Community Health Worker Support to Help Patients Control Chronic Disease

University of Pennsylvania1 site in 1 country302 target enrollmentJuly 2013

ConditionsObesity Diabetes Hypertension Asthma/COPD With Tobacco Dependence

Overview

Phase: N/A
Intervention: Not specified
Conditions: Obesity
Sponsor: University of Pennsylvania
Enrollment: 302
Locations: 1
Primary Endpoint: Change in standardized score
Status: Completed
Last Updated: 9 years ago

Overview Investigators Eligibility Criteria Outcomes Sites Similar Trials

Overview

Brief Summary

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.

Registry

clinicaltrials.gov

Start Date

July 2013

End Date

February 2017

Last Updated

9 years ago

Study Type

Interventional

Study Design

Single Group

Sex

All

Investigators

Sponsor

University of Pennsylvania

Responsible Party

Sponsor

Eligibility Criteria

Inclusion Criteria

•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.

Exclusion Criteria

•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

Outcomes

Primary Outcomes

Change in standardized score

Time Frame: 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

Secondary Outcomes

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)