Advertisement

Topics

Supporting Decisions About Health Insurance to Improve Care for the Uninsured

2015-08-14 19:23:22 | BioPortfolio

Summary

The overall purpose of the study is to better understand how the investigators previously developed decision support (DS) tool can help people make decisions about health insurance plans available through the federal exchanges created by the Affordable Care Act (ACA). The investigators will evaluate the DS tool compared to the federal government website. The investigators will also evaluate the feasibility of disseminating this tool. There are two primary aims to be completed in this project: (1) examine the reach and effectiveness of the health insurance DS tool; and (2) collect stakeholders' feedback to improve the likelihood of implementation of the DS tool.

Description

First, for Aim 1 part 1, the investigators will recruit 40 key stakeholders (uninsured participants, health providers, community advisors, and health policy experts) to refine the DS tool through a series of individual semi-structured interviews. Next, the investigators will use their feedback to program the DS strategies into an online DS tool. After its initial production, the tool will be pilot tested with 30 individuals to assess readability, message clarity, format, and function of the tool as well as to test the randomized trial study procedures. Then, for Aim 1 part 2, the investigators will test the DS tool in a randomized trial with 362 participants eligible for the Affordable Care Act (ACA) exchanges. Half will use the DS tool and the other half will use the federal government site to learn about the exchanges. The investigators will use computerized random assignment to assign participants to study condition, after which they will all complete the same short survey. For Aim 2, the investigators will collect 40 stakeholders' feedback on likelihood of adoption and implementation of the DS tool to plan for dissemination and implementation. Stakeholders will be asked both open-ended and closed-ended questions in order to gather feedback about delivering the DS tool. These stakeholders will be different from those who were interviewed in Aim 1 as to ensure broader applicability of the DS tool.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention

Conditions

Health Literacy

Intervention

Decision Aid (DA)

Location

The Washington University in St. Louis School of Medicine
St. Louis
Missouri
United States
63110

Status

Not yet recruiting

Source

Washington University School of Medicine

Results (where available)

View Results

Links

Published on BioPortfolio: 2015-08-14T19:23:22-0400

Clinical Trials [618 Associated Clinical Trials listed on BioPortfolio]

Oral Health Literacy Tailored Communication

The purpose of this study to investigate attitude, oral health literacy and psychological factors in order to evaluate if these factors are important for oral health in adults. The hypoth...

Reducing Assessment Barriers for Patients With Low Literacy

The purpose of this study is to determine the effects of health literacy on questionnaire-based measurement.

Health Literacy in the General Population in Belgium

The aims of the study are: - To measure health literacy (HL) levels in a sample composed of members of a health mutual (Solidaris), and its potential associations with several det...

Health Literacy in People With Chronic Obstructive Pulmonary Disease

Health literacy refers to personal and relational factors affecting a person's ability to acquire, understand and use information about health and health services. In a need assessment stu...

Randomised Controlled Trial of a Literacy Sensitive Decision Aid for Bowel Cancer Screening

The purpose of this study is to evaluate a decision aid (written information booklet designed to facilitate informed decision making) to help people aged 55-64 years, with low levels of ed...

PubMed Articles [15349 Associated PubMed Articles listed on BioPortfolio]

Correlates of healthcare and financial decision making among older adults without dementia.

Healthcare and financial decision making among older persons has been previously associated with cognition, health and financial literacy, and risk aversion; however, the manner by which these resourc...

A Preliminary Study of Health Literacy in an Ethnically Diverse University Sample.

There is a considerable body of research on health literacy in adult healthcare settings, mostly among at-risk clinical populations. However, much less is known about health literacy among youth trans...

An Assessment of Organizational Health Literacy Practices at an Academic Health Center.

Organizational health literacy is the degree to which an organization considers and promotes the health literacy of patients. Addressing health literacy at an organizational level has the potential to...

Improving health literacy in a Japanese community population-A pilot study to develop an educational programme.

Although a growing number of interventional studies on health literacy have been conducted recently, the majority were designed in clinical settings, focusing mainly on functional health literacy. Thi...

Health literacy and use of preventive health services among North Korean defectors in the Republic of Korea.

It is known that some groups of immigrants can have low health literacy and it may affect their health. Although the number of North Korean defectors in the Republic of Korea has increased, little is ...

Medical and Biotech [MESH] Definitions

Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.

Use of an interactive computer system designed to assist the physician or other health professional in choosing between certain relationships or variables for the purpose of making a diagnostic or therapeutic decision.

A graphic device used in decision analysis, series of decision options are represented as branches (hierarchical).

Mathematical or statistical procedures used as aids in making a decision. They are frequently used in medical decision-making.

Mental fatigue experienced by health care providers who encounter numerous alerts and reminders from the use of CLINICAL DECISION SUPPORT SYSTEMS. As the numbers of alerts and reminders designed to provide meaningful assistance to the patient care process increases, many health personnel may ignore them.

More From BioPortfolio on "Supporting Decisions About Health Insurance to Improve Care for the Uninsured"

Advertisement
Quick Search
Advertisement
Advertisement

 

Searches Linking to this Trial