NCT02259634

Brief Summary

This is a 3-year prospective randomized comparative study of the efficacy of patient navigation on health education, health related quality of life, healthcare utilization, and medical outcomes in formerly incarcerated individuals. Individuals will be randomized to the patient-navigator intervention or to a care-as-usual control condition. A total of 300 recently incarcerated individuals will be enrolled with 150 subjects each in the intervention and usual care group. The investigators hypothesize that the intervention will improve health education, health related quality of life, adherence to clinical appointments, glycemic/blood pressure control, and virologic suppression in HIV-infected. The results of this study will demonstrate interventions to eliminate health disparities in a highly marginalized group going through the transitional phase of re-entry into the community.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
144

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jun 2014

Shorter than P25 for not_applicable

Geographic Reach
1 country

2 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2014

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

September 15, 2014

Completed
23 days until next milestone

First Posted

Study publicly available on registry

October 8, 2014

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2015

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 1, 2015

Completed
Last Updated

August 20, 2015

Status Verified

August 1, 2015

Enrollment Period

10 months

First QC Date

September 15, 2014

Last Update Submit

August 18, 2015

Conditions

Keywords

Patient NavigationMotivational InterviewingFormerly IncarceratedHealth EducationQuality of LifeHealthcare Utilization

Outcome Measures

Primary Outcomes (2)

  • Health Education Impact

    Health education impact questionnaire (heiQ)

    18 months

  • Quality of Life

    Health related quality of life (HRQOL-14)

    18 months

Secondary Outcomes (2)

  • Health Outcomes

    18 months

  • Healthcare Utilization

    18 months

Study Arms (2)

Patient Navigation

EXPERIMENTAL

Intensive Patient Navigation with Motivational Interviewing and Health Education for 8 months 18 month follow-up

Behavioral: Patient Navigation

Treatment as Usual

NO INTERVENTION

Case Management and Medical Care as provided by the Coming Home Program at Mount Sinai St. Luke's Institute of Advanced Medicine, Morningside Clinic

Interventions

Motivational Interviewing

Patient Navigation

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • age 18 years or older
  • English or Spanish speaking
  • release from the correctional system within the previous 6 months

You may not qualify if:

  • unable to provide informed consent
  • report duration of incarceration of less than 5 days
  • report history of incarceration more than 6 months ago

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Mount Sinai St. Luke's

New York, New York, 10025, United States

Location

Hunter College at The City University of New York

New York, New York, 10065, United States

Location

MeSH Terms

Conditions

Acquired Immunodeficiency SyndromeDiabetes MellitusHypertensionSubstance-Related DisordersHealth Education

Interventions

Patient Navigation

Condition Hierarchy (Ancestors)

HIV InfectionsBlood-Borne InfectionsCommunicable DiseasesInfectionsSexually Transmitted Diseases, ViralSexually Transmitted DiseasesLentivirus InfectionsRetroviridae InfectionsRNA Virus InfectionsVirus DiseasesSlow Virus DiseasesGenital DiseasesUrogenital DiseasesImmunologic Deficiency SyndromesImmune System DiseasesGlucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System DiseasesVascular DiseasesCardiovascular DiseasesChemically-Induced DisordersMental DisordersAdherence InterventionsMedication AdherencePatient CompliancePatient Acceptance of Health CareTreatment Adherence and ComplianceHealth BehaviorBehavior

Intervention Hierarchy (Ancestors)

Patient-Centered CarePrimary Health CareComprehensive Health CarePatient Care ManagementHealth Services Administration

Study Officials

  • Georgina Osorio, MD, MPH

    St. Luke's-Roosevelt Hospital Center

    PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

First Submitted

September 15, 2014

First Posted

October 8, 2014

Study Start

June 1, 2014

Primary Completion

April 1, 2015

Study Completion

April 1, 2015

Last Updated

August 20, 2015

Record last verified: 2015-08

Locations