Evaluating the Impact of Training for IHSS Workers
- Conditions
- Home Care for Elderly or Disabled Individuals
- Interventions
- Other: IHSS Basic Training
- Registration Number
- NCT06205433
- Lead Sponsor
- Abdul Latif Jameel Poverty Action Lab
- Brief Summary
This trial investigates whether high-quality training for consumer-directed home health workers impacts health outcomes for care consumers and employment outcomes for care workers. The investigators are conducting this study in the context of the In-Home Supportive Services (IHSS) program, a consumer-directed, Medicaid-funded home care program in California serving elderly and disabled Medicaid recipients. The investigators will partner with the Center for Caregiver Advancement (CCA), a training provider based in California, to conduct a randomized evaluation of the impact of training for IHSS workers on labor and health care outcomes. The evaluation will enroll IHSS workers in San Bernardino County, where CCA will be expanding its program.
Participants will be randomized to either a group that receives CCA's training or a control group that does not receive training.
Participants randomized to the training group will complete a 30 hour online course that teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety.
Researchers will compare outcomes between IHSS providers in the two groups and between IHSS consumers who receive care from the IHSS providers in the two groups to see if training impacts health, health care, and labor market outcomes.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 2500
- Current IHSS provider
- Live in San Bernardino County
- IHSS consumer lives in San Bernardino County
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description IHSS Basic Training IHSS Basic Training Individuals in the treatment group will be invited to participate in CCA's IHSS Basic training program. The program is a 30 hour online course for IHSS providers, which teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety.
- Primary Outcome Measures
Name Time Method Number of emergency department visits (for consumer) 1 year after training begins
- Secondary Outcome Measures
Name Time Method Estimated annual health care spending (for consumer) 1 year after training begins Estimated annual health care spending will be calculated by multiplying the number of inpatient admissions, emergency department visits, outpatient office visits, long term care stays, and prescription drugs by estimated average costs for those services among low income publicly insured adults.
Share of participants with pressure ulcers resulting in a health care visit (for consumer) 1 year after training begins The share of consumers with pressure ulcers will be measured using diagnosis codes from medical claims
Any emergency department visits (for consumer) 1 year after training begins Share of participants with falls resulting in a health care visit (for consumer) 1 year after training begins The share of consumers with falls will be measured using diagnosis codes from medical claims
Share of participants with urinary tract infections resulting in a health care visit (for consumer) 1 year after training begins The share of consumers with urinary tract infections will be measured using diagnosis codes from medical claims
Caregiving knowledge (for provider) 0-3 months after completion of training Proportion of correct answers out of 18 true false knowledge questions
Total length of stay in nursing facilities (for consumer) 1 year after training begins The number of days spent per consumer in a skilled nursing facility, rehab, or long term care facility during the year after training begins.
Share of participants with nursing facility utilization (for consumer) 1 year after training begins The share of consumers who have a stay in a skilled nursing facility, rehab, or long term care facility during the year after training begins.
IHSS earnings (for provider) 1 year after training begins IHSS earnings for providers, measured weekly, quarterly, and annually, drawn from IHSS payroll data
IHSS hours worked (for provider) 1 year after training begins IHSS hours worked for providers, measured weekly, quarterly, and annually, drawn from IHSS payroll data
Share of participants still employed in IHSS (for provider) 1 year after training begins The share of IHSS provider participants who remain as workers in the IHSS program 1 year after the start of training.
Trial Locations
- Locations (1)
San Bernardino County
🇺🇸San Bernardino, California, United States