A Prospective, Randomized Trial to Assess the Impact of Decision Aids and Health Coaching on Health Care Costs, Surgery Rates, and Decision Quality for Individuals At Risk for Musculoskeletal Preference-Sensitive Surgical Decisions
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 9,925
- 试验地点
- 2
- 主要终点
- Total Medical Costs Per Member Per Month
研究概览
简要总结
The purpose of this study is to compare condition oriented whole person Health Coaching along with the provision of decision aids to decision aids without condition oriented Health Coaching to neither condition oriented health coaching nor decision aids on medical cost, preference sensitive surgeries and measures of subject knowledge, decision process and decision quality.
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 (Participant)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Participants in two large, commercial Blue Cross and/or Blue Shield branded insurance products with eligibility for Health Dialog services
- •Identified by distinct Health Dialog proprietary models for risk of lumbar back, knee or hip surgeries
- •Selected by simple randomization for inclusion in an interactive voice response (IVR) administered screening survey
- •Participated in an IVR-administered screener survey and responded affirmatively to questions on pain for any one of the three conditions, any current or planned treatment for the conditions, and responded negatively to having had a condition specific surgery within the past six months
排除标准
- •People under 18 years of age at time of identification for the IVR filtering survey, approximately 6 weeks prior to the start of the study
- •People with invalid phone numbers or invalid mailing addresses based on automated review of those fields
- •People for whom Health Dialog has information of a request for no IVR, no Health Coach outreach, or mailings prior to the start of the study
- •People with claims based indication of spinal stenosis prior to the start of the study
- •People who have been targeted for any IVR outreach within 180 days of the initiation of the IVR filtering survey
- •People who have a Health Coach communication record, as documented in the Health Coaching application within 90 days of the start of the study
- •Any members of households who have a household member already selected for inclusion in the study
- •People for whom there is claims evidence of any one of the targeted surgeries prior the start of the study
- •People with no eligibility for services through insurer after the start of the study
结局指标
主要结局
Total Medical Costs Per Member Per Month
时间窗: 6 months
total medical cost paid for covered services for the subject for six months after initiation of the study. This total includes all places of service and types of covered services, including inpatient, outpatient and pharmacy.
Total Medical Costs That Can be Impacted Per Member Per Month
时间窗: 6 months
total medical cost paid for covered services for the subject for six months after initiation of the study. This total includes all places of service and types of covered services, including inpatient, outpatient and pharmacy. Costs that cannot be impacted include: Costs related to Trauma and Accident, Psychiatric/Substance Abuse, Malignant Neoplasm, Maternity and Childbirth excluded
次要结局
- Decision Satisfaction(6 months)
- Rate of Targeted Conditions Surgeries(6 months)
- Concordance(6 months)
- Quality of Decision Making Process(6 months)
- Knowledge(12 weeks)
- Decision Conflict(12 weeks)