Evidence map›Paper›PMID 40821005›Full record

ArticlePreventive oncology & epidemiology2025

CHAT-S Study Protocol: A randomized controlled trial of a health insurance literacy education program for young adult cancer survivors.

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 and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Preventive oncology & epidemiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

15 authors.

Mary KillelaCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Cindy A TurnerCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Amy ChevrierCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Monique StefanouCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Perla L Vaca LopezCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Heydon K KaddasCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Karely M van Thiel BerghuijsCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Echo L WarnerCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Giselle K PerezHealth Promotion & Resiliency Intervention Research Program, Mongan Institute, Boston, MA, USA.
Austin R WatersDepartment of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina Chapel Hill, Chapel Hill, NC, USA.
Douglas B FairHuntsman Cancer Institute,University of Utah, Salt Lake City, UT, USA.
Richard E NelsonDepartment of Epidemiology, University of Utah, Salt Lake City, UT, USA.
Mark A LewisAdolescent and Young Adult Cancer Care Program, Intermountain Health, Salt Lake City, UT, USA.
Elyse R ParkHealth Promotion & Resiliency Intervention Research Program, Mongan Institute, Boston, MA, USA.
Anne C KirchhoffCancer Control & Population Sciences, Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.

Funding

From active treatment to long-term cancer survivorship – Understanding how care patterns drive adherence to surveillance and screening guidelinesR01CA276825 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Anne C Kirchhoff, Elyse R. Park · 2023 to 2026
$2.7M
NCI NIH HHS R01 CA276825
6 · The paper itself

Abstract

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 (PN) 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. Recruitment began in the fall of 2023 and is expected to last approximately 2.5 years. The primary efficacy 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.

Indexed as

adolescent young adultcancerfinancial toxicityhealth insurancehealth insurance educationrandomized controlled trialsurvivorship

Identifiers

PMID40821005
PMCPMC12356505

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Registered trials

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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.