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N/A N=82 Randomized Treatment

Developing a Health Insurance Navigation Program for Survivors of Childhood Cancer

Health Insurance · Childhood Cancer Survivors

Enrolled (actual)
82
Serious AEs
0.0%
Results posted
Feb 2025
Primary outcome: Primary: Acceptability of the Health Insurance Navigation Program — 8.9 units on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Health Insurance Navigation Program (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Massachusetts General Hospital
Primary completion
Dec 2022

Outcome Measures

OutcomeResultp-value
PRIMARY
Acceptability of the Health Insurance Navigation Program
8.9
PRIMARY
Percentage of Participants Completing All 4 Intervention Sessions
33
SECONDARY
Change From Baseline Familiarity With ACA Provisions to 5-month Follow-up
1.7; 0.5
SECONDARY
Change From Baseline Health Insurance Literacy to 5-month Follow-up
9.1; 1.8

Summary

Dr. Park and her colleagues published findings in the Journal of Clinical Oncology demonstrating that CCSS survivors, compared to siblings, were significantly more likely to be uninsured and to have difficulties obtaining health insurance. Given the current insurance landscape and the additional insurance burden that childhood cancer survivors face, the present study seeks to develop and pilot a health insurance navigation program targeted at feasibility and acceptability with survivors, and improving health insurance literacy and ameliorating financial distress related to medical costs. The proposed health insurance navigation will involve 4 navigator-led health insurance navigation sessions. The study investigators propose that, compared to the control arm (who will receive a health insurance information guide, but will not receive the navigation intervention), participants in the intervention arm will have improved health insurance literacy and decreased financial distress related to medical costs.

Eligibility Criteria

Inclusion Criteria

  • over 18 years of age
  • access to a smartphone, computer, or tablet with internet access
  • currently has health insurance

Exclusion Criteria

  • under 18 years of age
  • unable to give consent due to psychiatric or cognitive impairment
  • lack of access to a smartphone, computer, or tablet with internet access
  • does not currently have health insurance
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04520061). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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