CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors
Background: Health insurance education could mitigate financial toxicity experienced by young adult (YA) cancer survivors by increasing confidence when navigating cancer care costs. This paper describes the protocol in a randomized controlled trial (RCT) to test a virtual patient navigation program...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2025-12-01
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| Series: | Preventive Oncology & Epidemiology |
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| Online Access: | https://www.tandfonline.com/doi/10.1080/28322134.2025.2455706 |
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| author | Mary Killela Cindy A. Turner Amy Chevrier Monique Stefanou Perla L. Vaca Lopez Heydon K. Kaddas Karely M. van Thiel Berghuijs Echo L. Warner Giselle K. Perez Austin R. Waters Douglas B. Fair Richard E. Nelson Mark A. Lewis Elyse R. Park Anne C. Kirchhoff |
| author_facet | Mary Killela Cindy A. Turner Amy Chevrier Monique Stefanou Perla L. Vaca Lopez Heydon K. Kaddas Karely M. van Thiel Berghuijs Echo L. Warner Giselle K. Perez Austin R. Waters Douglas B. Fair Richard E. Nelson Mark A. Lewis Elyse R. Park Anne C. Kirchhoff |
| author_sort | Mary Killela |
| collection | DOAJ |
| description | Background: Health insurance education could mitigate financial toxicity experienced by young adult (YA) cancer survivors by increasing confidence when navigating cancer care costs. This paper describes the protocol in a randomized controlled trial (RCT) to test a virtual patient navigation program designed to help YA cancer survivors understand their health insurance.Methods: This is a two-arm, multi-site (Huntsman Cancer Institute, Intermountain Health) RCT wherein intervention participants receive four sessions with a patient navigator and a booklet on insurance; usual care receives the booklet. We will enroll 300 YA cancer survivors (n = 200 intervention; n = 100 usual care) diagnosed with breast, testicular, lymphoma, sarcoma, colorectal, melanoma, or thyroid cancer between the ages of 26 and 39, who have completed treatment in the past two years. All participants will complete three surveys: enrollment, 6 months, and 12 months; medical records/insurance claims data will be collected out to 18-month follow-up. The primary outcomes include improvement in health insurance literacy and financial toxicity at 6 months. Secondary outcomes include adherence to cancer surveillance guidelines at 18 months. We will also conduct cost-effectiveness and budget impact analyses.Discussion: Anticipated results from this trial could identify key information that YA cancer survivors need to improve health insurance literacy and survivorship care.Trial registration: ClinicalTrials.gov identifier: NCT05829070. Registered on April 25, 2023. |
| format | Article |
| id | doaj-art-020aa4c85e494d539bc8d9b9a6611a09 |
| institution | Kabale University |
| issn | 2832-2134 |
| language | English |
| publishDate | 2025-12-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Preventive Oncology & Epidemiology |
| spelling | doaj-art-020aa4c85e494d539bc8d9b9a6611a092025-02-07T04:18:20ZengTaylor & Francis GroupPreventive Oncology & Epidemiology2832-21342025-12-013110.1080/28322134.2025.2455706CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivorsMary Killela0Cindy A. Turner1Amy Chevrier2Monique Stefanou3Perla L. Vaca Lopez4Heydon K. Kaddas5Karely M. van Thiel Berghuijs6Echo L. Warner7Giselle K. Perez8Austin R. Waters9Douglas B. Fair10Richard E. Nelson11Mark A. Lewis12Elyse R. Park13Anne C. Kirchhoff14Cancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USAHealth Promotion & Resiliency Intervention Research Program, Mongan Institute, Boston, MA, USADepartment of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, NC, USAHuntsman Cancer Institute, University of Utah, Salt Lake City, UT, USADepartment of Epidemiology, University of Utah, Salt Lake City, UT, USAAdolescent and Young Adult Cancer Care Program, Intermountain Health, Salt Lake City, UT, USAHealth Promotion & Resiliency Intervention Research Program, Mongan Institute, Boston, MA, USACancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USABackground: Health insurance education could mitigate financial toxicity experienced by young adult (YA) cancer survivors by increasing confidence when navigating cancer care costs. This paper describes the protocol in a randomized controlled trial (RCT) to test a virtual patient navigation program designed to help YA cancer survivors understand their health insurance.Methods: This is a two-arm, multi-site (Huntsman Cancer Institute, Intermountain Health) RCT wherein intervention participants receive four sessions with a patient navigator and a booklet on insurance; usual care receives the booklet. We will enroll 300 YA cancer survivors (n = 200 intervention; n = 100 usual care) diagnosed with breast, testicular, lymphoma, sarcoma, colorectal, melanoma, or thyroid cancer between the ages of 26 and 39, who have completed treatment in the past two years. All participants will complete three surveys: enrollment, 6 months, and 12 months; medical records/insurance claims data will be collected out to 18-month follow-up. The primary outcomes include improvement in health insurance literacy and financial toxicity at 6 months. Secondary outcomes include adherence to cancer surveillance guidelines at 18 months. We will also conduct cost-effectiveness and budget impact analyses.Discussion: Anticipated results from this trial could identify key information that YA cancer survivors need to improve health insurance literacy and survivorship care.Trial registration: ClinicalTrials.gov identifier: NCT05829070. Registered on April 25, 2023.https://www.tandfonline.com/doi/10.1080/28322134.2025.2455706Financial toxicityadolescent young adultcancersurvivorshiphealth insurance |
| spellingShingle | Mary Killela Cindy A. Turner Amy Chevrier Monique Stefanou Perla L. Vaca Lopez Heydon K. Kaddas Karely M. van Thiel Berghuijs Echo L. Warner Giselle K. Perez Austin R. Waters Douglas B. Fair Richard E. Nelson Mark A. Lewis Elyse R. Park Anne C. Kirchhoff CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors Preventive Oncology & Epidemiology Financial toxicity adolescent young adult cancer survivorship health insurance |
| title | CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors |
| title_full | CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors |
| title_fullStr | CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors |
| title_full_unstemmed | CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors |
| title_short | CHAT-S study protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors |
| title_sort | chat s study protocol a randomized controlled trial of a health insurance literacy education program for young adult cancer survivors |
| topic | Financial toxicity adolescent young adult cancer survivorship health insurance |
| url | https://www.tandfonline.com/doi/10.1080/28322134.2025.2455706 |
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