Improving Cancer Patients' Insurance Choices (I Can PIC)
29 april 2019 bijgewerkt door: Washington University School of Medicine
Supporting Cancer Survivors' Health Insurance Marketplace Decisions
The goal of this research study is to find out if a decision aid (DA) created by investigators, I Can PIC, is effective in helping cancer patients make decisions about their health insurance.
The investigators will evaluate I Can PIC compared to an attention control condition (existing website created by the American Cancer Society Cancer Action Network).
The study hypothesis is that those randomly assigned to I Can PIC will have higher knowledge about health insurance terms and details, more certainty about the best health insurance plan for them, and more confidence in their health insurance decisions compared to those randomly assigned to the control condition.
Studie Overzicht
Toestand
Voltooid
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
In a prior study, the investigators created a consumer-friendly online tool, Show Me Health Plans (SMHP), for those enrolling in health insurance in the ACA marketplace.
I Can PIC was developed based on SMHP, with input from an advisory board, and incorporating feedback from semi-structured qualitative interviews with cancer survivors.
The investigators created I Can PIC to focus on unique needs of cancer patients and survivors considering health insurance.
In this study, the investigators will examine the effectiveness of I Can PIC by conducting a randomized experiment with 275 participants.
The trial will compare the I Can PIC to an attention control website developed by the American Cancer Society Cancer Action Network.
Primary outcomes include knowledge, decision self-efficacy, certainty about plan choice, and the match between plan choice and preferences.
The investigators will also explore whether financial toxicity, cancer type, and time since diagnosis relate to outcomes.
Studietype
Ingrijpend
Inschrijving (Werkelijk)
263
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studie Locaties
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Missouri
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Saint Louis, Missouri, Verenigde Staten, 63110
- Washington University School of Medicine
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Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
18 jaar tot 64 jaar (Volwassen)
Accepteert gezonde vrijwilligers
Ja
Geslachten die in aanmerking komen voor studie
Allemaal
Beschrijving
Inclusion Criteria:
- Ability to read English
- Diagnosed with cancer in the past 5 years
- Residing in Missouri or Illinois
Exclusion Criteria:
- Eligible for Medicaid or Medicare in Missouri or Illinois
- Enrolled in the following types of health insurance plans: Medicare, Medicaid, TRICARE or other military healthcare, or Indian Health Services
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Onderzoek naar gezondheidsdiensten
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: I Can PIC
The I Can PIC website will be provided to participants randomized to the experimental/intervention group.
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Participants will be shown (on a computer or via email link) a website called I Can PIC.
I Can PIC provides health insurance education, suggests ways to learn about the costs of cancer care and follow-up, shows resources to help offset the high costs of care, and helps individuals estimate (based on national data) how much they might spend on health insurance in the upcoming year.
Andere namen:
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Geen tussenkomst: Attention Control
Participants randomized to the attention control group will be provided a link to a website developed by the American Cancer Society Cancer Action Network.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Knowledge Score
Tijdsspanne: Completed immediately after using I Can PIC
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The percent correct out of eight questions that were created by the research team based on information that is considered vital to making health insurance decisions.
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Completed immediately after using I Can PIC
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Decision Self-efficacy
Tijdsspanne: Completed immediately after using I Can PIC.
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The validated decision self-efficacy scale will be used.
This 11-item scale measures an individual's self-confidence or belief in their ability to make a decision.
Individuals will be asked to rate how confident they feel taking actions involved in making an informed choice (e.g., gathering information, asking questions, and expressing opinions).
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Completed immediately after using I Can PIC.
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Certainty about Choice (Decisional Conflict Scale)
Tijdsspanne: Completed immediately after using I Can PIC
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The validated, 4-item SURE Test for clinical practice will be used.
This scale measures whether individuals feel they have enough information to make a choice, are clear about their values for risks and benefits of their choice, and feel they have enough support to make a choice.
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Completed immediately after using I Can PIC
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Health Insurance Literacy Measure
Tijdsspanne: Completed immediately after using I Can PIC
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Two items from the validated Health Insurance Literacy Measure will be used.
This scale measures consumers' confidence in their ability to estimate their annual health care costs and their understanding of health insurance terms.
