Trial Outcomes & Findings for Virtual Health Insurance Navigation Pilot Program for Colorectal Survivors (NCT NCT05002608)

NCT ID: NCT05002608

Last Updated: 2025-03-21

Results Overview

10-point (1-10; 1= least helpful and 10= most helpful) scale rating of program quality, including the following (higher scores indicate higher levels of acceptability)-

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

36 participants

Primary outcome timeframe

5 month follow-up

Results posted on

2025-03-21

Participant Flow

Participant milestones

Participant milestones
Measure
Navigation Intervention
The intervention will be delivered via synchronous videoconferencing (real-time delivery and communication between the navigator and the participant) by a trained patient navigator and will consist of 5, 30-minute sessions delivered every week. The navigation intervention group will also receive an online or mailed copy of the health insurance resource guide. Health Insurance Navigation Tools Program: The program will be delivered via videoconferencing by a navigator over a 3-month period and will consist of 5 sessions. The navigation intervention sessions will be as follows: Session 1- Insurance Plan Basics; Session 2- Your Plan in Relation to Legal Policy; Session 3- Navigating Your Own Plan and Overcoming Obstacles; Session 4- Managing Care Costs; Session 5- Understanding Your Medical Bills.
Enhanced Usual Care
Enhanced usual care will consist of an online or mailed health insurance resource guide.
Overall Study
STARTED
17
19
Overall Study
COMPLETED
15
18
Overall Study
NOT COMPLETED
2
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Virtual Health Insurance Navigation Pilot Program for Colorectal Survivors

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Navigation Intervention
n=17 Participants
The intervention will be delivered via synchronous videoconferencing (real-time delivery and communication between the navigator and the participant) by a trained patient navigator and will consist of 5, 30-minute sessions delivered every week. The navigation intervention group will also receive an online or mailed copy of the health insurance resource guide. Health Insurance Navigation Tools Program: The program will be delivered via videoconferencing by a navigator over a 3-month period and will consist of 5 sessions. The navigation intervention sessions will be as follows: Session 1- Insurance Plan Basics; Session 2- Your Plan in Relation to Legal Policy; Session 3- Navigating Your Own Plan and Overcoming Obstacles; Session 4- Managing Care Costs; Session 5- Understanding Your Medical Bills.
Enhanced Usual Care
n=19 Participants
Enhanced usual care will consist of an online or mailed health insurance resource guide.
Total
n=36 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=5 Participants
19 Participants
n=7 Participants
36 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Continuous
51.7 years
STANDARD_DEVIATION 9.5 • n=5 Participants
52.6 years
STANDARD_DEVIATION 7.5 • n=7 Participants
52.14 years
STANDARD_DEVIATION 8.4 • n=5 Participants
Sex: Female, Male
Female
8 Participants
n=5 Participants
11 Participants
n=7 Participants
19 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
8 Participants
n=7 Participants
17 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Asian/Pacific Islander
2 Participants
n=5 Participants
1 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Black
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Hispanic
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
Race/Ethnicity · Non-Hispanic White
14 Participants
n=5 Participants
18 Participants
n=7 Participants
32 Participants
n=5 Participants
Region of Enrollment
United States
17 Participants
n=5 Participants
19 Participants
n=7 Participants
36 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 5 month follow-up

Population: The EUC did not participate in the health insurance navigation so data for this measure was not collected from the EUC arm.

10-point (1-10; 1= least helpful and 10= most helpful) scale rating of program quality, including the following (higher scores indicate higher levels of acceptability)-

Outcome measures

Outcome measures
Measure
Navigation Intervention
n=15 Participants
The intervention will be delivered via synchronous videoconferencing (real-time delivery and communication between the navigator and the participant) by a trained patient navigator and will consist of 5, 30-minute sessions delivered every week. The navigation intervention group will also receive an online or mailed copy of the health insurance resource guide. Health Insurance Navigation Tools Program: The program will be delivered via videoconferencing by a navigator over a 3-month period and will consist of 5 sessions. The navigation intervention sessions will be as follows: Session 1- Insurance Plan Basics; Session 2- Your Plan in Relation to Legal Policy; Session 3- Navigating Your Own Plan and Overcoming Obstacles; Session 4- Managing Care Costs; Session 5- Understanding Your Medical Bills.
Enhanced Usual Care
Enhanced usual care will consist of an online or mailed health insurance resource guide.
Acceptability of the Health Insurance Navigation Program
8.8 units on a scale
Standard Deviation 1.9

PRIMARY outcome

Timeframe: baseline and 5 month follow-up

16 items with a 4-category Likert scale ranging from 16-64 (higher scores denoting lower literacy) of confidence on understanding of health insurance terms (higher scores indicate higher levels of health insurance literacy). We report mean health insurance literacy change from baseline to follow-up. Scale adapted from the Urban Institute Health Reform Monitoring Survey- * premium * deductible * co-payments * co-insurance

Outcome measures

Outcome measures
Measure
Navigation Intervention
n=17 Participants
The intervention will be delivered via synchronous videoconferencing (real-time delivery and communication between the navigator and the participant) by a trained patient navigator and will consist of 5, 30-minute sessions delivered every week. The navigation intervention group will also receive an online or mailed copy of the health insurance resource guide. Health Insurance Navigation Tools Program: The program will be delivered via videoconferencing by a navigator over a 3-month period and will consist of 5 sessions. The navigation intervention sessions will be as follows: Session 1- Insurance Plan Basics; Session 2- Your Plan in Relation to Legal Policy; Session 3- Navigating Your Own Plan and Overcoming Obstacles; Session 4- Managing Care Costs; Session 5- Understanding Your Medical Bills.
Enhanced Usual Care
n=19 Participants
Enhanced usual care will consist of an online or mailed health insurance resource guide.
Change From Baseline Health Insurance Literacy to 5-month Follow-up
5.6 score on a scale
Standard Deviation 7.5
1.1 score on a scale
Standard Deviation 9.2

PRIMARY outcome

Timeframe: 5-month follow-up

Population: The EUC did not complete sessions so data for this measure was not collected from the EUC arm.

Program feasibility is measured by the percentage of navigator participants completing all 5 intervention sessions.

Outcome measures

Outcome measures
Measure
Navigation Intervention
n=17 Participants
The intervention will be delivered via synchronous videoconferencing (real-time delivery and communication between the navigator and the participant) by a trained patient navigator and will consist of 5, 30-minute sessions delivered every week. The navigation intervention group will also receive an online or mailed copy of the health insurance resource guide. Health Insurance Navigation Tools Program: The program will be delivered via videoconferencing by a navigator over a 3-month period and will consist of 5 sessions. The navigation intervention sessions will be as follows: Session 1- Insurance Plan Basics; Session 2- Your Plan in Relation to Legal Policy; Session 3- Navigating Your Own Plan and Overcoming Obstacles; Session 4- Managing Care Costs; Session 5- Understanding Your Medical Bills.
Enhanced Usual Care
Enhanced usual care will consist of an online or mailed health insurance resource guide.
Program Feasibility
15 Participants

Adverse Events

Navigation Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Enhanced Usual Care

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

Elyse R. Park

Massachusetts General Hospital

Phone: 6177246836

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place