Trial Outcomes & Findings for Effective Communication to Improve Decision Making About Health Care Plans (NCT NCT01986790)
NCT ID: NCT01986790
Last Updated: 2016-06-09
Results Overview
Knowledge measures the degree at which participants understand the details about health insurance plans. Knowledge was scored on a scale from 0 to 7 based on number of correct answers to the 7 items. A higher value is considered to be a better outcome. Bivariate outcome data can be found below.
Recruitment status
COMPLETED
Study phase
NA
Target enrollment
343 participants
Primary outcome timeframe
1 day (Immediately following showing the participant the assigned intervention (plain language table, plain language table + visuals, or plain language table + narratives)
Results posted on
2016-06-09
Participant Flow
Participant milestones
| Measure |
Plain Language
This intervention group will receive a plain-language table describing the features and costs of health insurance plans, with definitions of health insurance terms incorporated into the table.
Plain Language
|
Plain Language + Visuals
This intervention group will receive the plain-language table plus visuals that focus on specific features of the plans. Participants will be able to view the information about each health insurance feature one feature at a time, in the order they prefer.
Plain Language + Visuals
|
Plain Language + Narratives
This intervention group will receive the plain language table plus narratives about how others might use and rate the insurance plans.
Plain Language + Narratives
|
|---|---|---|---|
|
Overall Study
STARTED
|
91
|
154
|
98
|
|
Overall Study
COMPLETED
|
91
|
154
|
98
|
|
Overall Study
NOT COMPLETED
|
0
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Effective Communication to Improve Decision Making About Health Care Plans
Baseline characteristics by cohort
| Measure |
Plain Language
n=91 Participants
This intervention group will receive a plain-language table describing the features and costs of health insurance plans, with definitions of health insurance terms incorporated into the table.
Plain Language
|
Plain Language + Visuals
n=154 Participants
This intervention group will receive the plain-language table plus visuals that focus on specific features of the plans. Participants will be able to view the information about each health insurance feature one feature at a time, in the order they prefer.
Plain Language + Visuals
|
Plain Language + Narratives
n=98 Participants
This intervention group will receive the plain language table plus narratives about how others might use and rate the insurance plans.
Plain Language + Narratives
|
Total
n=343 Participants
Total of all reporting groups
|
|---|---|---|---|---|
|
Age, Continuous
|
38.9 Years
STANDARD_DEVIATION 12.0 • n=5 Participants
|
38.7 Years
STANDARD_DEVIATION 11.7 • n=7 Participants
|
37.8 Years
STANDARD_DEVIATION 12.1 • n=5 Participants
|
38.5 Years
STANDARD_DEVIATION 11.8 • n=4 Participants
|
|
Sex: Female, Male
Female
|
61 Participants
n=5 Participants
|
79 Participants
n=7 Participants
|
63 Participants
n=5 Participants
|
203 Participants
n=4 Participants
|
|
Sex: Female, Male
Male
|
30 Participants
n=5 Participants
|
75 Participants
n=7 Participants
|
35 Participants
n=5 Participants
|
140 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
2 Participants
n=5 Participants
|
4 Participants
n=7 Participants
|
1 Participants
n=5 Participants
|
7 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
80 Participants
n=5 Participants
|
136 Participants
n=7 Participants
|
88 Participants
n=5 Participants
|
304 Participants
n=4 Participants
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
9 Participants
n=5 Participants
|
14 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
32 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
African American
|
48 Participants
n=5 Participants
|
87 Participants
n=7 Participants
|
59 Participants
n=5 Participants
|
194 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
White
|
31 Participants
n=5 Participants
|
42 Participants
n=7 Participants
|
24 Participants
n=5 Participants
|
97 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Other
|
5 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
6 Participants
n=5 Participants
|
22 Participants
n=4 Participants
|
|
Race/Ethnicity, Customized
Not Reported
|
7 Participants
n=5 Participants
|
14 Participants
n=7 Participants
|
9 Participants
n=5 Participants
|
30 Participants
n=4 Participants
|
|
Region of Enrollment
United States
|
91 Participants
n=5 Participants
|
154 Participants
n=7 Participants
|
98 Participants
n=5 Participants
|
343 Participants
n=4 Participants
|
|
Rapid Estimate of Adult Literacy in Medicine-SF (REALM-SF)
Inadequate
|
6 Participants
n=5 Participants
|
11 Participants
n=7 Participants
|
8 Participants
n=5 Participants
|
25 Participants
n=4 Participants
|
|
Rapid Estimate of Adult Literacy in Medicine-SF (REALM-SF)
Marginal
|
31 Participants
n=5 Participants
|
56 Participants
n=7 Participants
|
42 Participants
n=5 Participants
|
129 Participants
n=4 Participants
|
|
Rapid Estimate of Adult Literacy in Medicine-SF (REALM-SF)
Adequate
|
52 Participants
n=5 Participants
|
85 Participants
n=7 Participants
|
44 Participants
n=5 Participants
|
181 Participants
n=4 Participants
|
|
Rapid Estimate of Adult Literacy in Medicine-SF (REALM-SF)
Not Reported
|
2 Participants
n=5 Participants
|
2 Participants
n=7 Participants
|
4 Participants
n=5 Participants
|
8 Participants
n=4 Participants
|
|
Subjective Numeracy Scale (SNS)
|
4.1 Units on a scale
STANDARD_DEVIATION 1.1 • n=5 Participants
|
4.2 Units on a scale
STANDARD_DEVIATION 1.0 • n=7 Participants
|
3.7 Units on a scale
STANDARD_DEVIATION 1.2 • n=5 Participants
|
4.0 Units on a scale
STANDARD_DEVIATION 1.1 • n=4 Participants
|
PRIMARY outcome
Timeframe: 1 day (Immediately following showing the participant the assigned intervention (plain language table, plain language table + visuals, or plain language table + narratives)Population: Analysis is represented as mean (standard deviation) of calculated knowledge.
