Ignite Creation Date:
2025-12-24 @ 7:51 PM
Ignite Modification Date:
2026-01-03 @ 7:24 PM
Study NCT ID:
NCT03550404
Status:
COMPLETED
Last Update Posted:
2024-07-10
First Post:
2018-05-15
Is NOT Gene Therapy:
True
Has Adverse Events:
True
Brief Title:
Improving Native American Elder Access to and Use of Healthcare
Sponsor:
Organization:
Raw JSON
{'hasResults': True, 'derivedSection': {'miscInfoModule': {'versionHolder': '2025-12-24'}}, 'resultsSection': {'moreInfoModule': {'pointOfContact': {'email': 'cwillging@pire.org', 'phone': '505-765-2328', 'title': 'Cathleen Willging', 'organization': 'Pacific Institute for Research and Evaluation'}, 'certainAgreement': {'piSponsorEmployee': False, 'restrictiveAgreement': False}, 'limitationsAndCaveats': {'description': 'Data collection with American Indian Elders and healthcare providers/staff to evaluate their experiences with the Seasons of Care Guide was not possible due to the closure of tribal communities during the COVID-19 pandemic and the infeasibility of collecting data with these participants remotely. These evaluation data are qualitative; future research on the dissemination of the Seasons of Care Guide should prioritize quantitative methods.'}}, 'adverseEventsModule': {'timeFrame': 'Adverse event data were collected from Navigators monthly during Phase 1 and Phase 2', 'description': 'Due to the complete closure of tribal communities during the COVID-19 pandemic, focus groups with AIEs and healthcare providers were not completed', 'eventGroups': [{'id': 'EG000', 'title': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). Their goal will be to facilitate health literacy to shift attitudes, beliefs, and behaviors to create a "Culture of Coverage" for AIEs at individual, organizational/community, and policy levels. Separated by distance, the AIE Navigators will receive coaching as necessary, using virtual meeting space, to help refine their implementation skills from a member of the research team with experience in AIE health outreach.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.', 'otherNumAtRisk': 16, 'deathsNumAtRisk': 16, 'otherNumAffected': 0, 'seriousNumAtRisk': 16, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG001', 'title': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.', 'otherNumAtRisk': 0, 'deathsNumAtRisk': 0, 'otherNumAffected': 0, 'seriousNumAtRisk': 0, 'deathsNumAffected': 0, 'seriousNumAffected': 0}, {'id': 'EG002', 'title': 'Healthcare Providers/Staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.', 'otherNumAtRisk': 0, 'deathsNumAtRisk': 0, 'otherNumAffected': 0, 'seriousNumAtRisk': 0, 'deathsNumAffected': 0, 'seriousNumAffected': 0}], 'frequencyThreshold': '0'}, 'outcomeMeasuresModule': {'outcomeMeasures': [{'type': 'PRIMARY', 'title': 'User Evaluation Survey', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). 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The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG001', 'title': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG002', 'title': 'Healthcare Providers/Staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}], 'timeFrame': 'Once at the end of P2 (Month 8 of 8)', 'description': 'A semi-structured, in-person interview (or focus group, depending on availability) with AIEs and healthcare providers who interacted with a navigator using the Seasons of Care app to assess experiences with, and effects of, the Seasons of Care app; suggestions to improve the Seasons of Care app', 'reportingStatus': 'POSTED', 'populationDescription': 'Due to the complete closure of tribal communities during the COVID-19 pandemic, no data were collected for this outcome measure.'}, {'type': 'SECONDARY', 'title': 'Navigator Pre- and Post-Evaluation Interview', 'denoms': [{'units': 'Participants', 'counts': [{'value': '12', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). Their goal will be to facilitate health literacy to shift attitudes, beliefs, and behaviors to create a "Culture of Coverage" for AIEs at individual, organizational/community, and policy levels. Separated by distance, the AIE Navigators will receive coaching as necessary, using virtual meeting space, to help refine their implementation skills from a member of the research team with experience in AIE health outreach.