HIAYA CHAT study protocol: a randomized controlled trial of a health insurance education intervention for newly diagnosed adolescent and young adult cancer patients
Karely Mann,
Austin R. Waters,
Elyse R. Park,
Giselle K. Perez,
Perla L. Vaca Lopez,
Heydon K. Kaddas,
Echo L. Warner,
Nicole Ray,
Tomoko Tsukamoto,
Karlie Allen,
Ben Haaland,
Douglas B. Fair,
Mark A. Lewis,
Anne C. Kirchhoff
Affiliations
Karely Mann
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Austin R. Waters
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Elyse R. Park
Health Promotion & Resiliency Intervention Research Program, Mongan Institute
Giselle K. Perez
Health Promotion & Resiliency Intervention Research Program, Mongan Institute
Perla L. Vaca Lopez
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Heydon K. Kaddas
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Echo L. Warner
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Nicole Ray
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Tomoko Tsukamoto
Adolescent and Young Adult Cancer Care Program, Intermountain Healthcare
Karlie Allen
AYA Patient Navigation Program, Huntsman Cancer Hospital
Ben Haaland
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Douglas B. Fair
Huntsman Cancer Institute, University of Utah
Mark A. Lewis
Adolescent and Young Adult Cancer Care Program, Intermountain Healthcare
Anne C. Kirchhoff
Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah
Abstract Background For adolescent and young adult (AYA) cancer patients aged 18 to 39 years, health insurance literacy is crucial for an effective use of the health care system. AYAs often face high out-of-pocket costs or have unmet health care needs due to costs. Improving health insurance literacy could help AYAs obtain appropriate and affordable health care. This protocol illustrates a randomized controlled trial testing a virtual health insurance education intervention among AYA patients. Methods This is a two-arm multisite randomized controlled trial. A total of 80 AYAs diagnosed with cancer in the Mountain West region will be allocated to either usual navigation care or tailored health insurance education intervention with a patient navigator that includes usual care. All participants will complete a baseline and follow-up survey 5 months apart. The primary outcomes are feasibility (number enrolled and number of sessions completed) and acceptability (5-point scale on survey measuring satisfaction of the intervention). The secondary outcomes are preliminary efficacy measured by the Health Insurance Literacy Measure and the COmprehensive Score for financial Toxicity. Discussion This trial makes a timely contribution to test the feasibility and acceptability of a virtual AYA-centered health insurance education program. Trial registration ClinicalTrials.gov NCT04448678. Registered on June 26, 2020