Try the modernized ClinicalTrials.gov beta website. Learn more about the modernization effort.
Working…
ClinicalTrials.gov
ClinicalTrials.gov Menu

Improving Health Insurance Literacy Among Utah's Hispanic Population

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04823975
Recruitment Status : Recruiting
First Posted : April 1, 2021
Last Update Posted : March 3, 2022
Sponsor:
Collaborators:
Utah Health Policy Project
National Institutes of Health (NIH)
Information provided by (Responsible Party):
Anne Kirchhoff, University of Utah

Study Description
Go to 
Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information
Brief Summary:
This is a test of an existing health insurance education program (HIEP) in the Utah Hispanic community (aged 18-64). The study will evaluate whether the HIEP delivered by Utah Health Policy Project (UHPP) staff improves participants' health insurance and cost-related literacy. Participants will complete a brief baseline survey, be guided through the HIEP by UHPP staff, and complete a brief survey/interview after completing the sessions.

Condition or disease Intervention/treatment Phase
Health Knowledge, Attitudes, Practice Behavioral: Health Insurance Education Program (HIEP) Not Applicable

Detailed Description:

The goal of this research is to refine and pilot test an existing health insurance education program (HIEP) to improve health insurance and cost-related literacy among the Hispanic community in Utah. This study will be conducted in conjunction with the Utah Health Policy Project, which has long been active in the Hispanic community and has been instrumental in reducing the number of uninsured adults and children in Utah. Initially, community and key-informant feedback on how to best adapt this intervention to the Hispanic community, including what topics are most important, and how the intervention should be delivered, will be obtained. After the HIEP is adapted accordingly, it will be investigated to see if it improves participants' health insurance and cost-related literacy.

Upon enrollment, participants will fill out a survey containing questions about their current health insurance, employment, demographics, acculturation, preferred language and health insurance knowledge. Participants will then receive 4 educational sessions surrounding health insurance use and laws (four sessions total occurring approximately every two weeks). These educational sessions will be conducted, in person, over video conference calls, or over the telephone, and will cover:

  • Overview of health insurance options and understanding of insurance and costs
  • Learning about types of insurance coverage and how to select/access coverage
  • Navigating one's coverage plan
  • Managing care costs

These sessions will be 30 minutes, with one session done each week over a four week period.

After completing the HIEP participants will be given a second survey including similar questions to those in the first survey. After the post survey is complete, participants will also be given brief open-ended interview questions to obtain feedback on the acceptability of the content and potential implementation issue areas, as well as any discordance in cultural values, beliefs, or feelings about health insurance.

Study Design
Go to 
Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 15 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Official Title: Improving Health Insurance Literacy Among Utah's Hispanic Population
Actual Study Start Date : September 1, 2021
Estimated Primary Completion Date : September 30, 2022
Estimated Study Completion Date : December 31, 2022

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Health Insurance

Arms and Interventions
Go to 
Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm Intervention/treatment
Experimental: HIEP intervention
Participants will be given the health insurance intervention from Utah Health Policy Project staff, which includes four, 30 minute long, educational learning sessions.
 Behavioral: Health Insurance Education Program (HIEP)
[See arm/group description]


Outcome Measures
Go to 
Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Primary Outcome Measures :
  1. Number of enrolled individuals [ Time Frame: Post-Assessment survey (Weeks 19 (+/- 2 weeks)) ]
    A count of the individuals who enrolled

  2. Number of completed sessions per enrolled individual [ Time Frame: Post-Assessment survey (Weeks 19 (+/- 2 weeks)) ]
    The average number of completed sessions per individual enrolled


Secondary Outcome Measures :
  1. Changes in the Health Insurance Literacy Measure based on age group [ Time Frame: Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks)) ]
    Differences between Health Insurance Literacy Measure (HILM) reported at the baseline and post-assessment survey. Differences will be examined by age. Lower scores indicate lower health insurance literacy. We will report mean and standard deviation at both time points.

  2. Changes in the Health Insurance Literacy Measure based on language spoken [ Time Frame: Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks)) ]
    Differences between Health Insurance Literacy Measure (HILM) reported at the baseline and post-assessment survey. Differences will be examined by language spoken. Lower scores indicate lower health insurance literacy. We will report mean and standard deviation at both time points.


Eligibility Criteria
Go to 
Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years to 64 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Self-identify as Hispanic
  • Resident of Utah

Exclusion Criteria:

  • Younger than 18 years of age
  • Not Hispanic or Latino/Latina in origin
Contacts and Locations
Go to 
Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04823975


Contacts
Layout table for location contacts
Contact: Austin R Waters, MSPH 801-213-5758 austin.waters@hci.utah.edu
Contact: Perla Vaca Lopez 801-213-6165 perla.vacalopez@hci.utah.edu

Locations
Layout table for location information
United States, Utah
Utah Health Policy Project Recruiting
West Valley City, Utah, United States, 84119
Contact: Luis Rios       luis@healthpolicyproject.org   
Contact: Maria Guadarrama       maria@healthpolicyproject.org   
Sponsors and Collaborators
University of Utah
Utah Health Policy Project
National Institutes of Health (NIH)
Investigators
Layout table for investigator information
Principal Investigator: Anne C Kirchhoff, PhD University of Utah Department of Pediatrics
  Study Documents (Full-Text)

Documents provided by Anne Kirchhoff, University of Utah:
Informed Consent Form  [PDF] March 10, 2021

More Information
Go to 
Top of Page Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information
Layout table for additonal information
Responsible Party: Anne Kirchhoff, Associate Professor, University of Utah
ClinicalTrials.gov Identifier: NCT04823975    
Other Study ID Numbers: IRB_00138483
UL1TR002538 ( U.S. NIH Grant/Contract )
First Posted: April 1, 2021    Key Record Dates
Last Update Posted: March 3, 2022
Last Verified: March 2022
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Layout table for additional information
Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Anne Kirchhoff, University of Utah:
Health Insurance
Literacy