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG001', 'title': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG002', 'title': 'Healthcare Providers/Staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}], 'classes': [{'title': 'Effects of Seasons of Care Guide on Communication with Providers', 'categories': [{'title': 'Improved', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': 'Improved but with some remaining barriers', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': 'No change', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': 'No response', 'measurements': [{'value': '6', 'groupId': 'OG000'}]}]}, {'title': 'Effects of Seasons of Care Guide on Communication with Elders', 'categories': [{'title': 'Improved', 'measurements': [{'value': '5', 'groupId': 'OG000'}]}, {'title': 'Improved but with some remaining barriers', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'No change', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': 'No response', 'measurements': [{'value': '4', 'groupId': 'OG000'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': 'Month 1 and 4 (of 8) for P1 Navigators; Month 5 and 8 (of 8) for P2 Navigators', 'description': "A semi-structured, in-person interview comprised of open-ended questions to assess navigator's confidence and experiences with communicating health information to AIEs and healthcare providers; perceptions of the Seasons of Care app", 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Due to the complete closure of tribal communities during the COVID-19 pandemic, focus groups with AIEs and healthcare providers/staff were not completed. Three Navigators were unable to complete post-evaluation interviews due to changing responsibilities during the COVID-19 pandemic. One Navigator left their position before completing the post-evaluation interview.'}, {'type': 'OTHER_PRE_SPECIFIED', 'title': 'User Evaluation Demographic Survey', 'denoms': [{'units': 'Participants', 'counts': [{'value': '0', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). Their goal will be to facilitate health literacy to shift attitudes, beliefs, and behaviors to create a "Culture of Coverage" for AIEs at individual, organizational/community, and policy levels. Separated by distance, the AIE Navigators will receive coaching as necessary, using virtual meeting space, to help refine their implementation skills from a member of the research team with experience in AIE health outreach.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG001', 'title': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG002', 'title': 'Healthcare Providers/Staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}], 'timeFrame': 'Once at the end of P2 (Month 8 of 8)', 'description': 'A demographic survey with AIEs and healthcare providers who interacted with a navigator using the Seasons of Care app', 'reportingStatus': 'POSTED', 'populationDescription': 'Due to complete closure of tribal communities during the COVID-19 pandemic, no data were collected for this outcome measure.'}, {'type': 'OTHER_PRE_SPECIFIED', 'title': 'Feasibility Questionnaire', 'denoms': [{'units': 'Participants', 'counts': [{'value': '13', 'groupId': 'OG000'}, {'value': '0', 'groupId': 'OG001'}, {'value': '0', 'groupId': 'OG002'}]}], 'groups': [{'id': 'OG000', 'title': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). Their goal will be to facilitate health literacy to shift attitudes, beliefs, and behaviors to create a "Culture of Coverage" for AIEs at individual, organizational/community, and policy levels. Separated by distance, the AIE Navigators will receive coaching as necessary, using virtual meeting space, to help refine their implementation skills from a member of the research team with experience in AIE health outreach.