Table 2.
Bivariate Outcomes Postexposure by Study Condition (N = 327)
| Show Me My Health Plans (n = 164) | HealthCare.gov (n = 163) | P | |
|---|---|---|---|
| Objective knowledge score,a % (SD) | 77.6 (18.2) | 58.8 (21.0) | <0.001 |
| Confidence in choice (SURE),b mean (SD), range | 3.5 (0.9), 0–4 | 2.9 (1.3), 0–4 | <0.001 |
| Decision self-efficacy, mean (SD), range | 81.5 (22.5), 0–100 | 73.0 (20.4), 0–100 | <0.001 |
| Health Insurance Literacy Measure (HILM)c | |||
| Confidence estimating cost of care | |||
| HILM 1—Pre | 0.99 | ||
| Not confident | 38 (23.2) | 38 (23.5) | |
| A little confident | 85 (51.8) | 84 (51.9) | |
| Very confident | 41 (25.0) | 40 (24.7) | |
| HILM 2—Post | 0.003 | ||
| Not confident | 13 (7.9) | 24 (14.8) | |
| A little confident | 64 (39.0) | 81 (50.0) | |
| Very confident | 87 (53.0) | 57 (35.2) | |
| HILM 1 postexposure improvement | 0.06 | ||
| Yes | 66 (40.2) | 49 (30.3) | |
| No | 98 (59.8) | 113 (69.8) | |
| Confidence understanding health insurance terms | |||
| Pre | 0.68 | ||
| Not confident | 37 (22.6) | 37 (22.8) | |
| A little confident | 83 (50.6) | 75 (46.3) | |
| Very confident | 44 (26.8) | 50 (30.9) | |
| Post | <0.001 | ||
| Not confident | 3 (1.8) | 15 (9.3) | |
| A little confident | 61 (37.2) | 77 (47.5) | |
| Very confident | 100 (61.0) | 70 (43.2) | |
| HILM 2 postexposure improvement | <0.001 | ||
| Yes | 88 (53.7) | 51 (31.5) | |
| No | 76 (46.3) | 111 (68.5) | |
| Intended plan choice metal leveld | <0.001 | ||
| Catastrophic | 0 (0.0) | 5 (3.3) | |
| Bronze | 41 (25.3) | 108 (71.1) | |
| Silver | 121 (74.7) | 30 (19.7) | |
| Gold | 0 (0.0) | 9 (5.9) | |
| Platinum | 0 (0.0) | 0 (0.0) |
a.
Objective knowledge score presents % (SD) of 8 items answered correctly.
b.
Higher SURE values indicate more confidence in choice.
c.
One HealthCare.gov participant did not complete the Health Insurance Literacy Measure (n = 162).
d.
Intended plan choice metal level data were not available for two Show Me My Health Plans participants (n = 162) and for 11 HealthCare.gov participants (n = 152).