Identifying the Core Functions of a Health Insurance Literacy Program for Adolescent and Young Adult Cancer Survivors

CHAT is a virtual navigation program designed to improve adolescent and young adult cancer survivors (AYAs) health insurance literacy. CHAT is feasible, acceptable, and preliminarily efficacious. We used state-of-the-science methods to identify CHAT's core functions (i.e., effectiveness-driving features). We conducted 7 semistructured interviews with CHAT developers (e.g., health services researchers, psychologists) and implementers (e.g., AYA patient navigator). We used interview data to develop a preliminary list of core functions. We then used a member-checking exercise with interview participants and other CHAT team members to develop consensus on a final list of core functions and underlying theory of change.