Community Health Worker and Certified Peer Specialist Intervention to Improve Post-Hospital Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 55
- 试验地点
- 2
- 主要终点
- Federal Center for Medicare and Medicaid Services' measure of unplanned readmissions that occur within 30 days of discharge from an initial admission
研究概览
简要总结
This study tests an intervention designed to avoid 30-day readmissions following a medical hospitalization by patients who have co-occurring mental illness. The Intervention is delivered by community health workers in the inpatient setting and 30 days following hospital discharge to the community.
详细描述
This study will test the efficacy of a brief intervention delivered to adults with co-occurring medical and mental health conditions by community health workers designed to avoid 30-day readmissions following medical hospitalization. Adult inpatients of a university hospital will be randomly assigned to the intervention plus services as usual versus services as usual alone, and assessed at baseline and 30 days following discharge. Chi square will be used to assess the primary outcome of admission within 30 days of discharge and changes in patient activation, mental health symptoms, medication adherence, and perceived competence for health maintenance. Also examined will be study condition differences in post-discharge inpatient service utilization and cost.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Research interviewers were blinded to study condition.
入排标准
- 年龄范围
- 21 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •receiving inpatient treatment for chronic medical condition
- •evidence of a mental health diagnosis
- •age 21- 60 years
- •expected to return to community residence
- •residing within a 30-mile radius of the hospital
- •expected to remain in hospital for 2 or more days
- •able to provide informed consent
排除标准
- •terminally ill
- •unable to communicate in English
- •expected to be discharged to skilled facility or nursing home
- •participating in another transitional care intervention
- •hospitalized for behavioral health disorder
结局指标
主要结局
Federal Center for Medicare and Medicaid Services' measure of unplanned readmissions that occur within 30 days of discharge from an initial admission
时间窗: 30 days post discharge
This is a dichotomous indicator variable that reports the occurrence of an inpatient admission to the hospital within 30 days of discharge from a previous hospitalization. Score ranges from 0 (no readmission) to 1 (readmission).
Federal Center for Medicare and Medicaid Services' measure of completion of a outpatient visit with primary care provider
时间窗: during the 30 days period following discharge
This is a dichotomous indicator variable that reports the completion of a patient's visit to an outpatient primary care provider
次要结局
- Perceived Competence for Health Maintenance Questionnaire(study entry (pre-intervention), 30 days post discharge (post intervention))
- Center for Disease Control and Prevention's National Health and Nutrition Examination Survey of Usual Source of Medical Care(study entry (pre-intervention), 30 days post discharge (post intervention))
- Patient Satisfaction Questionnaire(study entry (pre-intervention), 30 days post discharge (post intervention))
- Patient Health Questionnaire-2(study entry (pre-intervention), 30 days post discharge (post intervention))
- Generalized Anxiety Disorder 2-item Questionnaire(study entry (pre-intervention), 30 days post discharge (post intervention))
- Health Care Climate Questionnaire(study entry (pre-intervention), 30 days post discharge (post intervention))
- Patient Activation Measure(study entry (pre-intervention), 30 days post discharge (post intervention))
- Short Form Health Survey(study entry (pre-intervention), 30 days post discharge (post intervention))
研究者
Judith A. Cook
Professor of Psychiatry
University of Illinois at Chicago