A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/CP@Clinic)

Not Applicable

Completed

• Conditions: Cardiovascular Diseases; Diabetes Mellitus
• Interventions: Behavioral: CHAP-EMS/CP@clinic

• Registration Number: NCT02152891
• Lead Sponsor: McMaster University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2014-05-29
• Study First Submitted QC: 2014-05-29
• Study First Posted: 2014-06-02
• Study Start: 2015-11-01
• Primary Completion: 2016-11-30
• Study Completion: 2018-03-31
• Status Verified: 2019-08
• Last Update Submitted: 2019-08-12
• Last Update Posted: 2019-08-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 1200

Inclusion Criteria

• 55 years and older
• Resides in subsidized apartment building

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Exclusion Criteria

• None

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CHAP-EMS/CP@clinic Program Intervention	CHAP-EMS/CP@clinic	12 month implementation of the intervention

Primary Outcome Measures

Name	Time	Method
Change in Health Care Utilization	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	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	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	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	Baseline and 1 year	A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge.

Trial Locations

Locations (5)

Hamilton Paramedic Services; 🇨🇦 Hamilton, Ontario, Canada

City of Greater Sudbury; 🇨🇦 Sudbury, Ontario, Canada

York Region; 🇨🇦 York, Ontario, Canada

Guelph-Wellington Emergency Medical Services and County of Wellington Social Services Department - Housing Services; 🇨🇦 Guelph, Ontario, Canada

County of Simcoe; 🇨🇦 Simcoe, Ontario, Canada