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Published on: August 1, 2019
Randomized trial of stage-based interventions for informed Medicare choices
Deborah A Levesque1, Carol O Cummins, Janice M Prochaska
1Pro-Change Behavior Systems, Inc., W. Kingston, RI 02892, USA. dlevesque@prochange.com
Health Care Financing Review
|February 13, 2007
Summary
New Medicare enrollees improved Medicare knowledge with transtheoretical model (TTM) interventions. These programs enhanced understanding and use of health plan comparison materials.
Area of Science:
- Health Communication
- Behavioral Science
- Health Education
Background:
- Medicare beneficiaries require effective strategies for comparing health plans.
- Tailored interventions can improve health literacy and decision-making.
Purpose of the Study:
- To evaluate the efficacy of a transtheoretical model (TTM)-based program for Medicare health plan comparison.
- To assess the impact of tailored guidance on Medicare knowledge and plan selection behavior.
Main Methods:
- A randomized trial with 1,351 new Medicare enrollees.
- Intervention groups received a TTM-based manual and/or expert system; control group received standard information.
- Outcomes measured included Medicare knowledge, use of educational materials, and stage of change.
Main Results:
- Both manual plus expert system and manual alone interventions significantly increased Medicare knowledge compared to the control group.
- TTM-based interventions improved the use of and satisfaction with traditional Medicare education materials.
- Impact on stage of change for plan comparison was evident in participants who actively engaged with materials.
Conclusions:
- TTM-based interventions are effective in enhancing Medicare knowledge and material utilization.
- Tailoring educational content to individual readiness stages can improve informed health plan choices.
- Strategies are needed to promote active engagement with educational resources for better decision-making.
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