Improving Cancer Patients' Insurance Choices (I Can PIC)
Supporting Cancer Survivors' Health Insurance Marketplace Decisions
研究概览
详细说明
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Missouri
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Saint Louis、Missouri、美国、63110
- Washington University School of Medicine
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:卫生服务研究
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:单身的
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的: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.
其他名称:
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无干预: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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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Knowledge Score
大体时间: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
大体时间: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)
大体时间: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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Health Insurance Literacy Measure
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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
大体时间: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)
大体时间: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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合作者和调查者
调查人员
- 首席研究员:Mary C Politi, PhD、Washington University School of Medicine
出版物和有用的链接
一般刊物
- 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.
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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