Xiaoyu Zhou, Fei Du, Wei Peng, Li Bai, Leyi Peng, Xiaorong Hou
Building Medication Profiles in the Elderly: a Qualitative Study Based on Medication Information Literacy in a Long-Term Care Facility
Clinical interventions in aging
childhood cancer survivors increased risk underinsurance health insurancerelated financial burden interventions targeting health insurance literacy hil improve ability understand use health insurance needed codeveloped foursession health insurance navigation tools hint intervention delivered synchronously patient navigator corresponding booklet conducted randomized pilot trial survivors childhood cancer survivor study comparing hint enhanced usual care euc booklet assessed feasibility acceptability preliminary efficacy hil primary outcome knowledge confidence health insurance terms activity 5month survey exit interviews among 231 invited 82 325 survivors enrolled 537 female median age 39 years 756 employersponsored insurance baseline hil scores low mean 285 1664 lower scores better many lacked knowledge affordable care act aca provisions 805 completed four hint sessions 939 completed followup survey participants rated hints helpfulness mean 89 010 exit interviews confirmed hints acceptability specifically virtual personalized delivery helpfulness building confidence understanding ones coverage compared euc hint significantly improved hil effect size 094 p 001 aca provisions knowledge effect size 073 p 003 psychological financial hardship effect size 064 p 006 health insurance satisfaction effect size 055 p 03 results support feasibility acceptability virtual health insurance navigation program targeted childhood survivors improve hil randomized trials assess efficacy sustainability health insurance navigation hil financial burden needed