Journal Article

HIAYA CHAT study protocol: a randomized controlled trial of a health insurance education intervention for newly diagnosed adolescent and young adult cancer patients

Waters, Austin R., Vaca Lopez, Perla L., Fair, Douglas B., Perez, Giselle K., Ray, Nicole, Lewis, Mark A., Kaddas, Heydon K., Mann, Karely, Haaland, Ben, Park, Elyse R., Kirchhoff, Anne C., Tsukamoto, Tomoko, Warner, Echo L., Allen, Karlie

2022

Overview

Background For adolescent and young adult (AYA) cancer patients aged 18 to 39 years, health insurance literacy is crucial for an effective use of the health care system. AYAs often face high out-of-pocket costs or have unmet health care needs due to costs. Improving health insurance literacy could help AYAs obtain appropriate and affordable health care. This protocol illustrates a randomized controlled trial testing a virtual health insurance education intervention among AYA patients. Methods This is a two-arm multisite randomized controlled trial. A total of 80 AYAs diagnosed with cancer in the Mountain West region will be allocated to either usual navigation care or tailored health insurance education intervention with a patient navigator that includes usual care. All participants will complete a baseline and follow-up survey 5 months apart. The primary outcomes are feasibility (number enrolled and number of sessions completed) and acceptability (5-point scale on survey measuring satisfaction of the intervention). The secondary outcomes are preliminary efficacy measured by the Health Insurance Literacy Measure and the COmprehensive Score for financial Toxicity. Discussion This trial makes a timely contribution to test the feasibility and acceptability of a virtual AYA-centered health insurance education program. Trial registration ClinicalTrials.gov NCT04448678. Registered on June 26, 2020

• Publisher: BioMed Central,BioMed Central Ltd,Springer Nature B.V,BMC
• Subject: Adolescent / Adolescent and young adult / Adult / Biomedicine / Cancer / Cancer patients / Care and treatment / Clinical trials / Education / Evaluation / Global health / Health care expenditures / Health care policy / Health insurance / Health insurance literacy / Health Literacy / Health promotion / Health Sciences / Health services utilization / Hematology / Hospitals / Humans / Insurance coverage / Insurance, Health / Intervention / Interviews / Literacy / Medical diagnosis / Medicine / Medicine & Public Health / Neoplasms - diagnosis / Neoplasms - therapy / Oncology / Patient education / Patient Navigation / Patient Protection & Affordable Care Act 2010-US / Patients / Pediatrics / Pilot randomized controlled trial / Randomized Controlled Trials as Topic / Reducing financial hardships from cancers / Statistics for Life Sciences / Study Protocol / Surveys / Surveys and Questionnaires / Teenagers / Young Adult / Young adults