Ignite Creation Date:
2024-05-06 @ 6:53 PM
Last Modification Date:
2024-10-26 @ 2:57 PM
Study NCT ID:
NCT05829070
Status:
ENROLLING_BY_INVITATION
Last Update Posted:
2023-12-19
First Post:
2023-03-02
Brief Title:
Improving Health Insurance Literacy Among Young Adult Cancer Survivors
Sponsor:
University of Utah
Organization:
University of Utah
Study Overview
Official Title:
A Randomized Controlled Trial to Improve Health Insurance Literacy and Surveillance Among Young Adult Cancer Survivors
Status:
ENROLLING_BY_INVITATION
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
CHAT-S
Brief Summary:
We will conduct a randomized controlled trial to test a 4-session virtual health insurance navigation intervention that will increase knowledge about health insurance reduce financial burden and improve surveillance for recurrence among 300 young adult cancer survivors ages 26 to 39 We will combine self-reported survey data with electronic health records and claims data to examine the trial outcomes and efficacy We will also conduct an economic evaluation using cost-effectiveness and budget impact analyses to establish the sustainability of the intervention at improving outcomes of young adult survivors through increasing their health insurance knowledge and decreasing their financial burden
Detailed Description:
The first year after cancer treatment ends is a critical time to establish survivorship care for young adult YA cancer survivors ages 26 to 39 Receipt of evidence-based survivorship care including surveillance for cancer recurrence based on national guidelines remain low among YA survivors At the same time YAs ages 26 to 39 have the highest rate of both uninsurance and underinsurance among adults in the United States Our teams prior work demonstrated that YA cancer survivors report low understanding of their health insurance and the services it covers which affects their ability to navigate care Together these issues can lead to significant access to care barriers and severe medical cost consequences for this population This proposal addresses the urgent need to improve YA cancer survivors health insurance literacy and decrease financial toxicity thus improving their ability to receive recommended survivorship care Guided by Andersen and Adays Behavioral Model of Health Services Use we developed and pilot-tested a 4-session virtual patient navigation intervention for YA cancer survivors that was adapted from a pilot program for childhood cancer survivors Initial results support feasibility acceptability and preliminary efficacy of both of these pilot trials with YA survivors ages 26 to 39 We now propose a randomized controlled trial to test the efficacy of this program CHAT-S Cancer Health insurAnce Tools with Survivors to improve health insurance literacy financial toxicity due to medical costs and post-treatment surveillance for recurrence among YA cancer survivors ages 26 to 39 up to age 45 We plan to randomize N300 N200 intervention N100 usual care YAs with breast testicular lymphoma sarcoma and colorectal cancer who have completed initial treatment within the past year from 14 locations in the University of Utah Healthcare UUHC and Intermountain Healthcare IH systems UUHC and IH have many rural 20 and HispanicLatinx 18 YA cancer survivors we will oversample these important subgroups We will determine whether CHAT-S improves health insurance literacy and financial toxicity at 6-month follow-up primary outcomes Further UUHC and IH have an integrated data infrastructure which allows us to capture electronic health records and claims data to investigate whether CHAT-S improves surveillance care for recurrence at 18-month follow-up secondary outcome We will explore moderators eg rurality ethnicity of the intervention effects Finally to inform future dissemination we will conduct a budget impact analysis and a short-term and long-term time horizon cost-effectiveness analysis of CHAT-S This proposal addresses the National Cancer Institutes goal of improving the care of cancer survivors and mitigating financial toxicity We will demonstrate that a virtual health insurance literacy intervention can improve insurance literacy financial toxicity and surveillance care among YA cancer survivors and provide guidance to improving survivorship care across the United States
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None