Knowledge measures the degree at which participants understand the details about health insurance plans. Knowledge was scored on a scale from 0 to 7 based on number of correct answers to the 7 items. A higher value is considered to be a better outcome. Bivariate outcome data can be found below.
Outcome measures
| Measure |
Plain Language
n=91 Participants
This intervention group will receive a plain-language table describing the features and costs of health insurance plans, with definitions of health insurance terms incorporated into the table.
Plain Language
|
Plain Language + Visuals
n=154 Participants
This intervention group will receive the plain-language table plus visuals that focus on specific features of the plans. Participants will be able to view the information about each health insurance feature one feature at a time, in the order they prefer.
Plain Language + Visuals
|
Plain Language + Narratives
n=98 Participants
This intervention group will receive the plain language table plus narratives about how others might use and rate the insurance plans.
Plain Language + Narratives
|
|---|---|---|---|
|
Knowledge
|
6.0 Units on a scale
Standard Deviation 1.2
|
5.7 Units on a scale
Standard Deviation 1.3
|
5.5 Units on a scale
Standard Deviation 1.5
|
PRIMARY outcome
Timeframe: 1 day (Immediately following showing the participant the assigned intervention (plain language table, plain language table + visuals, or plain language table + narratives)Population: Analysis is represented as mean (standard deviation) of calculated uncertainty.
A survey will be administered in order to measure participants' confidence in the features of health insurance plans that matter most to them and the insurance plan they chose of the ones presented. Confidence in choice is scored on a scale from 0 to 100, with higher scores indicating more decisional conflict/more uncertainty/less confidence in choice. Bivariate outcome data can be found below.
Outcome measures
| Measure |
Plain Language
n=91 Participants
This intervention group will receive a plain-language table describing the features and costs of health insurance plans, with definitions of health insurance terms incorporated into the table.
Plain Language
|
Plain Language + Visuals
n=154 Participants
This intervention group will receive the plain-language table plus visuals that focus on specific features of the plans. Participants will be able to view the information about each health insurance feature one feature at a time, in the order they prefer.
Plain Language + Visuals
|
Plain Language + Narratives
n=98 Participants
This intervention group will receive the plain language table plus narratives about how others might use and rate the insurance plans.
Plain Language + Narratives
|
|---|---|---|---|
|
Uncertainty
|
9.6 Units on a scale
Standard Deviation 21.6
|
10.6 Units on a scale
Standard Deviation 23.3
|
7.2 Units on a scale
Standard Deviation 18.8
|
PRIMARY outcome
Timeframe: 1 day (Immediately following showing the participant the assigned intervention (plain language table, plain language table + visuals, or plain language table + narratives)Population: Analysis is represented as mean (standard deviation) of calculated satisfaction.
A survey will be administered in order to measure the extent to which participants are satisfied with the information presented to them. Satisfaction was scored on a scale from 1 to 4, with higher scores indicating higher levels of satisfaction. Bivariate outcome data can be found below.
Outcome measures
| Measure |
Plain Language
n=91 Participants
This intervention group will receive a plain-language table describing the features and costs of health insurance plans, with definitions of health insurance terms incorporated into the table.
Plain Language
|
Plain Language + Visuals
n=154 Participants
This intervention group will receive the plain-language table plus visuals that focus on specific features of the plans. Participants will be able to view the information about each health insurance feature one feature at a time, in the order they prefer.
Plain Language + Visuals
|
Plain Language + Narratives
n=98 Participants
This intervention group will receive the plain language table plus narratives about how others might use and rate the insurance plans.
Plain Language + Narratives
|
|---|---|---|---|
|
Satisfaction
|
2.7 Units on a scale
Standard Deviation 0.5
|
2.6 Units on a scale
Standard Deviation 0.5
|
2.7 Units on a scale
Standard Deviation 0.4
|
Adverse Events
Plain Language
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Plain Language + Visuals
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Plain Language + Narratives
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Mary C. Politi, PhD
Washington University's School of Medicine
Phone: 314-747-1968
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place