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Completed immediately after using I Can PIC
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Health Insurance Literacy Measure
Tijdsspanne: 3 month follow-up
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Two items from the validated Health Insurance Literacy Measure will be used. This scale measures consumers' confidence in their ability to estimate their annual health care costs and their understanding of health insurance terms. This measure will be assessed at follow-up to see if differences observed between groups immediately post-intervention, remain at follow-up. |
3 month follow-up
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Choice of Health Insurance Plan
Tijdsspanne: Completed immediately after using I Can PIC
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Participants will be asked what health insurance plan they would choose.
Plan selections will be categorized by the type of plan, e.g., high deductible plan, PPO, silver-tier Marketplace plan, gold-tier Marketplace plan, and will be compared to our algorithmic prediction about good fit plans for users based on estimates of their health care expenses.
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Completed immediately after using I Can PIC
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Choice of Health Insurance Plan
Tijdsspanne: 3 month follow-up
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Participants will be asked what health insurance plan they choose. Plan selections will be categorized by the type of plan, e.g., high deductible plan, PPO, silver-tier Marketplace plan, gold-tier Marketplace plan, and will be compared to our algorithmic prediction about good fit plans for users based on estimates of their health care expenses. This measure will be assessed at follow-up to see if differences observed between groups immediately post-intervention, remain at follow-up. |
3 month follow-up
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Healthcare Utlization
Tijdsspanne: 3 month follow-up
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Participants will be asked questions about how often they use healthcare services to see if their plan choice relates to their utilization
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3 month follow-up
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Knowledge Score
Tijdsspanne: 3 month follow-up
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The percent correct out of eight questions that were created by the research team based on information that is considered vital to making health insurance decisions. This measure will be assessed at follow-up to see if differences observed between groups immediately post-intervention, remain at follow-up. |
3 month follow-up
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Certainty about Choice (Decisional Conflict Scale)
Tijdsspanne: 3 month follow-up
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The validated, 4-item SURE Test for clinical practice will be used. This scale measures whether individuals feel they have enough information to make a choice, are clear about their values for risks and benefits of their choice, and feel they have enough support to make a choice. This measure will be assessed at follow-up to see if differences observed between groups immediately post-intervention, remain at follow-up. |
3 month follow-up
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Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Medewerkers
Onderzoekers
- Hoofdonderzoeker: Mary C Politi, PhD, Washington University School of Medicine
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- Housten AJ, Furtado K, Kaphingst KA, Kebodeaux C, McBride T, Cusanno B, Politi MC. Stakeholders' perceptions of ways to support decisions about health insurance marketplace enrollment: a qualitative study. BMC Health Serv Res. 2016 Nov 8;16(1):634. doi: 10.1186/s12913-016-1890-8.
- Politi MC, Barker AR, Kaphingst KA, McBride T, Shacham E, Kebodeaux CS. Show Me My Health Plans: a study protocol of a randomized trial testing a decision support tool for the federal health insurance marketplace in Missouri. BMC Health Serv Res. 2016 Feb 16;16:55. doi: 10.1186/s12913-016-1314-9.
- Politi MC, Kuzemchak MD, Liu J, Barker AR, Peters E, Ubel PA, Kaphingst KA, McBride T, Kreuter MW, Shacham E, Philpott SE. Show Me My Health Plans: Using a Decision Aid to Improve Decisions in the Federal Health Insurance Marketplace. MDM Policy Pract. 2016 Jul;1(1):2381468316679998. doi: 10.1177/2381468316679998. Epub 2016 Nov 16.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Werkelijk)
27 juni 2018
Primaire voltooiing (Werkelijk)
28 februari 2019
Studie voltooiing (Werkelijk)
28 februari 2019
Studieregistratiedata
Eerst ingediend
26 juni 2018
Eerst ingediend dat voldeed aan de QC-criteria
9 juli 2018
Eerst geplaatst (Werkelijk)
19 juli 2018
Updates van studierecords
Laatste update geplaatst (Werkelijk)
1 mei 2019
Laatste update ingediend die voldeed aan QC-criteria
29 april 2019
Laatst geverifieerd
1 april 2019
Meer informatie
Termen gerelateerd aan deze studie
Andere studie-ID-nummers
- 201704045
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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