Supporting Decisions About Health Insurance to Improve Care for the Uninsured
2 other identifiers
interventional
328
1 country
1
Brief Summary
The overall purpose of the study is to better understand how the investigators previously developed decision support (DS) tool can help people make decisions about health insurance plans available through the federal exchanges created by the Affordable Care Act (ACA). The investigators will evaluate the DS tool compared to the federal government website. The investigators will also evaluate the feasibility of disseminating this tool. There are two primary aims to be completed in this project: (1) examine the reach and effectiveness of the health insurance DS tool; and (2) collect stakeholders' feedback to improve the likelihood of implementation of the DS tool.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2015
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 6, 2015
CompletedFirst Posted
Study publicly available on registry
August 13, 2015
CompletedStudy Start
First participant enrolled
September 1, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2016
CompletedResults Posted
Study results publicly available
January 11, 2017
CompletedFebruary 28, 2018
January 1, 2018
5 months
August 6, 2015
August 25, 2016
January 30, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Knowledge Score (% Correct)
8 questions developed in researchers' past work. Assessed health insurance knowledge.
Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete.
Decision Self-efficacy
The decision self-efficacy (DSE) scale measured participants' perceived ability to understand insurance info and resist unwanted decision pressure. The 6 items on the DSE scale were each rated on a 3-point scale (0=Not confident; 2=A little confident; 4=Very confident). The sum of the DSE items was divided by 6 and multiplied by 25 to obtain a score on a 0-100 scale. Higher values indicate more confidence in one's decision-making ability.
Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete.
Confidence in Choice
The 4-item SURE (Sure of myself; Understand information; Risk-benefit ratio; Encouragement) decisional conflict scale assessed confidence in plan choice. Each item could be answered dichotomously (1=yes; 0=no). Responses were summed and a group average was obtained. Higher SURE values indicate more confidence in choice. The scale ranged from 0-4.
Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete.
Secondary Outcomes (3)
Improvements in HILM 1 (Health Insurance Literacy Measure)
Pre-intervention and post-intervention
Improvements in HILM 2 (Health Insurance Literacy Measure)
Pre-intervention and post-intervention
Intended Choice Metal Level
Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete.
Study Arms (2)
Decision Aid (DA)
EXPERIMENTALThe decision aid (DA) will be provided to participants randomized to the experimental/intervention group.
Control
NO INTERVENTIONParticipants randomized to the control group will receive usual care. They will be directed to the healthcare.gov website and asked to follow the prompts to view and select (if applicable) a health insurance plan.
Interventions
Participants will be shown (on a computer) a targeted, web-based decision aid focused on the topic of health insurance plans in addition to usual care.
Eligibility Criteria
You may qualify if:
- Must be without health insurance currently; or
- Must be enrolled in one of the ACA exchange plans in the past 1 year; and
- Must speak English
You may not qualify if:
- Currently has health insurance that was not provided by being enrolled in one of the ACA exchange plans in the past year
- Currently has health insurance that is provided through public insurance or private employer-based insurance
- Does not speak English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The Washington University in St. Louis School of Medicine
St Louis, Missouri, 63110, United States
Related Publications (1)
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.
PMID: 26880251DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Mary C. Politi, PhD
- Organization
- Washington University's School of Medicine
Study Officials
- PRINCIPAL INVESTIGATOR
Mary C Politi, PhD
Washington University School of Medicine
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 6, 2015
First Posted
August 13, 2015
Study Start
September 1, 2015
Primary Completion
February 1, 2016
Study Completion
February 1, 2016
Last Updated
February 28, 2018
Results First Posted
January 11, 2017
Record last verified: 2018-01