NCT01394081|CompletedResults
Alabama Veterans Rural Health Initiative
AVRHI
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AVRHI
Sponsor study identifier
interventional
203
1 country
2
Study Start
October 1, 2008
Actual (reported)Primary Completion
October 1, 2010
Actual (reported)Study Completion
October 1, 2013
Actual (reported)The purpose of the Alabama Veterans Rural Health Initiative is to better understand access and barriers to health care and to enhance veteran enrollment or engagement in health care services of veterans residing in rural areas. It describes an intervention that is adaptable for use by other VA facilities that serve veterans in rural settings, and importantly, this study will improve our understanding of barriers to care and evaluate a method for enhancing access to care. The anticipated impact is that more veterans in rural areas who were previously under-utilizing VA services will receive and attend a health care appointment. This gain may improve preventative and primary care health care and reduce long term health care morbidity, expense and burden. This study may also identify previously unknown barriers to care that can be surmounted by innovative access and health care delivery approaches. The primary objective is to evaluate an innovative approach for enhanced enrollment and engagement outreach intervention (EEE intervention) for rural veterans in VA health care services. This study entails a two-cell design, addressing this objective with a prospective, randomized controlled multi-site clinical trial that evaluates an active intervention compared to administrative outreach (AO, control condition) on whether or not a rurally-residing veteran obtains and attends a VA appointment.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
October 1, 2013
Actual (reported)Click on a node to explore related trials.
Some registry-reported names shown below are not yet linked in this graph.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
October 1, 2008
Actual (reported)October 1, 2010
Actual (reported)July 12, 2011
Actual (reported)July 14, 2011
Actual (reported)October 1, 2013
Actual (reported)April 23, 2018
Actual (reported)Attendance at a VA Appointment
Attendance at a VA appointment was derived from VA clinical records, defined as the participant attending a scheduled VA clinic appointment. Participants who did not attend a VA clinic appointment be the end of 6-month observation period were classified as censored at 6 months.
6 months
Days Until VA Clinic Appointment
6 months
Enhanced Engagement and Enrollment (EEE) consists of the outreach worker (interventionalist) engaging the participant in education (about VA resources and medical care), navigating the patient through the VA eligibility, enrollment, and scheduling processes, and using motivational interview to focus on ambivalence about attending a VA appointment.
Administrative Outreach (AO) consists of the outreach worker giving the participants an application package to VA enrollment or phone number for the scheduling clerk. This intervention does not involve education, patient navigation (guidance through VA eligibility, enrollment, and scheduling processes) or motivational interviews (interviews focused on ambivalence about attending a VA appointment).
Consists of motivational interviewing, educational outreach, and patient navigation.
Consists of giving information about enrolling for VA medical care or scheduling an appointment
Birmingham VAMC
Birmingham, Alabama, 35233, United States
Tuscaloosa VAMC
Tuscaloosa, Alabama, 35404, United States
Hilgeman MM, Mahaney-Price AF, Stanton MP, McNeal SF, Pettey KM, Tabb KD, Litaker MS, Parmelee P, Hamner K, Martin MY, Hawn MT, Kertesz SG, Davis LL; Alabama Veterans Rural Health Initiative (AVRHI) Steering Committee. Alabama Veterans Rural Health Initiative: a pilot study of enhanced community outreach in rural areas. J Rural Health. 2014 Spring;30(2):153-63. doi: 10.1111/jrh.12054. Epub 2013 Dec 15.
Mahaney-Price AF, Hilgeman MM, Davis LL, McNeal SF, Conner CM, Allen RS. Living will status and desire for living will help among rural Alabama veterans. Res Nurs Health. 2014 Oct;37(5):379-90. doi: 10.1002/nur.21617. Epub 2014 Aug 23.
Single geographic location; open label; bundled components of EEE intervention.
Lori Davis, M.D.
Tuscaloosa VAMC
203 participants (actual enrollment reported by the registry).
First Submitted
July 12, 2011
First Posted
July 14, 2011
Study Start
October 1, 2008
Actual (reported)A Brief Outpatient Problem-solving Intervention to Promote Healthy Eating and Activity Habits in Adolescents
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
Contact the study team to confirm eligibility.
Allen RS, Guadagno RE, Parmelee P, Minney JA, Hilgeman MM, Tabb KD, McNeil SF, Houston T, Kertesz S, Davis L. Internet connectivity among rural Alabama veterans: baseline findings from the Alabama Veterans Rural Health Initiative Project. Rural Remote Health. 2013 Apr-Jun;13(2):2138. Epub 2013 Jan 21.
Primary Completion
October 1, 2010
Actual (reported)Study Completion
October 1, 2013
Actual (reported)Last Updated
April 23, 2018
Results First Posted
April 23, 2018
Record last verified: 2017-09
Individual participant data will not be shared
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Source: ClinicalTrials.gov.
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