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG001', 'title': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'OG002', 'title': 'Healthcare Providers/Staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}], 'classes': [{'title': 'Looks appealing (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '4', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '4', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Can easily navigate on first try (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '6', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Can easily re-located info (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '5', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Can find relevant info using "Search" (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '5', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '6', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Can easily find healthcare facilities (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '5', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'AIEs like using it (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Useful for working with AIEs', 'categories': [{'title': '10', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Provides info not available elsewhere (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '5', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Useful tool for healthcare providers (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '6', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}]}, {'title': 'Is helping AIEs access care and insurance (Average rating: 10=Strongly agree, 1=Strongly disagree)', 'categories': [{'title': '10', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '9', 'measurements': [{'value': '2', 'groupId': 'OG000'}]}, {'title': '8', 'measurements': [{'value': '4', 'groupId': 'OG000'}]}, {'title': '7', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '6', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '5', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}, {'title': '4', 'measurements': [{'value': '3', 'groupId': 'OG000'}]}, {'title': '3', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '2', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': '1', 'measurements': [{'value': '0', 'groupId': 'OG000'}]}, {'title': 'Not rated', 'measurements': [{'value': '1', 'groupId': 'OG000'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'timeFrame': "Assessed monthly for 4 months; participants' ratings for each category were averaged. Average ratings per participant for each category is reported here.", 'description': "A written questionnaire to assess navigator's experiences with, and effects of, Seasons of Care Guide", 'unitOfMeasure': 'Participants', 'reportingStatus': 'POSTED', 'populationDescription': 'Two Navigators were unable to complete any monthly questionnaires due to changing work responsibilities during the COVID-19 pandemic. One Navigator left their position before completing any questionnaires.'}]}, 'participantFlowModule': {'groups': [{'id': 'FG000', 'title': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). Their goal will be to facilitate health literacy to shift attitudes, beliefs, and behaviors to create a "Culture of Coverage" for AIEs at individual, organizational/community, and policy levels. Separated by distance, the AIE Navigators will receive coaching as necessary, using virtual meeting space, to help refine their implementation skills from a member of the research team with experience in AIE health outreach.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'FG001', 'title': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'FG002', 'title': 'Healthcare Providers/Staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}], 'periods': [{'title': 'Phase 1', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '8'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '8'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '0'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}]}, {'title': 'Phase 2', 'milestones': [{'type': 'STARTED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '8'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}, {'type': 'COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '4'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}, {'type': 'NOT COMPLETED', 'achievements': [{'groupId': 'FG000', 'numSubjects': '4'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}], 'dropWithdraws': [{'type': 'Unable to complete due to other duties during COVID-19 pandemic', 'reasons': [{'groupId': 'FG000', 'numSubjects': '3'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}, {'type': 'Vacated position', 'reasons': [{'groupId': 'FG000', 'numSubjects': '1'}, {'groupId': 'FG001', 'numSubjects': '0'}, {'groupId': 'FG002', 