A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/Renamed to CP@Clinic)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,200
- 试验地点
- 10
- 主要终点
- Change in Health Care Utilization
研究概览
简要总结
Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. To decrease the costs of treating heart disease and diabetes through emergency and hospitalization, improved screening and health education is needed. Our program will take place in communal areas within housing buildings of older adults and deliver a heart disease, diabetes, and falls risk check-up with health education. This is expected to improve the health of older adults leading to fewer emergency calls and hospital visits.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 55 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •55 years and older
- •Resides in subsidized apartment building
排除标准
- 未提供
研究组 & 干预措施
CHAP-EMS/CP@clinic Program Intervention
12 month implementation of the intervention
干预措施: CHAP-EMS/CP@clinic (Behavioral)
Control
Will complete a survey at baseline and at 1 year, no program or intervention provided
结局指标
主要结局
Change in Health Care Utilization
时间窗: Baseline and 1 year
Health Care Utilization will be assessed through administrative databases (e.g. hospital visits). Utilization by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.
Change in Canadian Diabetes Risk (CANRISK) Score
时间窗: Baseline and 1 year
The CANRISK tool provides a 10-year risk of diabetes score and will be administered by the paramedic during the CHAP-EMS session.
Change in rate of EMS Calls
时间窗: Baseline and 1 year
Rate EMS calls by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.
Change in Blood Pressure
时间窗: Baseline and after each assessment (up to one year)
Since the participants are invited to attend the intervention weekly, but are not required to attend, the number of assessments and time of assessments will vary. Multilevel analysis will be conducted that accounts for this variance in repeated measures.
Change in health perceptions, behaviours, and knowledge of resources
时间窗: Baseline and 1 year
A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge.
次要结局
未报告次要终点