Examining Digital Health Care Delivery Models Through Medicaid Collaborative
- Conditions
- Diabetes MellitusMaternal HealthHypertension
- Interventions
- Behavioral: digital health delivered multicomponent intervention
- Registration Number
- NCT05555095
- Lead Sponsor
- OSF Healthcare System
- Brief Summary
The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.
- Detailed Description
The investigators will conduct a mixed method study that includes a controlled interrupted times series (CITS) design to study hypertension (HTN) and diabetes, a cohort to study pregnancy, and longitudinal patient and provider interviews to study experiences. This approach is appropriate when randomization is not desirable or feasible and is frequently utilized for evaluation of public health interventions (Lopez Bernal et al., 2018; Hategeka et al., 2020).
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 19331
- Patient of one of four medically qualified health care centers and/or OSF HealthCare as defined by insurance type
- Insured by Medicaid or dually eligible for Medicare or Medicaid
- Has one or more of the three following conditions:
Hypertension, Diabetes Mellitus, or Pregnancy
- Able to read and understand English or read translated materials in language provided (e.g. Spanish)
- Minors who are pregnant and less 18 years of age who are enrolled in the MIC Program
- Not enrolled in the MIC Program
- No one will be excluded on basis of sex or race
Study & Design
- Study Type
- OBSERVATIONAL
- Study Design
- Not specified
- Arm && Interventions
Group Intervention Description Federally Qualified Health Center (FQHC) - 2 digital health delivered multicomponent intervention Subjects from Chestnut Health System Inc. enrolled in MIC Program Federally Qualified Health Center (FQHC) - 3 digital health delivered multicomponent intervention Subjects from Heartland Community Health System enrolled in MIC Program Federally Qualified Health Center (FQHC) - 4 digital health delivered multicomponent intervention Subjects from Aunt Martha's enrolled in MIC Program OSF HealthCare digital health delivered multicomponent intervention Subjects from OSF HealthCare Federally Qualified Health Center (FQHC) - 1 digital health delivered multicomponent intervention Subjects from Eagle View Community Health System enrolled in MIC Program
- Primary Outcome Measures
Name Time Method Change in participant's blood pressure control at three points in time 3 months, 6 months, 12 months Decrease in the average systolic and/or diastolic blood pressure
Change in participant's glycemic control at three points in time 3 months, 6 months, 12 months Defined as a reduction \>1% in glycosylated hemoglobin (hemoglobin A1C)
Change in Patient Assessment of Chronic Illness Care scale (PACIC) from baseline to exit from program baseline, end of program, on average of 1 year Measure of patient's perception of care management for chronic disease - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
Patient satisfaction, 1-item researcher generated question at exit from program, on average 1 year Measure of patient's satisfaction, Participant's recommendation of program to others (Yes/No)
Change in Patient Perception of Health Care Management (adapted form of PACIC to reflect pre/postnatal care) from baseline to exit from program baseline, end of program, on average 6 months Measure of patient-centered care and self-management - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
OSF HealthCare System
🇺🇸Peoria, Illinois, United States