Health Knowledge, Attitudes, Practice
Conditions
Keywords
Health Insurance, Literacy
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 after completing the sessions.
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 an educational session surrounding health insurance use and laws. This 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 This sessions will be 60 minutes. After completing the HIEP participants will be given a second survey including similar questions to those in the first survey. This survey will include 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.
Interventions
\[See arm/group description\]
Sponsors
National Center for Advancing Translational Sciences (NCATS)
National Institutes of Health (NIH)
University of Utah
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* Self-identify as Hispanic * Resident of Utah * Primary Policy Holder * Recently enrolled in health insurance within the past year
Exclusion criteria
* Younger than 18 years of age * Not Hispanic or Latino/Latina in origin * Non-Utah resident * Non Policy holder * Not recently enrolled in health insurance
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Enrolled Individuals | Post-Assessment survey (Weeks 19 (+/- 2 weeks)) | A count of the individuals who enrolled in the study. |
| Number of Completed Sessions Per Enrolled Individual | Post-Assessment survey (Weeks 19 (+/- 2 weeks)) | The average number of completed sessions per individual enrolled in the study. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in the Health Insurance Literacy Measure Based on Age Group | 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, higher scores are better. Scores could range from 6 to 24. We report on a limited number of item from the Health Insurance Literacy Measure. We will report mean and standard deviation at both time points. |
| Changes in the Health Insurance Literacy Measure Based on Language Spoken | 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, higher scores are better. Scores could range from 6 to 24. We report on a limited number of item from the Health Insurance Literacy Measure. We will report mean and standard deviation at both time points. |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| HIEP Intervention Participants will be given the health insurance intervention from Utah Health Policy Project staff, which includes a, 60 minute long, educational learning session.
Health Insurance Education Program (HIEP): \[See arm/group description\] | 12 |
| Total | 12 |
Baseline characteristics
| Characteristic | HIEP Intervention |
|---|---|
| Age, Categorical <=18 years | 0 Participants |
| Age, Categorical >=65 years | 0 Participants |
| Age, Categorical Between 18 and 65 years | 10 Participants |
| Age, Continuous | 35.4 years STANDARD_DEVIATION 14.5 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 12 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 0 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants |
| Health Insurance Literacy Measure (Limited number of items) | 14.67 units on a scale STANDARD_DEVIATION 5.65 |
| Region of Enrollment United States | 12 participants |
| Sex: Female, Male Female | 8 Participants |
| Sex: Female, Male Male | 4 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 0 / 0 |
| other Total, other adverse events | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 |
Outcome results
Primary
Number of Completed Sessions Per Enrolled Individual
The average number of completed sessions per individual enrolled in the study.
Time frame: Post-Assessment survey (Weeks 19 (+/- 2 weeks))
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| HIEP Intervention | Number of Completed Sessions Per Enrolled Individual | 0.83 Education sessions completed | Standard Deviation 0.39 |
Primary
Number of Enrolled Individuals
A count of the individuals who enrolled in the study.
Time frame: Post-Assessment survey (Weeks 19 (+/- 2 weeks))
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| HIEP Intervention | Number of Enrolled Individuals | 9 participants |
Secondary
Changes in the Health Insurance Literacy Measure Based on Age Group
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, higher scores are better. Scores could range from 6 to 24. We report on a limited number of item from the Health Insurance Literacy Measure. We will report mean and standard deviation at both time points.
Time frame: Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks))
Population: Analysis was run on individuals who completed both the baseline and the followup survey and who reported their age.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| HIEP Intervention | Changes in the Health Insurance Literacy Measure Based on Age Group | Age 18-25 | 10.5 Change in score on a scale | Standard Deviation 6.36 |
| HIEP Intervention | Changes in the Health Insurance Literacy Measure Based on Age Group | Age 26-64 | 4.33 Change in score on a scale | Standard Deviation 3.5 |
Secondary
Changes in the Health Insurance Literacy Measure Based on Language Spoken
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, higher scores are better. Scores could range from 6 to 24. We report on a limited number of item from the Health Insurance Literacy Measure. We will report mean and standard deviation at both time points.
Time frame: Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks))
Population: Analysis was completed for individuals who completed both the baseline and the followup survey.
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| HIEP Intervention | Changes in the Health Insurance Literacy Measure Based on Language Spoken | English Speaking Preferred | 9.00 Change in score on a scale | Standard Deviation 4.06 |
| HIEP Intervention | Changes in the Health Insurance Literacy Measure Based on Language Spoken | Spanish Speaking Preferred | 3.25 Change in score on a scale | Standard Deviation 3.77 |