NCT02152891

Brief Summary

Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. To decrease the costs of treating heart disease and diabetes through emergency and hospitalization, improved screening and health education is needed. Our program will take place in communal areas within housing buildings of older adults and deliver a heart disease, diabetes, and falls risk check-up with health education. This is expected to improve the health of older adults leading to fewer emergency calls and hospital visits.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,200

participants targeted

Target at P75+ for not_applicable cardiovascular-diseases

Timeline
Completed

Started Nov 2015

Typical duration for not_applicable cardiovascular-diseases

Geographic Reach
1 country

5 active sites

Status
completed

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

May 29, 2014

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 2, 2014

Completed
1.4 years until next milestone

Study Start

First participant enrolled

November 1, 2015

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 30, 2016

Completed
1.3 years until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2018

Completed
Last Updated

August 13, 2019

Status Verified

August 1, 2019

Enrollment Period

1.1 years

First QC Date

May 29, 2014

Last Update Submit

August 12, 2019

Conditions

Cardiovascular DiseasesDiabetes Mellitus

Keywords

Emergency Medical ServicesElderly

Outcome Measures

Primary Outcomes (5)

  • Change in Canadian Diabetes Risk (CANRISK) Score

    The CANRISK tool provides a 10-year risk of diabetes score and will be administered by the paramedic during the CHAP-EMS session.

    Baseline and 1 year

  • Change in Blood Pressure

    Since the participants are invited to attend the intervention weekly, but are not required to attend, the number of assessments and time of assessments will vary. Multilevel analysis will be conducted that accounts for this variance in repeated measures.

    Baseline and after each assessment (up to one year)

  • Change in health perceptions, behaviours, and knowledge of resources

    A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge.

    Baseline and 1 year

  • Change in Health Care Utilization

    Health Care Utilization will be assessed through administrative databases (e.g. hospital visits). Utilization by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.

    Baseline and 1 year

  • Change in rate of EMS Calls

    Rate EMS calls by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.

    Baseline and 1 year

Study Arms (2)

CHAP-EMS/CP@clinic Program Intervention

EXPERIMENTAL

12 month implementation of the intervention

Behavioral: CHAP-EMS/CP@clinic

Control

NO INTERVENTION

Will complete a survey at baseline and at 1 year, no program or intervention provided

Interventions

CHAP-EMS/CP@clinicBEHAVIORAL

Community Paramedicine program to assess cardiovascular, diabetes, and fall risk; discuss lifestyle changes and goals; and refer to appropriate resources.

CHAP-EMS/CP@clinic Program Intervention

Eligibility Criteria

Age55 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • years and older
  • Resides in subsidized apartment building

You may not qualify if:

  • \- None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

City of Greater Sudbury

Greater Sudbury, Ontario, P3A 5P3, Canada

Location

Guelph-Wellington Emergency Medical Services and County of Wellington Social Services Department - Housing Services

Guelph, Ontario, N1H 3A1, Canada

Location

Hamilton Paramedic Services

Hamilton, Ontario, L8P 4Y5, Canada

Location

County of Simcoe

Simcoe, Ontario, L0L 1X0, Canada

Location

York Region

York, Ontario, L3Y 6Z1, Canada

Location

Related Publications (7)

  • Brar J, AlShenaiber L, Dzerounian J, Pirrie M, Angeles R, Marzanek F, Agarwal G. Effects of the Community Paramedicine at Clinic (CP@clinic) program on the health behaviours of older adults residing in social housing: secondary outcomes of a cluster-randomized trial. BMC Public Health. 2025 Mar 6;25(1):887. doi: 10.1186/s12889-025-21997-w.

    PMID: 40050836DERIVED

  • Agarwal G, Pirrie M, Angeles R, Marzanek F, Paterson JM, Nguyen F, Thabane L. Community Paramedicine Program in Social Housing and Health Service Utilization: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2024 Oct 1;7(10):e2441288. doi: 10.1001/jamanetworkopen.2024.41288.

    PMID: 39466243DERIVED

  • Marzanek F, Nair K, Ziesmann A, Paramalingam A, Pirrie M, Angeles R, Agarwal G. Perceived value and benefits of the Community Paramedicine at Clinic (CP@clinic) programme: a descriptive qualitative study. BMJ Open. 2023 Nov 21;13(11):e076066. doi: 10.1136/bmjopen-2023-076066.

    PMID: 37989376DERIVED

  • Agarwal G, Pirrie M, Angeles R, Marzanek F, Thabane L, O'Reilly D. Cost-effectiveness analysis of a community paramedicine programme for low-income seniors living in subsidised housing: the community paramedicine at clinic programme (CP@clinic). BMJ Open. 2020 Oct 27;10(10):e037386. doi: 10.1136/bmjopen-2020-037386.

    PMID: 33109643DERIVED

  • Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Reducing 9-1-1 Emergency Medical Service Calls By Implementing A Community Paramedicine Program For Vulnerable Older Adults In Public Housing In Canada: A Multi-Site Cluster Randomized Controlled Trial. Prehosp Emerg Care. 2019 Sep-Oct;23(5):718-729. doi: 10.1080/10903127.2019.1566421. Epub 2019 Feb 4.

    PMID: 30624150DERIVED

  • Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Evaluation of a community paramedicine health promotion and lifestyle risk assessment program for older adults who live in social housing: a cluster randomized trial. CMAJ. 2018 May 28;190(21):E638-E647. doi: 10.1503/cmaj.170740.

    PMID: 29807936DERIVED

  • Agarwal G, McDonough B, Angeles R, Pirrie M, Marzanek F, McLeod B, Dolovich L. Rationale and methods of a multicentre randomised controlled trial of the effectiveness of a Community Health Assessment Programme with Emergency Medical Services (CHAP-EMS) implemented on residents aged 55 years and older in subsidised seniors' housing buildings in Ontario, Canada. BMJ Open. 2015 Jun 11;5(6):e008110. doi: 10.1136/bmjopen-2015-008110.

    PMID: 26068514DERIVED

MeSH Terms

Conditions

Cardiovascular DiseasesDiabetes Mellitus

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Officials

  • Gina Agarawal

    McMaster University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

May 29, 2014

First Posted

June 2, 2014

Study Start

November 1, 2015

Primary Completion

November 30, 2016

Study Completion

March 31, 2018

Last Updated

August 13, 2019

Record last verified: 2019-08

Locations

CA(5)