Virtual Health Insurance Navigation Pilot Program for Childhood Survivors (HINTII)

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Description

The investigators are conducting a Type I hybrid effectiveness-implementation trial to assess the effectiveness of HINT-S (synchronous) compared to enhanced usual care (EUC) in promoting health insurance literacy, thus reducing worry, unmet health care needs, and financial consequences due to medical costs to improve care and long-term outcomes of childhood cancer survivors. The investigators will also compare HINT-S to HINT-A (asynchronous), a prerecorded, asynchronous version of the 5 HINT-S navigator sessions.

Targeted Conditions

Study Overview

Start Date
May 1, 2023
Completion Date
April 1, 2027
Enrollment
520
Date Posted
September 2, 2022
Accepts Healthy Volunteers?
No
Gender
All

Locations

Full Address
Massachusetts General Hospital
Boston, Massachusetts 02114, United States

Eligibility

Minimum Age (years)
18
Eligibility Criteria
Inclusion Criteria:

are 18 years or older at time of enrollment
are able to give informed consent
have access to a smartphone, computer, or tablet with internet access
have US based health insurance
current LTFU cohort participants
having access to the CCSS patient portal.

Exclusion Criteria:

Participants from the pilot trial will not be eligible

Study Contact Info

Study Contact Name
Elyse R Park, PhD; Anne Kirchhoff, PhD
Study Contact Phone

Contact Listings Owner Form

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Other Details

FDA Regulated Drug?
No
FDA Regulated Device?
No
Detailed Description
The present study seeks to evaluate a health insurance navigation program with childhood cancer survivors recruited from the Long-Term Follow-Up (LTFU) Cohort. Childhood cancer survivors face health challenges throughout their lives that require monitoring and ongoing care. This is compounded by the tendency among childhood survivors to have higher rates of underinsurance, unmet healthcare needs, and burdensome costs related to care. These burdensome costs also contribute to underutilization of care among survivors. Dr. Park and her colleagues published findings that suggested LTFU survivors had difficulty in understanding how to use their insurance, and often experienced financial-related distress. Understanding and navigating insurance benefits in the current landscape is crucial for cancer survivors to obtain and utilize the health care that they need. With this in mind, the study investigators propose to evaluate the effectiveness of an insurance navigation intervention with LTFU participants, delivered in a synchronous and asynchronous modality.

The navigation intervention will be delivered by a health insurance navigator via HIPAA-compliant videoconferencing for the synchronous group (HINT-S) and will be delivered via pre-recorded video session for the asynchronous group HINT-A). Participants will be randomized into either the two navigation intervention arms (HINT-S and HINT-A; approximately 234 per intervention arm), or the enhanced usual care arm (approximately 52 for control arm). The sample size per arm was chosen to enable evaluation of feasibility and acceptability goals, as well as to explore meaningful differences in the outcomes. To assess the proposed primary and secondary outcomes, all trial participants will complete a baseline and 6-month and 12-month post-program follow-up survey.
NCTid (if applicable)
NCT05527392