PATient Navigator to rEduce Readmissions
PArTNER
1 other identifier
interventional
1,029
1 country
1
Brief Summary
Staying out of the hospital is valued by patients and their caregivers. Their interests converge with those of hospitals now that high 30-day readmission rates for some conditions place hospitals at risk for financial penalties from the Centers for Medicare and Medicaid Services. This study focuses on developing and testing a program that combines a community health worker (lay patient advocate, acting as a "Patient Navigator") and a peer-led telephone support line to improve patient experience during hospital to home transition.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable chronic-obstructive-pulmonary-disease
Started Jul 2014
Typical duration for not_applicable chronic-obstructive-pulmonary-disease
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 1, 2014
CompletedFirst Posted
Study publicly available on registry
April 15, 2014
CompletedStudy Start
First participant enrolled
July 1, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2016
CompletedResults Posted
Study results publicly available
February 15, 2019
CompletedFebruary 15, 2019
October 1, 2018
2.3 years
April 1, 2014
October 20, 2017
October 1, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
PROMIS Emotional Distress-Anxiety (v1.0, SF4a)
Change in T-score from baseline to 30 days post discharge (30 days minus baseline). A change in t-score \<0 indicates improvement. A change equal to 0 indicates no change. A change \>0 indicates worsening.
30 days post discharge
PROMIS Informational Support (v2.0, SF4a)
Change in T-score from baseline to 30 days post discharge (30 days minus baseline). A change in t-score \<0 indicates worsening. A change equal to 0 indicates no change. A change \>0 indicates improvement.
30 days post discharge
Secondary Outcomes (18)
PROMIS Emotional Support (v2.0, SF4a)
30 days post discharge
PROMIS Instrumental Support (v2.0, SF4a)
30 days post discharge
PROMIS Global Health, Physical (v1.1, SF)
30 days post discharge
PROMIS Global Health, Mental (v1.1, SF)
30 days post discharge
PROMIS Emotional Distress-Anxiety (v1.0, SF4a)
60 days post discharge
- +13 more secondary outcomes
Study Arms (2)
Usual Care
OTHERHospital usual care Hospital usual care: Written discharge instructions provided to patients prior to hospital discharge.
Usual Care + PArTNER
EXPERIMENTALNavigator intervention: (Community health worker, peer-led telephone support line, usual care) Hospital usual care: Written discharge instructions provided to patients prior to hospital discharge. Community health worker: The community health worker provides social support, literacy appropriate education, and acts as a conduit between the patient and the patient's medical team Peer-led telephone support line: The peer-led telephone support line will provide social support, peer-to-peer coaching, and facilitate communication with the patient's medical care team.
Interventions
Written discharge instructions provided to patients prior to hospital discharge.
A Patient Navigator will provide social support, literacy appropriate education, and act as a conduit between the patient and the patient's medical team
The peer-led telephone support line will provide social support, peer-to-peer coaching, and facilitate communication with the patient's medical care team.
Eligibility Criteria
You may qualify if:
- Age 18 years or older on date of hospital admission
- Hospitalized at the University of Illinois Hospital, Chicago
- Admission diagnosis, per treating physician, of pneumonia, COPD, sickle cell disease, heart failure, or myocardial infarction
- Receive medical care on an inpatient medical service
You may not qualify if:
- Unable to understand and speak English
- Unable/decline to give informed consent
- Previous participant in PArTNER
- Planned transfer to another acute care facility
- Planned discharge to facility other than home (e.g. long term care facility)
- Currently on hospice or plans to discharge home to hospice
- Current plans to leave against medical advice
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Illinois at Chicagolead
- Patient-Centered Outcomes Research Institutecollaborator
- Society of Hospital Medicinecollaborator
- COPD Foundationcollaborator
- University of Kentuckycollaborator
- Mended Heartscollaborator
- American Heart Associationcollaborator
- Sickle Cell Disease Association of Illinoiscollaborator
- AcademyHealthcollaborator
- The National Association of Social Workers Foundationcollaborator
- Respiratory Health Associationcollaborator
- University of Illinois Sickle Cell Patient Councilcollaborator
- National Jewish Healthcollaborator
- Baystate Medical Centercollaborator
Study Sites (1)
University of Illinois Hospital
Chicago, Illinois, 60612, United States
Related Publications (1)
LaBedz SL, Prieto-Centurion V, Mutso A, Basu S, Bracken NE, Calhoun EA, DiDomenico RJ, Joo M, Pickard AS, Pittendrigh B, Williams MV, Illendula S, Krishnan JA. Pragmatic Clinical Trial to Improve Patient Experience Among Adults During Transitions from Hospital to Home: the PArTNER study. J Gen Intern Med. 2022 Dec;37(16):4103-4111. doi: 10.1007/s11606-022-07461-0. Epub 2022 Mar 8.
PMID: 35260961DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
No limitations or caveats to report.
Results Point of Contact
- Title
- Jerry A. Krishnan, MD, PhD
- Organization
- University of Illinois at Chicago
Study Officials
- PRINCIPAL INVESTIGATOR
Jerry A Krishnan, MD, PhD
University of Illinois at Chicago
- PRINCIPAL INVESTIGATOR
Elizabeth Calhoun, PhD
University of Arizona
- PRINCIPAL INVESTIGATOR
Mark V. Williams, MD
University of Kentucky
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Medicine and Public Health; Associate Vice Chancellor for Population Health Sciences
Study Record Dates
First Submitted
April 1, 2014
First Posted
April 15, 2014
Study Start
July 1, 2014
Primary Completion
October 1, 2016
Study Completion
October 1, 2016
Last Updated
February 15, 2019
Results First Posted
February 15, 2019
Record last verified: 2018-10