Supporting Cancer Survivors' Health Insurance Marketplace Decisions
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 263
- Locations
- 1
- Primary Endpoint
- Certainty about Choice (Decisional Conflict Scale)
Study Overview
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.
Detailed Description
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 64 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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
Arms & Interventions
I Can PIC
The I Can PIC website will be provided to participants randomized to the experimental/intervention group.
Intervention: I Can PIC (Behavioral)
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.
Outcomes
Primary Outcomes
Certainty about Choice (Decisional Conflict Scale)
Time Frame: Completed immediately after using I Can PIC
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.
Knowledge Score
Time Frame: Completed immediately after using I Can PIC
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.
Decision Self-efficacy
Time Frame: Completed immediately after using I Can PIC.
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).
Secondary Outcomes
- Health Insurance Literacy Measure(3 month follow-up)
- Choice of Health Insurance Plan(3 month follow-up)
- Healthcare Utlization(3 month follow-up)
- Knowledge Score(3 month follow-up)
- Certainty about Choice (Decisional Conflict Scale)(3 month follow-up)
- Health Insurance Literacy Measure(Completed immediately after using I Can PIC)
- Choice of Health Insurance Plan(Completed immediately after using I Can PIC)