NCT05510765Unknown不适用
ACTiN and Health Metrics: Improving Transportation Assets as a Critical Social Determinant of Health and the Effects on Wellness and Chronic Disease Metrics.
John M. Salmon IV, MD1 个研究点 分布在 1 个国家目标入组 50 人开始时间: 2022年10月1日最近更新:
适应症
干预措施
试验速览
- 阶段
- 不适用
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Rides completed
研究概览
简要总结
- Implementation of an Advanced Connected Transportation Network (ACTiN), a novel, collaborative multinetwork transportation model for small cities and rural areas.
- Evaluation of effectiveness in improving transportation assets for clients of a community-based nonprofit specializing in addressing social determinants of health (Lighthouse Community Health Services in Lynchburg, VA).
- Simultaneous evaluation of wellness metrics based on the standards of the CMS Annual Wellness Visit and metrics associated with common chronic diseases.
详细描述
- Implementation of a community transportation solution The project will be managed by Unified Potential, Inc., a 501c3 tax-exempt organization for transportation.
- The solution requires implementation of four separate transportation "networks"
- Public / Contracted / For-Hire Transportation
- Workforce Transportation Network
- Community Rideshare Network
- Volunteer Transportation Network
- Assessment of Personal Transportation Assets
- Subjects asked to complete a survey upon intake, at six months, and at one year
- Digital survey:
- Can be completed by individual using provided smartphone app or at onsite desktop kiosk
- Can be facilitated by a caregiver or other provider not involved in data analysis
- Assessment of health and wellness metrics and chronic disease metrics if applicable
- Dataset based on metrics assessed in the Center for Medicare and Medicaid Services (CMS) Annual Wellness Visit
- All metrics quantified via either binary (yes/no) or through use of a validated scale (see below)
- Data collected electronically at onsite or in-home provider visits at intake, six months, and one year
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
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
- •Adult resident of the City of Lynchburg, Virginia
- •Under-resourced at trial entry as defined by meeting eligibility for welfare, food stamps/SNAP, Medicaid, Housing Choice Voucher program, or income at or below 200% of the Federal Poverty Threshold.
排除标准
- 未提供
研究组 & 干预措施
Study arm
Experimental
Low resource, high risk individuals with limited transportation options as a social determinant of health.
干预措施: Transportation service (Behavioral)
结局指标
主要结局
Rides completed
时间窗: 1 year
Total number of rides for test subject per week, averaged over previous 6 months, measured at intake, 6 months, and 1 year.
Cancer screening success
时间窗: 1 year
Number of eligible cancer screening exams not performed (lung, colon, breast), measured at intake, 6 months, and 1 year.
Cost of transportation
时间窗: 1 year
Total cost per mile of transportation, averaged over previous 6 months, measured at intake, 6 months, and 1 year.
Untreated disease(s)
时间窗: 1 year
Total number of attributed disease diagnoses that are not being treated, measured at intake, 6 months, and 1 year.
次要结局
- Psychosocial assessment(1 year)
- Cognitive function(1 year)
- Prescribed medications(1 year)
- Unmet transportation needs(1 year)
- Prescribed medications not utilized(1 year)
- BMI(1 year)
- Blood Pressure(1 year)
- Depression screening(1 year)
- Other mental health conditions(1 year)
- Weight(1 year)
- Hgb A1c(1 year)
- IADL(1 year)
- Unmet medical transportation needs(1 year)
- ADL(1 year)
- Physical activity(1 year)
- Smoking assessment(1 year)
- Substance use(1 year)
研究者
John M. Salmon IV, MD
Medical Director, Lighthouse Community Health Center
Unified Potential, Inc.
研究点 (1)
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