Improving Health Insurance Literacy Among Utah's Hispanic Population

Not Applicable

Completed

Conditions: Health Knowledge, Attitudes, Practice

Interventions: Behavioral: Health Insurance Education Program (HIEP)

Registration Number: NCT04823975

Lead Sponsor: University of Utah

Brief Summary: This is a test of an existing health insurance education program (HIEP) in the Utah Hispanic community (aged 18-64). The study will evaluate whether the HIEP delivered by Utah Health Policy Project (UHPP) staff improves participants' health insurance and cost-related literacy. Participants will complete a brief baseline survey, be guided through the HIEP by UHPP staff, and complete a brief survey after completing the sessions.

Detailed Description: The goal of this research is to refine and pilot test an existing health insurance education program (HIEP) to improve health insurance and cost-related literacy among the Hispanic community in Utah. This study will be conducted in conjunction with the Utah Health Policy Project, which has long been active in the Hispanic community and has been instrumental in reducing the number of uninsured adults and children in Utah. Initially, community and key-informant feedback on how to best adapt this intervention to the Hispanic community, including what topics are most important, and how the intervention should be delivered, will be obtained. After the HIEP is adapted accordingly, it will be investigated to see if it improves participants' health insurance and cost-related literacy.

Upon enrollment, participants will fill out a survey containing questions about their current health insurance, employment, demographics, acculturation, preferred language and health insurance knowledge. Participants will then receive an educational session surrounding health insurance use and laws. This educational sessions will be conducted, in person, over video conference calls, or over the telephone, and will cover:

* Overview of health insurance options and understanding of insurance and costs

* Learning about types of insurance coverage and how to select/access coverage

* Navigating one's coverage plan

* Managing care costs

This sessions will be 60 minutes.

After completing the HIEP participants will be given a second survey including similar questions to those in the first survey. This survey will include questions to obtain feedback on the acceptability of the content and potential implementation issue areas, as well as any discordance in cultural values, beliefs, or feelings about health insurance.

Recruitment & Eligibility

Status: COMPLETED

Sex: All

Target Recruitment: 12

Inclusion Criteria

Self-identify as Hispanic
Resident of Utah
Primary Policy Holder
Recently enrolled in health insurance within the past year

Exclusion Criteria

Younger than 18 years of age
Not Hispanic or Latino/Latina in origin
Non-Utah resident
Non Policy holder
Not recently enrolled in health insurance

Study & Design

Study Type: INTERVENTIONAL

Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
HIEP intervention	Health Insurance Education Program (HIEP)	Participants will be given the health insurance intervention from Utah Health Policy Project staff, a 60 minute long, educational learning session.

Primary Outcome Measures

Name	Time	Method
Number of Enrolled Individuals	Post-Assessment survey (Weeks 19 (+/- 2 weeks))	A count of the individuals who enrolled in the study.
Number of Completed Sessions Per Enrolled Individual	Post-Assessment survey (Weeks 19 (+/- 2 weeks))	The average number of completed sessions per individual enrolled in the study.

Secondary Outcome Measures

Name	Time	Method
Changes in the Health Insurance Literacy Measure Based on Age Group	Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks))	Differences between Health Insurance Literacy Measure (HILM) reported at the baseline and post-assessment survey. Differences will be examined by age. Lower scores indicate lower health insurance literacy, higher scores are better. Scores could range from 6 to 24. We report on a limited number of item from the Health Insurance Literacy Measure. We will report mean and standard deviation at both time points.
Changes in the Health Insurance Literacy Measure Based on Language Spoken	Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks))	Differences between Health Insurance Literacy Measure (HILM) reported at the baseline and post-assessment survey. Differences will be examined by language spoken. Lower scores indicate lower health insurance literacy, higher scores are better. Scores could range from 6 to 24. We report on a limited number of item from the Health Insurance Literacy Measure. We will report mean and standard deviation at both time points.