Improving Health Insurance Literacy Among Utah's Hispanic Population

Study Overview
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Brief Summary
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This is a test of an existing health insurance education program (HIEP) in the Utah Hispanic community (aged 18-64). The study will evaluate whether the HIEP delivered by Utah Health Policy Project (UHPP) staff improves participants' health insurance and cost-related literacy. Participants will complete a brief baseline survey, be guided through the HIEP by UHPP staff, and complete a brief survey/interview after completing the sessions.

Detailed Description
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The goal of this research is to refine and pilot test an existing health insurance education program (HIEP) to improve health insurance and cost-related literacy among the Hispanic community in Utah. This study will be conducted in conjunction with the Utah Health Policy Project, which has long been active in the Hispanic community and has been instrumental in reducing the number of uninsured adults and children in Utah. Initially, community and key-informant feedback on how to best adapt this intervention to the Hispanic community, including what topics are most important, and how the intervention should be delivered, will be obtained. After the HIEP is adapted accordingly, it will be investigated to see if it improves participants' health insurance and cost-related literacy. Upon enrollment, participants will fill out a survey containing questions about their current health insurance, employment, demographics, acculturation, preferred language and health insurance knowledge. Participants will then receive 4 educational sessions surrounding health insurance use and laws (four sessions total occurring approximately every two weeks). These educational sessions will be conducted, in person, over video conference calls, or over the telephone, and will cover: Overview of health insurance options and understanding of insurance and costs Learning about types of insurance coverage and how to select/access coverage Navigating one's coverage plan Managing care costs These sessions will be 30 minutes, with one session done each week over a four week period. After completing the HIEP participants will be given a second survey including similar questions to those in the first survey. After the post survey is complete, participants will also be given brief open-ended interview questions to obtain feedback on the acceptability of the content and potential implementation issue areas, as well as any discordance in cultural values, beliefs, or feelings about health insurance.

Official Title
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Improving Health Insurance Literacy Among Utah's Hispanic Population

Conditions
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Health Knowledge, Attitudes, Practice

Intervention / Treatment
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* Behavioral: Health Insurance Education Program (HIEP)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Self-identify as Hispanic Resident of Utah Exclusion Criteria: Younger than 18 years of age Not Hispanic or Latino/Latina in origin

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 64 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: HIEP intervention<br>Participants will be given the health insurance intervention from Utah Health Policy Project staff, which includes four, 30 minute long, educational learning sessions. | Behavioral: Health Insurance Education Program (HIEP)<br>* [See arm/group description]<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of enrolled individuals | A count of the individuals who enrolled | Post-Assessment survey (Weeks 19 (+/- 2 weeks)) | 
| Number of completed sessions per enrolled individual | The average number of completed sessions per individual enrolled | Post-Assessment survey (Weeks 19 (+/- 2 weeks)) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in the Health Insurance Literacy Measure based on age group | Differences between Health Insurance Literacy Measure (HILM) reported at the baseline and post-assessment survey. Differences will be examined by age. Lower scores indicate lower health insurance literacy. We will report mean and standard deviation at both time points. | Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks)) | 
| Changes in the Health Insurance Literacy Measure based on language spoken | Differences between Health Insurance Literacy Measure (HILM) reported at the baseline and post-assessment survey. Differences will be examined by language spoken. Lower scores indicate lower health insurance literacy. We will report mean and standard deviation at both time points. | Baseline (Week 0) and Post Assessment survey (Weeks 19 (+/- 2 weeks)) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Health Insurance, Literacy