'numSubjects': '0'}]}]}], 'recruitmentDetails': 'We used reputational case selection to identify potential participants who were individuals who provided healthcare navigation services to Elders as part of their everyday work. We approached individuals or administrators at community organizations, healthcare facilities, and tribal agencies with an email or in-person description of the study and an invitation to participate. We followed up at each site with up to three emails, visits, or phone calls.', 'preAssignmentDetails': 'Due to the complete closure of tribal communities during the COVID-19 pandemic, zero participants were enrolled and assigned in the "American Indian Elders (AIEs)" and "Healthcare Providers/Staff" Arms/Groups, respectively.'}, 'baselineCharacteristicsModule': {'denoms': [{'units': 'Participants', 'counts': [{'value': '16', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG001'}, {'value': '0', 'groupId': 'BG002'}, {'value': '16', 'groupId': 'BG003'}]}], 'groups': [{'id': 'BG000', 'title': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). Their goal will be to facilitate health literacy to shift attitudes, beliefs, and behaviors to create a "Culture of Coverage" for AIEs at individual, organizational/community, and policy levels. Separated by distance, the AIE Navigators will receive coaching as necessary, using virtual meeting space, to help refine their implementation skills from a member of the research team with experience in AIE health outreach.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'BG001', 'title': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'BG002', 'title': 'Healthcare Providers/Staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.\n\nSeasons of Care App: A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.'}, {'id': 'BG003', 'title': 'Total', 'description': 'Total of all reporting groups'}], 'measures': [{'title': 'Age, Continuous', 'classes': [{'categories': [{'measurements': [{'value': '36', 'groupId': 'BG000', 'lowerLimit': '21', 'upperLimit': '70'}, {'value': '36', 'groupId': 'BG003', 'lowerLimit': '21', 'upperLimit': '70'}]}]}], 'paramType': 'MEAN', 'unitOfMeasure': 'years', 'dispersionType': 'FULL_RANGE'}, {'title': 'Sex: Female, Male', 'classes': [{'categories': [{'title': 'Female', 'measurements': [{'value': '12', 'groupId': 'BG000'}, {'value': '12', 'groupId': 'BG003'}]}, {'title': 'Male', 'measurements': [{'value': '4', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Ethnicity (NIH/OMB)', 'classes': [{'categories': [{'title': 'Hispanic or Latino', 'measurements': [{'value': '4', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG003'}]}, {'title': 'Not Hispanic or Latino', 'measurements': [{'value': '12', 'groupId': 'BG000'}, {'value': '12', 'groupId': 'BG003'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Race (NIH/OMB)', 'classes': [{'categories': [{'title': 'American Indian or Alaska Native', 'measurements': [{'value': '12', 'groupId': 'BG000'}, {'value': '12', 'groupId': 'BG003'}]}, {'title': 'Asian', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG003'}]}, {'title': 'Native Hawaiian or Other Pacific Islander', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG003'}]}, {'title': 'Black or African American', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG003'}]}, {'title': 'White', 'measurements': [{'value': '3', 'groupId': 'BG000'}, {'value': '3', 'groupId': 'BG003'}]}, {'title': 'More than one race', 'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG003'}]}, {'title': 'Unknown or Not Reported', 'measurements': [{'value': '0', 'groupId': 'BG000'}, {'value': '0', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'unitOfMeasure': 'Participants'}, {'title': 'Confidence communicating with Elders', 'classes': [{'title': 'Comfortable communicating with AIEs about health and healthcare issues', 'categories': [{'measurements': [{'value': '16', 'groupId': 'BG000'}, {'value': '16', 'groupId': 'BG003'}]}]}, {'title': 'Comfortable communicating with AIEs about health insurance', 'categories': [{'measurements': [{'value': '11', 'groupId': 'BG000'}, {'value': '11', 'groupId': 'BG003'}]}]}, {'title': 'Uncomfortable communicating AIEs about insurance due to lack of knowledge', 'categories': [{'measurements': [{'value': '3', 'groupId': 'BG000'}, {'value': '3', 