Reverse Innovation and Patient Engagement to Improve Quality of Care and Patient Outcomes

NCT02222909 | Completed Results

• 1 other identifier: CD-12-11-4948
• Study Type: interventional
• Target: 6,767
• Locations: 1 country
• Sites: 1

Brief Summary

Project CONNECT ("Community-based Organizations Neighborhood Network: Enhancing Capacity Together") is a randomized controlled trial that involves 22 community-based organizations (CBOs) located in Baltimore, MD. Half of these organizations were randomly assigned to the intervention group using a constrained cluster randomization process. The remaining 11 are a part of the control intervention group. The intervention is a co-developed set of IT tools hypothesized to improve the connections among intervention CBOs, Johns Hopkins health care facilities and CBO clients.

Conditions

Diabetes; Cardiovascular Disease; Substance Abuse Disorder; Mental Health Disorder

Keywords

Community Based Organization; Reverse Innovation; Social Services; Referral; Chronic disease

Outcome Measures

Primary Outcomes (1)

• Change in Emergency Department Visits + Hospital Days

  The change in the average number of monthly emergency department visits and days spent in the hospital from the pre- intervention to the post-intervention period for J-CHiP patients assigned to each of the CBOs, adjusted for baseline prognostic variables.

  Pre-Intervention (09/01/2012 to 03/09/2014); Post-Intervention (03/10/2014-09/30/2015

Study Arms (2)

Intervention CBOs

EXPERIMENTAL

Will receive "co-developed IT intervention" developed together with intervention group community based members. Set of primarily web based tools to improve connection with clients, Johns Hopkins Medicine and one another, referrals, and volunteer services.

Other: Co-developed IT intervention

Control CBOs

NO INTERVENTION

Community Based Organizations that are being followed for data collection only for the period of one year

Interventions

Co-developed IT intervention OTHER

The IT-based intervention is being co-developed with the community based organizations in the intervention group, and comprises tools to improve referral and tracking of clients, use of volunteers, and direct communication with hospital staff members

Also known as: Healthify

Intervention CBOs

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Community Based Organization; 501-C3 status; Located within zip codes surrounding Johns Hopkins Hospital and Johns Hopkins Bayview Medical Center; Provides direct services to clients

You may not qualify if:

• Part of Johns Hopkins Medicine or Baltimore City Agency

Sponsors & Collaborators

• Johns Hopkins Bloomberg School of Public Health: lead
• Patient-Centered Outcomes Research Institute: collaborator

Study Sites (1)

Zip codes surrounding Johns Hopkins Hospital

Baltimore, Maryland, 21205, United States

Location

Related Publications (3)

• Lowe D, Ryan R, Schonfeld L, Merner B, Walsh L, Graham-Wisener L, Hill S. Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation. Cochrane Database Syst Rev. 2021 Sep 15;9(9):CD013373. doi: 10.1002/14651858.CD013373.pub2.

  PMID: 34523117 DERIVED

• Wu AW, Weston CM, Ibe CA, Ruberman CF, Bone L, Boonyasai RT, Hwang S, Gentry J, Purnell L, Lu Y, Liang S, Rosenblum M. The Baltimore Community-Based Organizations Neighborhood Network: Enhancing Capacity Together (CONNECT) Cluster RCT. Am J Prev Med. 2019 Aug;57(2):e31-e41. doi: 10.1016/j.amepre.2019.03.013. Epub 2019 Jun 25.

  PMID: 31248746 DERIVED

• Ibe CA, Basu L, Gooden R, Syed SB, Dadwal V, Bone LR, Ephraim PL, Weston CM, Wu AW; Baltimore CONNECT Project Team. From Kisiizi to Baltimore: cultivating knowledge brokers to support global innovation for community engagement in healthcare. Global Health. 2018 Feb 9;14(1):19. doi: 10.1186/s12992-018-0339-8.

  PMID: 29426345 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus; Cardiovascular Diseases; Substance-Related Disorders; Mental Disorders; Chronic Disease

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Chemically-Induced Disorders; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Results Point of Contact

• Title: Christine Weston
• Organization: Johns Hopkins School of Public Health

cweston1@jhu.edu

443-287-8039

Study Officials

• Albert W Wu, MD MPH

  Johns Hopkins Bloomberg School of Public Health

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 18, 2014
• First Posted: August 22, 2014
• Study Start: April 1, 2014
• Primary Completion: December 1, 2015
• Study Completion: December 1, 2015
• Last Updated: February 9, 2024
• Results First Posted: February 9, 2024

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)