Improving Cancer Patients' Insurance Choices (I Can PIC)

The Washington University

Status: Completed

Conditions: Health Services Accessibility; Informed Decision Making; Cancer; Health Insurance; Health Literacy

Treatments: Behavioral: I Can PIC

Study type: Interventional

Funder types: Other

Identifiers

NCT03592433

201704045

Details and patient eligibility

About

The goal of this research study is to find out if a decision aid (DA) created by investigators, I Can PIC, is effective in helping cancer patients make decisions about their health insurance. The investigators will evaluate I Can PIC compared to an attention control condition (existing website created by the American Cancer Society Cancer Action Network). The study hypothesis is that those randomly assigned to I Can PIC will have higher knowledge about health insurance terms and details, more certainty about the best health insurance plan for them, and more confidence in their health insurance decisions compared to those randomly assigned to the control condition.

Full description

In a prior study, the investigators created a consumer-friendly online tool, Show Me Health Plans (SMHP), for those enrolling in health insurance in the ACA marketplace. I Can PIC was developed based on SMHP, with input from an advisory board, and incorporating feedback from semi-structured qualitative interviews with cancer survivors. The investigators created I Can PIC to focus on unique needs of cancer patients and survivors considering health insurance. In this study, the investigators will examine the effectiveness of I Can PIC by conducting a randomized experiment with 275 participants. The trial will compare the I Can PIC to an attention control website developed by the American Cancer Society Cancer Action Network. Primary outcomes include knowledge, decision self-efficacy, certainty about plan choice, and the match between plan choice and preferences. The investigators will also explore whether financial toxicity, cancer type, and time since diagnosis relate to outcomes.

Enrollment: 263 patients

Sex: All

Ages: 18 to 64 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Ability to read English
• Diagnosed with cancer in the past 5 years
• Residing in Missouri or Illinois

Exclusion criteria

• Eligible for Medicaid or Medicare in Missouri or Illinois
• Enrolled in the following types of health insurance plans: Medicare, Medicaid, TRICARE or other military healthcare, or Indian Health Services

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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263 participants in 2 patient groups

I Can PIC

Experimental group

Description:

The I Can PIC website will be provided to participants randomized to the experimental/intervention group.

Treatment:

Behavioral: I Can PIC

Attention Control

No Intervention group

Description:

Participants randomized to the attention control group will be provided a link to a website developed by the American Cancer Society Cancer Action Network.