'groupId': 'BG003'}]}]}, {'title': 'Experienced language barriers communicating with AIEs', 'categories': [{'measurements': [{'value': '5', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG003'}]}]}, {'title': 'Experienced challenges communicating with AIEs about difficult or taboo topics', 'categories': [{'measurements': [{'value': '4', 'groupId': 'BG000'}, {'value': '4', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'Qualitative self-report regarding confidence communicating with American Indian Elders about their health issues and healthcare and insurance options.', 'unitOfMeasure': 'Participants'}, {'title': 'Confidence communicating with healthcare providers', 'classes': [{'title': 'Comfortable communicating with healthcare providers due to regular experience doing so', 'categories': [{'measurements': [{'value': '12', 'groupId': 'BG000'}, {'value': '12', 'groupId': 'BG003'}]}]}, {'title': 'Comfortable communicating with healthcare providers when receiving referrals to help AIEs', 'categories': [{'measurements': [{'value': '7', 'groupId': 'BG000'}, {'value': '7', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'Qualitative self-report of confidence communicating with healthcare providers regarding the health needs, healthcare options, barriers to care, and insurance issues experienced by American Indian Elders.', 'unitOfMeasure': 'Participants'}, {'title': 'Comfort using Seasons of Care Guide', 'classes': [{'title': 'Comfortable using the Seasons of Care Guide in their work', 'categories': [{'measurements': [{'value': '10', 'groupId': 'BG000'}, {'value': '10', 'groupId': 'BG003'}]}]}, {'title': 'Confident that they would become comfortable with the Seasons of Care Guide over time', 'categories': [{'measurements': [{'value': '5', 'groupId': 'BG000'}, {'value': '5', 'groupId': 'BG003'}]}]}, {'title': 'Felt that the Seasons of Care Guide was no different than other resources they already used', 'categories': [{'measurements': [{'value': '1', 'groupId': 'BG000'}, {'value': '1', 'groupId': 'BG003'}]}]}], 'paramType': 'COUNT_OF_PARTICIPANTS', 'description': 'Qualitative self-report of comfort using the Seasons of Care guide to help American Indian Elders as part of everyday work.', 'unitOfMeasure': 'Participants'}], 'populationDescription': 'Due to complete closure of tribal communities during the COVID-19 pandemic, we were unable to complete baseline measures with any American Indian Elders or healthcare providers/staff'}}, 'documentSection': {'largeDocumentModule': {'largeDocs': [{'date': '2023-02-07', 'size': 317925, 'label': 'Study Protocol and Statistical Analysis Plan', 'hasIcf': False, 'hasSap': True, 'filename': 'Prot_SAP_000.pdf', 'typeAbbrev': 'Prot_SAP', 'uploadDate': '2023-12-13T16:25', 'hasProtocol': True}, {'date': '2016-09-15', 'size': 338049, 'label': 'Informed Consent Form', 'hasIcf': True, 'hasSap': False, 'filename': 'ICF_001.pdf', 'typeAbbrev': 'ICF', 'uploadDate': '2024-06-26T16:13', 'hasProtocol': False}]}}, 'protocolSection': {'designModule': {'studyType': 'OBSERVATIONAL', 'designInfo': {'timePerspective': 'PROSPECTIVE', 'observationalModel': 'CASE_ONLY'}, 'enrollmentInfo': {'type': 'ACTUAL', 'count': 16}, 'patientRegistry': False}, 'statusModule': {'overallStatus': 'COMPLETED', 'startDateStruct': {'date': '2018-08-01', 'type': 'ACTUAL'}, 'expandedAccessInfo': {'hasExpandedAccess': False}, 'statusVerifiedDate': '2024-07', 'completionDateStruct': {'date': '2022-06-30', 'type': 'ACTUAL'}, 'lastUpdateSubmitDate': '2024-07-05', 'studyFirstSubmitDate': '2018-05-15', 'resultsFirstSubmitDate': '2022-10-24', 'studyFirstSubmitQcDate': '2018-06-06', 'lastUpdatePostDateStruct': {'date': '2024-07-10', 'type': 'ACTUAL'}, 'resultsFirstSubmitQcDate': '2024-07-05', 'studyFirstPostDateStruct': {'date': '2018-06-08', 'type': 'ACTUAL'}, 'resultsFirstPostDateStruct': {'date': '2024-07-10', 'type': 'ACTUAL'}, 'primaryCompletionDateStruct': {'date': '2021-11-30', 'type': 'ACTUAL'}}, 'outcomesModule': {'otherOutcomes': [{'measure': 'User Evaluation Demographic Survey', 'timeFrame': 'Once at the end of P2 (Month 8 of 8)', 'description': 'A demographic survey with AIEs and healthcare providers who interacted with a navigator using the Seasons of Care app'}, {'measure': 'Feasibility Questionnaire', 'timeFrame': "Assessed