Improving Cancer Patients' Insurance Choices

NCT03592433 | Completed DMC

• 1 other identifier: 201704045
• Study Type: interventional
• Target: 263
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Cancer; Health Literacy; Health Insurance; Health Services Accessibility; Informed Decision Making

Keywords

Decision Making; Decision Support; Health Literacy

Outcome Measures

Primary Outcomes (3)

• Knowledge Score

  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.

  Completed immediately after using I Can PIC

• Decision Self-efficacy

  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).

  Completed immediately after using I Can PIC.

• Certainty about Choice (Decisional Conflict Scale)

  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.

  Completed immediately after using I Can PIC

Secondary Outcomes (7)

• Health Insurance Literacy Measure

  Completed immediately after using I Can PIC

• Health Insurance Literacy Measure

  3 month follow-up

• Choice of Health Insurance Plan

  Completed immediately after using I Can PIC

• Choice of Health Insurance Plan

  3 month follow-up

• Healthcare Utlization

  3 month follow-up

Study Arms (2)

I Can PIC

EXPERIMENTAL

The I Can PIC website will be provided to participants randomized to the experimental/intervention group.

Behavioral: I Can PIC

Attention Control

NO INTERVENTION

Participants randomized to the attention control group will be provided a link to a website developed by the American Cancer Society Cancer Action Network.

Interventions

I Can PIC BEHAVIORAL

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.

Also known as: Decision Aid (DA)

I Can PIC

Eligibility Criteria

• Age: 18 Years - 64 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Ability to read English
• Diagnosed with cancer in the past 5 years
• Residing in Missouri or Illinois

You may not qualify if:

• 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

Sponsors & Collaborators

• Washington University School of Medicine: lead
• American Cancer Society, Inc.: collaborator

Study Sites (1)

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Related Publications (3)

• 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.

  PMID: 27821121 BACKGROUND

• 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: 26880251 BACKGROUND

• 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.

  PMID: 28804780 BACKGROUND

Related Links

• Decisional Conflict Scale Measure
• Decision Self-Efficacy Scale Measure
• Health Insurance Literacy Measure (HILM)
• Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine

MeSH Terms

Conditions

Neoplasms

Interventions

Decision Support Techniques

Intervention Hierarchy (Ancestors)

Investigative Techniques

Study Officials

• Mary C Politi, PhD

  Washington University School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 26, 2018
• First Posted: July 19, 2018
• Study Start: June 27, 2018
• Primary Completion: February 28, 2019
• Study Completion: February 28, 2019
• Last Updated: May 1, 2019

Record last verified: 2019-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)