (HILM) [ Time Frame: Baseline ]

Central Contacts

Locations (2)

FacilityCityStateZIPSite coordinators
Intermountain HealthMurrayUtah84107
Mark Lewis, MD
801-507-3630
University of UtahSalt Lake CityUtah84112
Anne C Kirchhoff, PhD
[email protected]
801-587-4084
Perla Vaca Lopez, BA
[email protected]

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By research site
Intermountain Health· Murray, UTUniversity of Utah· Salt Lake City, UT

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