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Health Insurance Literacy Improvements Among Recently Diagnosed Adolescents and Young Adults With Cancer: Results From a Pilot Randomized Controlled Trial.
- Source :
- JCO Oncology Practice; Jan2024, Vol. 20 Issue 1, p93-101, 10p
- Publication Year :
- 2024
-
Abstract
- PURPOSE Adolescents and young adults (AYAs; age 18-39 years) with cancer report needing support with health insurance. We conducted a pilot randomized controlled trial to assess the feasibility and acceptability of a virtual health insurance navigation intervention (HIAYA CHAT) to improve health insurance literacy (HIL), awareness of Affordable Care Act (ACA) protections, financial toxicity, and stress. MATERIALS AND METHODS HIAYA CHAT is a four-session navigator delivered program; it includes psychoeducation on insurance, navigating one’s plan, insurance-related laws, and managing costs. Participants were eligible if they could access an internetcapable device, were <1 year from diagnosis, and received treatment from University of Utah Healthcare or Intermountain Health systems. We assessed the feasibility, acceptability, and preliminary efficacy of HIAYA CHAT compared with usual navigation care, including HIL (nine items), insurance knowledge (13 items), ACA protections (eight items), COmprehensive Score for financial Toxicity (COST; 11 items), and Perceived Stress Scale (PSS; four items), using t tests and Cohen’s d. RESULTS From November 2020 to December 2021, N 5 86 AYAs enrolled (44.6% participation) and 89.3% completed the 5-month follow-up survey; 68.6% were female, 72.1% were White, 23.3% were Hispanic, 65.1% were age 26-39 years, and 87.2% were privately insured. Of intervention participants (n 5 45), 67.4% completed all four sessions; among an exit interview subset (n 5 10), all endorsed the program (100%). At follow-up, compared with usual navigation care, intervention participants had greater improvements in HIL, insurance and ACA protections knowledge, and PSS; effect sizes ranged from moderate to large (0.42-0.77). COST did not differ. CONCLUSION The results support the feasibility and acceptability of HIAYA CHAT with related improvements in HIL. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of tumors in children
TUMOR diagnosis
HEALTH literacy
HEALTH services accessibility
RESEARCH funding
HEALTH insurance
EVALUATION of human services programs
PILOT projects
STATISTICAL sampling
QUESTIONNAIRES
RANDOMIZED controlled trials
DESCRIPTIVE statistics
FINANCIAL stress
HEALTH promotion
COMPARATIVE studies
PSYCHOLOGICAL tests
PATIENT Protection & Affordable Care Act
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 26881527
- Volume :
- 20
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- JCO Oncology Practice
- Publication Type :
- Academic Journal
- Accession number :
- 174771935
- Full Text :
- https://doi.org/10.1200/OP.23.00171