monthly for 4 months; participants' ratings for each category were averaged. Average ratings per participant for each category is reported here.", 'description': "A written questionnaire to assess navigator's experiences with, and effects of, Seasons of Care Guide"}], 'primaryOutcomes': [{'measure': 'User Evaluation Survey', 'timeFrame': 'Once at the end of P2 (Month 8 of 8)', 'description': 'A semi-structured, in-person interview (or focus group, depending on availability) with AIEs and healthcare providers who interacted with a navigator using the Seasons of Care app to assess experiences with, and effects of, the Seasons of Care app; suggestions to improve the Seasons of Care app'}], 'secondaryOutcomes': [{'measure': 'Navigator Pre- and Post-Evaluation Interview', 'timeFrame': 'Month 1 and 4 (of 8) for P1 Navigators; Month 5 and 8 (of 8) for P2 Navigators', 'description': "A semi-structured, in-person interview comprised of open-ended questions to assess navigator's confidence and experiences with communicating health information to AIEs and healthcare providers; perceptions of the Seasons of Care app"}]}, 'oversightModule': {'oversightHasDmc': False, 'isFdaRegulatedDrug': False, 'isFdaRegulatedDevice': False}, 'conditionsModule': {'conditions': ['Access to Health Care']}, 'referencesModule': {'references': [{'pmid': '29914446', 'type': 'DERIVED', 'citation': 'Willging CE, Sommerfeld DH, Jaramillo ET, Lujan E, Bly RS, Debenport EK, Verney SP, Lujan R. "Improving Native American elder access to and use of health care through effective health system navigation". BMC Health Serv Res. 2018 Jun 18;18(1):464. doi: 10.1186/s12913-018-3182-y.'}]}, 'descriptionModule': {'briefSummary': 'This community-driven study features a mixed-method, participatory design to examine help-seeking behavior and healthcare experiences of American Indian elders in New Mexico, in order to develop and evaluate a tailored intervention to enhance knowledge of, access to, and use of insurance and available services to reduce healthcare disparities. This study includes qualitative and quantitative interviews combined with concept mapping and focus groups with American Indian elders and other key stakeholders.', 'detailedDescription': 'This five-year project was developed by investigators from the Behavioral Health Research Center of the Southwest (BHRCS), a center of the Pacific Institute of Research and Evaluation (PIRE), the Health Committee of the New Mexico Indian Council on Aging (NMICoA), and the University of New Mexico (UNM). The project combines qualitative and quantitative interviews with concept-mapping (CM) techniques and focus groups to study insurance coverage, help-seeking behavior, and the healthcare experiences of American Indian Elders (AIEs) in New Mexico (NM). Practical knowledge grounded in the actual perspectives of AIEs and other key stakeholders may improve healthcare practices and policies for a population largely excluded from national and state discussions of health reform. The study data will also inform the adaptation and development of culturally tailored programming to enrich understanding and facilitate negotiation of a changing landscape of healthcare by AIEs. Our four specific aims are to:\n\n1. Assess how AIEs understand, access, maintain, and use insurance coverage.\n2. Characterize AIE help-seeking and healthcare experiences in dominant service delivery settings, i.e., Indian Health Service (IHS), tribally-run 638 facilities, and managed care programs.\n3. Identify and compare factors that affect AIE access to health care as perceived by multiple stakeholders, i.e., AIEs, outreach workers (OWs), healthcare staff and providers, public sector administrators, and tribal leaders.\n4. Develop and assess implementation feasibility of a structured intervention for OWs that promotes enhanced patient navigation, in addition to healthcare literacy, access, and usage among AIEs.'}, 'eligibilityModule': {'sex': 'ALL', 'stdAges': ['ADULT', 'OLDER_ADULT'], 'minimumAge': '18 Years', 'samplingMethod': 'NON_PROBABILITY_SAMPLE', 'studyPopulation': 'Outreach workers from indigenous communities in the southwest United States, and then the American Indian elders, healthcare staff and providers that interact with those outreach workers.', 'healthyVolunteers': True, 'eligibilityCriteria': 'Navigators\n\nInclusion Criteria:\n\n* Working in a health and health insurance outreach\n* Routinely interacting with AIEs as part of their jobs\n* Primary service region includes target AIEs.