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临床试验/NCT01986790
NCT01986790已完成不适用

Effective Communication to Improve Decision Making About Health Care Plans

Washington University School of Medicine2 个研究点 分布在 1 个国家目标入组 343 人开始时间: 2012年4月最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
343
试验地点
2
主要终点
Knowledge

研究概览

简要总结

The overall goal of the study is to better understand how communication strategies can help people make decisions about health insurance plans.

This study aims to:

  • (Aim 1) Examine currently uninsured individuals' understanding of terminology and details of health insurance plans;
  • (Aim 2) Apply three recommended strategies for communicating information about health insurance plans;
  • (Aim 3) Test the effects of these strategies in a randomized experiment.

详细描述

First, this study will examine people's understanding of health insurance plan terminology and details through qualitative interviews with 50 uninsured individuals. These responses will then lead to the development of three communication strategies to improve understanding of health insurance plans: 1) plain language, 2) plain language plus visual displays and 3) plain language plus narratives.

The strategies will the be pilot tested with 30 individuals to assess readability, clarity of language, and layout. The revised communication strategies will be tested with 280 individuals in a randomized experiment. Individuals will be randomly assigned to either a plain language condition alone, a plain language + visual displays condition, and a plain language + narrative condition.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Prevention
盲法
Single (Participant)

入排标准

年龄范围
18 Years 至 64 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Must be without health insurance currently
  • Must have been without health insurance at some point in the past 12 months
  • Must speak English

排除标准

  • Currently has health insurance and has not had any lapses in coverage in the past 12 months
  • Does not speak English

结局指标

主要结局

Knowledge

时间窗: 1 day (Immediately following showing the participant the assigned intervention (plain language table, plain language table + visuals, or plain language table + narratives)

Knowledge measures the degree at which participants understand the details about health insurance plans. Knowledge was scored on a scale from 0 to 7 based on number of correct answers to the 7 items. A higher value is considered to be a better outcome. Bivariate outcome data can be found below.

Uncertainty

时间窗: 1 day (Immediately following showing the participant the assigned intervention (plain language table, plain language table + visuals, or plain language table + narratives)

A survey will be administered in order to measure participants' confidence in the features of health insurance plans that matter most to them and the insurance plan they chose of the ones presented. Confidence in choice is scored on a scale from 0 to 100, with higher scores indicating more decisional conflict/more uncertainty/less confidence in choice. Bivariate outcome data can be found below.

Satisfaction

时间窗: 1 day (Immediately following showing the participant the assigned intervention (plain language table, plain language table + visuals, or plain language table + narratives)

A survey will be administered in order to measure the extent to which participants are satisfied with the information presented to them. Satisfaction was scored on a scale from 1 to 4, with higher scores indicating higher levels of satisfaction. Bivariate outcome data can be found below.

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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