NCT01900470已完成不适用
Community Health Worker Support to Help Patients Control Chronic Disease
适应症
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 302
- 试验地点
- 2
- 主要终点
- Change in standardized score
研究概览
简要总结
The purpose of this proposal is to compare the effectiveness of community health worker (CHW) support vs. usual primary care for helping chronically-ill, low-SES patients to improve control of chronic conditions. Upon enrollment each patient will select one of their multiple chronic conditions as a focus for the trial and work with his/her PCP to set a chronic disease management goal. Patients are then randomized to receive usual primary care vs. CHW support for moving towards that goal.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- Single (Outcomes Assessor)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient of target practices for at least 1 yr defined as having one office visit within preceding 12 month
- •Home ZIP code including ANY of the following:
- •2 or more of the following conditions:
- •Obesity (BMI greater than 30),
- •HTN (ICD9 relating to HTN in EMR),
- •DM (ICD9 relating to DM in EMR),
- •Asthma/COPD and tobacco dependence (ICD9 for asthma or COPD in EMR AND documentation of tobacco use)
- •Uninsured, insured by Medicaid or dually eligible for Medicaid/Managed Medicare
- •Patients who have scheduled appointments in the future.
排除标准
- •Will not provide informed consent for this study.
- •Does not have the capacity to provide informed consent for this study.
- •Previously enrolled in this study
结局指标
主要结局
Change in standardized score
时间窗: Six months after enrollment
Six months after enrollment, the IMPaCT arm will have a higher (more negative) mean change in standardized score for chronic disease outcome of interest compared with usual care
次要结局
- Goal achievement(Six months after enrollment)
- SF-12(Six months after enrollment,)
- CAHPS PCMH (Communication, Self-Management Support, Comprehensiveness of Care)(Six months after enrollment)
- Hospitalization(6 months after enrollment)
- Patient Activation(Six months after enrollment)
研究者
研究点 (2)
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