\n\nExclusion Criteria:\n\n* Not Routinely interacting with AIEs as part of their jobs\n* Not willing to be trained in or use the Seasons of Care app\n\nAmerican Indian Elders (AIEs) Inclusion\n\n* Age 55+\n* Identifying as AI\n* Able to read in English\n* Able to consent and complete study procedures\n* Interacted with Navigator\n\nExclusion ā Individuals who cannot read in English or who have not interacted with a pilot test Navigator will not be eligible to participate\n\nHealthcare Staff/providers Inclusion\n\n* Individuals who have been in contact with a pilot test Navigator\n* Work in a healthcare facility that serves AIEs in one of our 4 regions\n\nExclusion\n\nā Individuals who have not interacted with a pilot test Navigator or do not work in a healthcare facility serving our primary population, will not be eligible to participate'}, 'identificationModule': {'nctId': 'NCT03550404', 'briefTitle': 'Improving Native American Elder Access to and Use of Healthcare', 'organization': {'class': 'OTHER', 'fullName': 'Pacific Institute for Research and Evaluation'}, 'officialTitle': 'Improving Native American Elder Access to and Use of Healthcare Through Effective Health System Navigation', 'orgStudyIdInfo': {'id': '0784.01.01'}}, 'armsInterventionsModule': {'armGroups': [{'label': 'Navigators', 'description': 'AIE Navigators will use the Seasons of Care app in the context of their everyday outreach work with AIEs over two four-month intervention periods (P1 and P2). Their goal will be to facilitate health literacy to shift attitudes, beliefs, and behaviors to create a "Culture of Coverage" for AIEs at individual, organizational/community, and policy levels. Separated by distance, the AIE Navigators will receive coaching as necessary, using virtual meeting space, to help refine their implementation skills from a member of the research team with experience in AIE health outreach.', 'interventionNames': ['Behavioral: Seasons of Care App']}, {'label': 'American Indian Elders (AIEs)', 'description': 'Elders will be exposed to the Seasons of Care app when they reach out to navigators for assistance navigating the healthcare system.', 'interventionNames': ['Behavioral: Seasons of Care App']}, {'label': 'Healthcare providers/staff', 'description': 'This cohort will be exposed to the Seasons of Care app via navigators and their patients.', 'interventionNames': ['Behavioral: Seasons of Care App']}], 'interventions': [{'name': 'Seasons of Care App', 'type': 'BEHAVIORAL', 'description': 'A web-based mobile application (app) called the Seasons of Care Elder Navigation Guide will assist elders, their families/caregivers, healthcare providers, outreach workers, and other community members in navigating healthcare and insurance systems. The app has the added advantage of being easy to update to respond to future changes in health care and insurance, and sustainable because it is not dependent on intensive training, developing, and retaining of individuals in professional navigation positions.', 'armGroupLabels': ['American Indian Elders (AIEs)', 'Healthcare providers/staff', 'Navigators']}]}, 'contactsLocationsModule': {'locations': [{'zip': '87106', 'city': 'Albuquerque', 'state': 'New Mexico', 'country': 'United States', 'facility': 'Pacific Institute for Research and Evaluation', 'geoPoint': {'lat': 35.08449, 'lon': -106.65114}}], 'overallOfficials': [{'name': 'Cathleen Willging', 'role': 'PRINCIPAL_INVESTIGATOR', 'affiliation': 'Pacific Institute for Research and Evaluation'}]}, 'ipdSharingStatementModule': {'ipdSharing': 'NO'}, 'sponsorCollaboratorsModule': {'leadSponsor': {'name': 'Pacific Institute for Research and Evaluation', 'class': 'OTHER'}, 'collaborators': [{'name': 'University of California, San Diego', 'class': 'OTHER'}, {'name': 'University of New Mexico', 'class': 'OTHER'}], 'responsibleParty': {'type': 'PRINCIPAL_INVESTIGATOR', 'investigatorTitle': 'Senior Research Scientist/Center Director', 'investigatorFullName': 'Cathleen Willging', 'investigatorAffiliation': 'Pacific Institute for Research and Evaluation'}}}}