Health Literacy Clinical Trial
Official title:
Supporting Decisions About Health Insurance to Improve Care for the Uninsured
Verified date | January 2018 |
Source | Washington University School of Medicine |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The overall purpose of the study is to better understand how the investigators previously developed decision support (DS) tool can help people make decisions about health insurance plans available through the federal exchanges created by the Affordable Care Act (ACA). The investigators will evaluate the DS tool compared to the federal government website. The investigators will also evaluate the feasibility of disseminating this tool. There are two primary aims to be completed in this project: (1) examine the reach and effectiveness of the health insurance DS tool; and (2) collect stakeholders' feedback to improve the likelihood of implementation of the DS tool.
Status | Completed |
Enrollment | 328 |
Est. completion date | February 2016 |
Est. primary completion date | February 2016 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 18 Years to 64 Years |
Eligibility |
Inclusion Criteria: - Must be without health insurance currently; or - Must be enrolled in one of the ACA exchange plans in the past 1 year; and - Must speak English Exclusion Criteria: - Currently has health insurance that was not provided by being enrolled in one of the ACA exchange plans in the past year - Currently has health insurance that is provided through public insurance or private employer-based insurance - Does not speak English |
Country | Name | City | State |
---|---|---|---|
United States | The Washington University in St. Louis School of Medicine | Saint Louis | Missouri |
Lead Sponsor | Collaborator |
---|---|
Washington University School of Medicine | National Institute on Minority Health and Health Disparities (NIMHD), National Institutes of Health (NIH) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Knowledge Score (% Correct) | 8 questions developed in researchers' past work. Assessed health insurance knowledge. | Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete. | |
Primary | Decision Self-efficacy | The decision self-efficacy (DSE) scale measured participants' perceived ability to understand insurance info and resist unwanted decision pressure. The 6 items on the DSE scale were each rated on a 3-point scale (0=Not confident; 2=A little confident; 4=Very confident). The sum of the DSE items was divided by 6 and multiplied by 25 to obtain a score on a 0-100 scale. Higher values indicate more confidence in one's decision-making ability. | Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete. | |
Primary | Confidence in Choice | The 4-item SURE (Sure of myself; Understand information; Risk-benefit ratio; Encouragement) decisional conflict scale assessed confidence in plan choice. Each item could be answered dichotomously (1=yes; 0=no). Responses were summed and a group average was obtained. Higher SURE values indicate more confidence in choice. The scale ranged from 0-4. | Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete. | |
Secondary | Improvements in HILM 1 (Health Insurance Literacy Measure) | Assessed confidence estimating costs of care.Improvement in HILM was defined as moving from "not confident" pre-intervention to "a little confident" or "very confident" post-intervention, or from "a little confident" pre-intervention to "very confident" post-intervention. | Pre-intervention and post-intervention | |
Secondary | Improvements in HILM 2 (Health Insurance Literacy Measure) | Assessed confidence understanding terms.Improvement in HILM was defined as moving from "not confident" pre-intervention to "a little confident" or "very confident" post-intervention, or from "a little confident" pre-intervention to "very confident" post-intervention. | Pre-intervention and post-intervention | |
Secondary | Intended Choice Metal Level | Participants indicated the plan they would choose that day. We categorized plans by governmental classifications of metal level (catastrophic, bronze, silver, gold). | Completed immediately after reviewing Decision Aid tool, taking about 5 minutes to complete. |
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