Improving Cancer Patients' Insurance Choices



Status:Recruiting
Conditions:Cancer, Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - 64
Updated:2/17/2019
Start Date:June 27, 2018
End Date:February 28, 2019
Contact:Nerissa George, MPH
Email:n.george@wustl.edu
Phone:314-747-5657

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Supporting Cancer Survivors' Health Insurance Marketplace Decisions

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.

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.

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
We found this trial at
1
site
Saint Louis, Missouri 63110
Principal Investigator: Mary C Politi, PhD
Phone: 314-747-5657
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Saint Louis, MO
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