520 Participants Needed

Virtual Health Insurance Navigation for Childhood Cancer Survivors

(HINTII Trial)

AK
ER
Overseen ByElyse R Park, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Massachusetts General Hospital
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of the treatment Health Insurance Navigation Tools Program for childhood cancer survivors?

Research suggests that web-based platforms can improve access to health information and awareness of health risks for childhood cancer survivors, which may support the effectiveness of virtual health insurance navigation tools in enhancing care and coverage.12345

How is the Virtual Health Insurance Navigation Tools Program different from other treatments for childhood cancer survivors?

The Virtual Health Insurance Navigation Tools Program is unique because it focuses on helping childhood cancer survivors navigate health insurance options, rather than providing direct medical treatment. This program is designed to address the specific challenges survivors face in accessing and managing their health insurance, which is not typically covered by standard medical treatments.678910

What is the purpose of this trial?

The investigators are conducting a Type I hybrid effectiveness-implementation trial to assess the effectiveness of HINT-S (synchronous) compared to enhanced usual care (EUC) in promoting health insurance literacy, thus reducing worry, unmet health care needs, and financial consequences due to medical costs to improve care and long-term outcomes of childhood cancer survivors. The investigators will also compare HINT-S to HINT-A (asynchronous), a prerecorded, asynchronous version of the 5 HINT-S navigator sessions.

Research Team

ER

Elyse R Park, Ph.D., MPH

Principal Investigator

MGH

Eligibility Criteria

This trial is for adults over 18 who survived childhood cancer. They must be able to consent, have US health insurance, internet access via a smart device, and be part of the LTFU cohort with access to the CCSS patient portal. Those from the pilot trial can't join.

Inclusion Criteria

Patients are able to give informed consent
Patients have US-based health insurance
Patients are current LTFU cohort participants
See 2 more

Exclusion Criteria

Participants from the pilot trial will not be eligible

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention

Participants receive either the HINT-S synchronous or HINT-A asynchronous navigation intervention, or enhanced usual care

5 sessions
5 virtual sessions

Follow-up

Participants are monitored for changes in health insurance literacy, financial hardship, healthcare utilization, and out-of-pocket costs

12 months
Surveys at baseline, 6 months, and 12 months

Treatment Details

Interventions

  • Health Insurance Navigation Tools Program
Trial Overview The study tests two programs: HINT-S (live sessions) and HINT-A (prerecorded), against enhanced usual care. It aims to see if these programs improve health insurance literacy, reduce worry about costs, meet healthcare needs better, and improve long-term outcomes.
Participant Groups
3Treatment groups
Experimental Treatment
Active Control
Group I: HINT Synchronous Intervention Group (HINT-S)Experimental Treatment1 Intervention
a virtual, synchronous version of the 5 HINT-S navigator sessions + HINT booklet
Group II: HINT Asynchronous Intervention Group (HINT-A)Experimental Treatment1 Intervention
a prerecorded, asynchronous version of the 5 HINT-S navigator sessions + HINT booklet
Group III: Enhanced Usual CareActive Control1 Intervention
HINT Booklet

Find a Clinic Near You

Who Is Running the Clinical Trial?

Massachusetts General Hospital

Lead Sponsor

Trials
3,066
Recruited
13,430,000+

Findings from Research

Childhood cancer survivors often do not fully understand their health risks related to cancer treatment, with a survey of 528 participants showing many are unaware of late effects and less fearful of recurrence compared to their parents.
Web-based platforms like Passport for Care can significantly improve access to health information and awareness about late effects of cancer treatment, potentially enhancing adherence to follow-up care and facilitating further research on survivor health.
Improving Childhood Cancer Survivor Care Through Web-Based Platforms.Gramatges, MM., Bonaduce de Nigris, F., King, J., et al.[2018]
Among 12,358 adult survivors of childhood cancer, only 83.9% had health insurance coverage compared to 88.3% of their sibling controls, indicating a significant disparity in coverage rates.
29% of childhood cancer survivors reported difficulties obtaining health insurance, highlighting the challenges faced by this population compared to only 3% of siblings, which raises concerns about their access to necessary healthcare services.
Health insurance coverage in survivors of childhood cancer: the Childhood Cancer Survivor Study.Park, ER., Li, FP., Liu, Y., et al.[2022]
Children with cancer and childhood cancer survivors face significant barriers to healthcare, including high costs and inadequate insurance coverage, despite ongoing advocacy efforts.
The article reviews how the 2010 Patient Protection and Affordable Care Act addresses these challenges, aiming to improve access to care for these vulnerable populations.
Health care reform 2010: expected favorable impact on childhood cancer patients and survivors.Wolfson, J., Ruccione, K., Reaman, GH.[2010]

References

Improving Childhood Cancer Survivor Care Through Web-Based Platforms. [2018]
Health insurance coverage in survivors of childhood cancer: the Childhood Cancer Survivor Study. [2022]
Health care reform 2010: expected favorable impact on childhood cancer patients and survivors. [2010]
The Effect of Health Insurance on Pediatric Cancer Survival: An Analysis of Children Evaluated for Radiation Therapy in Diverse Multicenter Health Systems. [2023]
Innovations in Cancer Treatment of Children. [2023]
Meaningful Use of an Electronic Personal Health Record (ePHR) among Pediatric Cancer Survivors. [2018]
The Pediatric Cancer Survivors' User Experiences With Digital Health Interventions: A Systematic Review of Qualitative Data. [2022]
Employer-sponsored health insurance coverage limitations: results from the Childhood Cancer Survivor Study. [2023]
Improving health care for adult survivors of childhood cancer: recommendations from a delphi panel of health policy experts. [2006]
10.United Statespubmed.ncbi.nlm.nih.gov
Forgoing needed medical care among long-term survivors of childhood cancer: racial/ethnic-insurance disparities. [2023]
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