Health Insurance Navigation Program for Insurance, Health

Phase-Based Progress Estimates
MGH, Boston, MA
Insurance, Health+2 More
Health Insurance Navigation Program - Behavioral
All Sexes
Eligible conditions

Study Summary

This study is evaluating whether a navigation intervention can improve health insurance literacy and reduce financial burden for colorectal survivors.

See full description

Eligible Conditions

  • Insurance, Health
  • Colorectal Cancer Survivors

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Health Insurance Navigation Program will improve 2 primary outcomes in patients with Insurance, Health. Measurement will happen over the course of baseline and 5 month follow-up.

5 month follow-up
acceptability of the health insurance navigation program
Month 5
change from baseline health insurance literacy to 5-month follow-up

Trial Safety

Trial Design

2 Treatment Groups

Enhanced Usual Care
1 of 2
Navigation Intervention
1 of 2
Active Control
Experimental Treatment

This trial requires 80 total participants across 2 different treatment groups

This trial involves 2 different treatments. Health Insurance Navigation Program is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

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 4, 30-minute sessions delivered every week, over the span of one month. The navigation intervention group will also receive a mailed copy of the brochure.
Enhanced Usual CareEnhanced usual care will consist of an online or mailed health insurance resource guide.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: 5 month follow-up
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly 5 month follow-up for reporting.

Who is running the study

Principal Investigator
E. P.
Prof. Elyse Park, PhD
Massachusetts General Hospital

Closest Location

MGH - Boston, MA

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 6 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
patients who have access to an iPad, computer, smartphone or laptop with WIFI access
patients who speak English
patients who are18-65 years of age
patients who are 12-24 months post-treatment for stages I-III colon or rectal cancer
patients who had a medical visit at MGH in the past two years
patients who have medical insurance

Patient Q&A Section

How does health insurance navigation program work?

"Findings suggest that the navigation component had no effect on timely referral from the primary care provider to an oncologist; however, there was a significant increase in the percentage of patients with complete diagnostic evaluation by a specialist by two months after enrollment in the navigation system compared to those who did not participate in the navigation system." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for colorectal cancer?

"Clinical trial participation was strongly associated with education, ethnicity, marital status, and cancer specialty knowledge. Cancer specialists were most likely to enroll in a clinical trial; however, those who did not identify as an oncologist may also be eligible for enrollment in a clinical trial." - Anonymous Online Contributor

Unverified Answer

What are the latest developments in health insurance navigation program for therapeutic use?

"Data from a recent study shows that NAP achieves its aims by providing patients with up-to-date information on their medical conditions. It also demonstrates that NAP can help patients navigate through the complicated healthcare system and reduce the cost incurred by patients." - Anonymous Online Contributor

Unverified Answer

Does health insurance navigation program improve quality of life for those with colorectal cancer?

"A health insurance navigation program improves QOL over and above traditional referral and information alone. This improvement occurs despite a similar rate of use of care services by both groups." - Anonymous Online Contributor

Unverified Answer

How quickly does colorectal cancer spread?

"Recent findings demonstrates for the first time that colonoscopy detects cancer at an early stage in only 37% of patients with colorectal cancer. The mean interval between diagnosis of adenoma and diagnosis of rectosigmoid cancers was 11 months, which clearly suggests that metastatic disease can occur after a short period of time from the original tumor. Recent findings of this study point out the need for improved screening programs and earlier detection of colorectal cancer by means of colonoscopy\n" - Anonymous Online Contributor

Unverified Answer

Can colorectal cancer be cured?

"There is an increasing trend towards responding patients which suggests that if the patient responds to treatment they can attain long term disease free survival. It is important to note that this is based on patients with stage IIB and stage IIIC CRCs. A cure would require a cure for all CRCs." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets colorectal cancer?

"The mean ages at diagnosis and death from colorectal cancer in both males and females are 4 years earlier than what has been reported based on SEER data. This may reflect increased awareness among physicians and decreased mortality." - Anonymous Online Contributor

Unverified Answer

Does colorectal cancer run in families?

"Results from a recent paper suggests that familial clustering of colorectal cancer is not due to a single mutation, but rather to complex genetic predisposition involving several genes. Further studies into other candidate genes will be needed to elucidate the actual determinants involved in familial colorectal carcinogenesis." - Anonymous Online Contributor

Unverified Answer

What are the signs of colorectal cancer?

"The only consistent sign of colorectal cancer is bleeding from the anus or rectum. Other signs may occur, such as abdominal pain, weight loss, itching, decreased appetite, anemia, jaundice, and feeling tired." - Anonymous Online Contributor

Unverified Answer

What is the survival rate for colorectal cancer?

"The survival rates for stage III and IV colorectal cancers are better than previously reported. Stage III tumors must be treated aggressively. The prognosis of stage IV disease remains poor. Although the treatment regimen has improved, the overall survival rate remains low. The reasons for this seem multifactorial." - Anonymous Online Contributor

Unverified Answer

Has health insurance navigation program proven to be more effective than a placebo?

"Data from a recent study suggest that the navigation program has improved patient satisfaction and choice of providers and care coordination. This intervention was associated with improvements in the utilization of preventive services. The health insurance navigator group had higher rates of participation in any screening test and mammogram compared with those who received the control group. However, the relative benefit of navigation was not statistically significant for the most commonly performed screening tests. More research is needed to evaluate the long-term impact on patient outcomes and cost effectiveness of this tool." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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