Community Paramedicine at Home

Not Applicable

Completed

• Conditions: Cardiovascular Disease; Accidental Falls; Social Isolation; Diabetes Mellitus; Food Insecurity
• Interventions: Other: CP@Home

• Registration Number: NCT02835989
• Lead Sponsor: McMaster University

Brief Summary

Community Paramedicine @Home (CP@Home) is a novel community paramedicine health assessment program for high users of Emergency Medical Services (EMS). Individuals who have been identified as active callers to EMS, individuals who have called EMS for lift-assists, and direct paramedic referrals are referred into the community paramedicine home visit program. The program will focus on in-home chronic disease management, community health service connections, and EMS usage education. Aside from chronic disease management, aspects of the program include health-related quality of life, social isolation and other social determinants of health. Participants in the program will have up to 3 one-on-one home visits from a community paramedic to ultimately reduce repeat EMS calls and improve their overall health.

Detailed Description

Not available

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study First Submitted: 2016-07-14
• Study First Submitted QC: 2016-07-14
• Study First Posted: 2016-07-18
• Study Start: 2018-10-25
• Primary Completion: 2020-07-20
• Study Completion: 2021-12-31
• Status Verified: 2022-09
• Last Update Submitted: 2022-09-21
• Last Update Posted: 2022-09-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2826

Inclusion Criteria

• 3 or more EMS calls in the last 6 months from intervention start date AND active caller in the last 30 days OR
• Any call for a lift assist to EMS in the past 30 days OR
• Paramedic referral into program (identified by paramedic through usual practice)

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Exclusion Criteria

• Individuals living in long term care facilities
• Individuals currently involved in a home visit or social navigator program

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
CP@Home Intervention	CP@Home	The experimental group will receive the CP@Home program. The main elements of this program include BP assessment, diabetes risk assessment, falls risk assessment, heart failure risk assessment, neurologic assessment, psychiatric assessment, depression screening, health-related quality of life analysis (including pain, mobility, anxiety/depression, ADLs), social isolation screening, and food and income security. The program is targeted at referrals to appropriate community resources, identification and referral of high-risk patients to their family physician (FP), as well as regular communication of participants' health information to their physician. The intervention will be implemented by community paramedics from the local paramedic service who have undergone a structured training program (4 hours of online, interactive training modules, including case studies and the observation of an intervention visits led by another paramedic) to assure intervention fidelity.

Primary Outcome Measures

Name	Time	Method
Change in number of repeat EMS calls	Baseline and 1 year	Individual-level change in EMS call rate resulting in ambulance dispatch (pre-post intervention)

Secondary Outcome Measures

Name	Time	Method
Change in number of hospital admissions	Baseline and 1 year	Individual-level change in number of hospital admissions (pre-post)
Change in number of ED presentations	Baseline and 1 year	Individual-level change in number of ED presentations (pre-post)

Trial Locations

Locations (1)

McMaster University; 🇨🇦 Hamilton, Ontario, Canada