Intensifying Community Referrals for Health: The SINCERE Intervention to Address COVID-19 Health Disparities
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 466
- 试验地点
- 2
- 主要终点
- Change in Anxiety over 12-week time period
研究概览
简要总结
The goal of this real world efficacy study is to understand the benefit of universal social needs screening, community-based service referrals, and telephonic follow-up as a scalable strategy for preventing COVID-19 transmission, and for addressing the secondary health effects of the social, behavioral, and economic changes following the COVID-19 pandemic. With statewide community service providers, existing health information technology, and piloted methods, we seek to determine the effectiveness of universal social needs screening and community service referrals - the SINCERE intervention - in improving health outcomes of COVID-19 vulnerable and socioeconomically disadvantaged populations and whether intensive follow-up and collaborative goal-setting helps overcome barriers to community service use by patients seen in the emergency department and seeking COVID testing at community-based and mobile clinic locations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Care Provider)
盲法说明
Services to which participants are referred will not be aware of the participant's inclusion in the research study or their study arm.
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 (> 17 years)
- •English or Spanish speaking
- •Completed the referral process at the UHealth ED, one of the COVID-19 testing sites or the Primary Children's ED and indicated both social needs and willingness to receive service low- and no-cost referrals from the United Way 211 community referral service
- •Able to be reached by phone during the intervention OR able to complete surveys sent by text or email
排除标准
- •Those unable to communicate verbally
- •Those living in nursing facilities, or those who are not otherwise responsible for self-care
研究组 & 干预措施
Call + Resources + Scheduled Follow-Up
Participants receive standard care typically provided to 211 callers plus scheduled follow-up calls according to the Scheduled Follow-Up intervention description.
干预措施: Scheduled Follow-Up (Behavioral)
Call + Resources + SINCERE
Participants receive standard care typically provided to 211 callers plus scheduled follow-up calls according to the SINCERE intervention description (scheduled follow up with active collaborative goal setting).
干预措施: SINCERE (Behavioral)
Call + Resources
Participants receive standard care typically provided to 211 callers, including ad hoc follow-up.
干预措施: Standard of Care (Other)
结局指标
主要结局
Change in Anxiety over 12-week time period
时间窗: Baseline, 2-week, 4-week and 12-week surveys
Standardized PROMIS Anxiety- Short Form 7a. 7 questions create one outcome score. Each question is on a 1-5 scale with higher numbers indicating higher severity. The outcome variable will be PROMIS Anxiety with Time included as a variable in the model.
Change in Global Health over 12-week time period
时间窗: Baseline, 2-week, 4-week and 12-week surveys
Standardized PROMIS v1.2 Global Health. 10 questions create one outcome score. Each question is on a 1-5 scale with higher numbers indicating lower severity. The outcome variable will be PROMIS v1.2 Global Health with Time included as a variable in the model.
Change in Depression over 12-week time period
时间窗: Baseline, 2-week, 4-week and 12-week surveys
Standardized PROMIS Depression - Short Form 8b. 8 questions create one outcome score. Each question is on a 1-5 scale with higher numbers indicating higher severity. The outcome variable will be PROMIS Anxiety with Time included as a variable in the model.
次要结局
未报告次要终点