Evidence map›Paper›PMID 26880251›Full record

Trial reportBMC health services research2016

Show Me My Health Plans: a study protocol of a randomized trial testing a decision support tool for the federal health insurance marketplace in Missouri.

Mary C Politi, Abigail R Barker, Kimberly A Kaphingst, Timothy McBride, Enbal Shacham, Carey S Kebodeaux

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC health services research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02522624 nacompletednot on this map

Supporting Decisions About Health Insurance to Improve Care for the Uninsured

TypeinterventionalSponsorWashington University School of MedicineRan2015 to 2016Enrolled328ConditionsHealth Literacy, Health Insurance, Health Services Accessibility, Informed Decision MakingArmsDecision Aid (DA)
NCT03592433 nacompletednot on this mapstarted 2018, after this paper: background citation

Supporting Cancer Survivors' Health Insurance Marketplace Decisions

TypeinterventionalSponsorWashington University School of MedicineRan2018 to 2019Enrolled263ConditionsCancer, Health Literacy, Health Insurance, Health Services AccessibilityArmsI Can PIC
3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Medicare for All: A Health Insurance Literacy Perspective.Health literacy research and practice · 2021
    Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mary C PolitiDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, USA. mpoliti@wustl.edu.
Abigail R BarkerGeorge Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, USA. arbarker@wustl.edu.
Kimberly A KaphingstDepartment of Communication, Huntsman Cancer Institute, University of Utah, Salt Lake City, USA. Kim.kaphingst@hci.utah.edu.
Timothy McBrideGeorge Warren Brown School of Social Work, Washington University in St. Louis, St. Louis, USA. tmcbride@wustl.edu.
Enbal ShachamCollege for Public Health and Social Justice, Saint Louis University, Saint Louis, USA. eshacham@slu.edu.
Carey S KebodeauxDivision of Public Health Sciences, Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, USA. kebodeauxc@wudosis.wustl.edu.

Funding

Washington University Center for Diabetes Translation Research P30DK092950 · NIDDK · WASHINGTON UNIVERSITY · PI Ross C Brownson, Debra Haire-Joshu · 2011 to 2026
$11.7M
SUPPORTING DECISIONS ABOUT HEALTH INSURANCE TO IMPROVE CARE FOR THE UNINSUREDR01MD008808 · NIMHD · WASHINGTON UNIVERSITY · PI POLITI, MARY C · 2014 to 2016
$1.1M
NIDDK NIH HHS P30 DK092950NIMHD NIH HHS R01 MD008808NIMHD NIH HHS R01MD008808
6 · The paper itself

Abstract

backgroundThe implementation of the ACA has improved access to quality health insurance, a necessary first step to improving health outcomes. However, access must be supplemented by education to help individuals make informed choices for plans that meet their individual financial and health needs. METHODS/

designDrawing on a model of information processing and on prior research, we developed a health insurance decision support tool called Show Me My Health Plans. Developed with extensive stakeholder input, the current tool (1) simplifies information through plain language and graphics in an educational component; (2) assesses and reviews knowledge interactively to ensure comprehension of key material; (3) incorporates individual and/or family health status to personalize out-of-pocket cost estimates; (4) assesses preferences for plan features; and (5) helps individuals weigh information appropriate to their interests and needs through a summary page with "good fit" plans generated from a tailored algorithm. The current study will evaluate whether the online decision support tool improves health insurance decisions compared to a usual care condition (the healthcare.gov marketplace website). The trial will include 362 individuals (181 in each group) from rural, suburban, and urban settings within a 90 mile radius around St. Louis. Eligibility criteria includes English-speaking individuals 18-64 years old who are eligible for the ACA marketplace plans. They will be computer randomized to view the intervention or usual care condition. DISCUSSION: Presenting individuals with options that they can understand tailored to their needs and preferences could help improve decision quality. By helping individuals narrow down the complexity of health insurance plan options, decision support tools such as this one could prepare individuals to better navigate enrollment in a plan that meets their individual needs. The randomized trial was registered in clinicaltrials.gov (NCT02522624) on August 6, 2015.

Indexed as

Decision Support TechniquesAdolescentAdultHealth ExpendituresHealth Insurance ExchangesHealth LiteracyHumansInsurance, HealthMiddle AgedMissouriNational Health Insurance, United StatesUnited StatesYoung Adult

Identifiers

PMID26880251
PMCPMC4754978

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.