Recruiting

Health Insurance Navigation

Sponsor:

University of Utah

Code:

NCT05829070

Conditions

Cancer

Eligibility Criteria

Sex: All

Age: 26 - 45

Healthy Volunteers: Not accepted

Interventions

CHAT-S

Usual Care

Study Details

Brief summary:

We will conduct a randomized controlled trial to test a 4-session virtual health insurance navigation intervention that will increase knowledge about health insurance, reduce financial burden, and improve surveillance for recurrence among 300 young adult cancer survivors ages 26 to 39. We will combine self-reported survey data with electronic health records and claims data to examine the trial outcomes and efficacy. We will also conduct an economic evaluation using cost-effectiveness and budget impact analyses, to establish the sustainability of the intervention at improving outcomes of young adult survivors through increasing their health insurance knowledge and decreasing their financial burden.

Conditions

Cancer

Study ID

NCT05829070

Start date

Nov 8, 2023

Status verified date

Apr, 2026

Completion date

Mar, 2028

Anticipated

Primary completion date

Oct, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 26 - 45

Healthy Volunteers: Not accepted

Inclusion Criteria:

Participants are eligible for this study if they:

1. Were diagnosed with breast, testicular, lymphoma, sarcoma, and colorectal cancer,
2. Are between the ages of 26 to 45 years (preferably between 26-39, but no older than 45),
3. Have completed initial treatment (i.e., radiation, chemotherapy, or surgery) within the past year,
4. Are a patient at the University of Utah/Huntsman Cancer Institute or Intermountain Healthcare, and
5. Speak English.

Exclusion Criteria:

Potential participants will be excluded if they:

1. Are unable to participate due to developmental delay, and
2. Speak a language other than English, and
3. Unable to participate through either phone or a video capable computer or mobile device (e.g., smartphone, laptop, etc.).

Study Design

Enrollment

300 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: CHAT-S

CHAT-S consists of 4 bi-weekly 35-45 minute videoconferencing sessions with a patient navigator and a patient booklet on insurance, costs, and survivorship care.

placebo comparator: Usual Care

Usual care will consist of a resource list sent by the navigator.

Interventions

CHAT-S

The CHAT-S intervention will include 4 videoconference sessions over a 2-month time period that is delivered by a patient navigator. Session 1 will include content to educate participants about survivorship care and common types of follow-up care required for their specific cancer, as well as, basic insurance terms and concepts. Session 2 will teach participants about their own insurance plan (e.g., coverage, benefits, breakdown of bills, and explanation of benefits) so they can better navigate both the medical and insurance systems. Session 3 reviews health insurance laws (e.g., ACA, FMLA, No Surprises Act) and how to proceed with an appeals process. Session 4 explains how to manage the costs through budgeting and cost-of-care conversations with their medical providers.

Usual Care

Usual care will consist of a resource list that describes organizational and community resources available on insurance, financial burden, and survivorship care. Further, we will track whether participants were referred or engaged in services using the follow-up surveys and via the EHR/claims data.

Primary outcome measure

  • Health Insurance Literacy Measure (HILM) [ Time Frame: Baseline ]
  • COmprehensive Score for financial Toxicity (COST) [ Time Frame: Baseline ]
  • Health Insurance Literacy Measure [ Time Frame: 6 months ]
  • COmprehensive Score for financial Toxicity (COST) [ Time Frame: 6 months ]
  • Health Insurance Literacy Measure [ Time Frame: 12 months ]
  • COmprehensive Score for financial Toxicity (COST) [ Time Frame: 12 months ]

Central Contacts and Locations

Central contacts

Amy Chevrier, BS

8018881803amy.chevrier@hci.utah.edu

Cindy Turner, MPH

Cindy.Turner@hci.utah.edu

Locations

Intermountain Health

Recruiting

Murray, Utah, United States, 84107

Contacts

Mark Lewis, MD

801-507-3630

University of Utah

Recruiting

Salt Lake City, Utah, United States, 84112

Contacts

Anne C Kirchhoff, PhD

801-587-4084anne.kirchhoff@hci.utah.edu

Perla Vaca Lopez, BA

Perla.VacaLopez@hci.utah.edu

More Information

Sponsor

University of Utah

Last update posted

Apr 28, 2026

Last verified

Apr, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by University of Utah on 2026-04-28.