Pilot Study of Patient Navigation Intervention to Improve Follow-up Care for Patients With Urinary Stone Disease
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Enrollment
- 31
- Locations
- 1
- Primary Endpoint
- Completion of an outpatient urology follow-up visit within 12 weeks of emergency department discharge, assessed through review of the electronic health record.
Overview
Brief Summary
Patients who visit the emergency department for kidney stones are sometimes referred to urology for follow-up care but never complete that visit. Missing follow-up appointments can lead to worse outcomes, including recurrent pain, infection, or surgery. Research shows that patients who are socially or economically at risk (such as those with public insurance, lower income, or limited English proficiency) are more likely to experience these care gaps.
This study will pilot a patient navigation program designed to help patients with urinary stone disease (USD) attend their scheduled urology appointments after being seen in the Emergency Department. Using an electronic health record (EHR) based prediction model developed in earlier research, patients at higher risk for being lost to follow-up will be identified and invited to participate. Each participant will be paired with a trained patient navigator who will assess barriers to care, provide support, and maintain contact for about 12 weeks.
The goal of this study is to evaluate the outcomes and feasibility of this navigation intervention. Findings will help determine whether a larger study should test if this approach improves access to care and health outcomes for patients with kidney stones.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age ≥ 18 years
- •Presentation to the Emergency Department with urinary stone disease
- •Placement of an outpatient urology referral from the Emergency Department
- •Identified as high risk for loss to follow-up based on the study's screening process
Exclusion Criteria
- •Age \< 18 years
- •Unable to provide informed consent
- •Non-English-speaking
- •No outpatient urology referral placed from the Emergency Department
Outcomes
Primary Outcomes
Completion of an outpatient urology follow-up visit within 12 weeks of emergency department discharge, assessed through review of the electronic health record.
Time Frame: From enrollment to the end of intervention at 12 weeks
Secondary Outcomes
- Acceptability of the Patient Navigation Intervention Measured by the Patient Navigation Process and Outcomes Measure (PNPOM)(From enrollment to the end of treatment at 12 weeks)