Study the Impact of the CommunityRx Program on Health, Self-care and Cost

NCT02435511 | Completed Results

• 1 other identifier: IRB14-0589
• Study Type: interventional
• Target: 411
• Locations: 1 country
• Sites: 1

Brief Summary

CommunityRx is a health information technology-based innovation that, starting with the patient-health care provider encounter, facilitates self-care coordination for patients, caregivers, and providers. The CommunityRx database interfaces with electronic medical records to provide patients with a "HealtheRx." A HealtheRx is a list of community-based self-care resources tailored to the patients health needs (e.g., a person with diabetes receives information about podiatrists, nutrition classes, and other resources need to manage diabetes). CommunityRx aims to measurably improve health and health care while reducing health care costs especially in underserved health care settings. Specifically, the proposed research aims to 1) evaluate the impact of CommunityRx on health care utilization, cost, health, and patient-centered outcomes for program participants compared to controls; 2) examine the flow and spread of information to and through primary agents including: program participants, community health information experts, healthcare providers, and community-based service providers (businesses and organizations providing self-care resources); and 3) build and use an agent-based model to test the distributed impact, including economic effects, of CommunityRx system adoption on the demonstration area and predict performance over time by conducting experiments that vary assumptions about agent, environment, and population-level characteristics.

Conditions

Health Behavior

Keywords

agent-based modeling; community resources; simulation modeling; information intervention; clinic-to-community linkages

Outcome Measures

Primary Outcomes (1)

• Mental Health-related Quality of Life at 3 Months

  Health-related quality of life will be measured using the Short Form Health Survey (SF-12) . Minimum value=0, maximum value=100. Higher scores equal better mental health.

  Assessed at Baseline, 1 Week, 1 Month and 3 Months; score at 3 months reported

Secondary Outcomes (4)

• Change From Baseline in Cost Effectiveness at 3 Months

  Baseline, 3 months

• Patient Satisfaction at 3 Months

  Assessed at baseline, 1 week, 1 month and 3 months; 3 months reported here

• Physical Health-related Quality of Life at 3 Months

  Assessed at baseline, 1 week, 1 month and 3 months; 3 months reported

• Self-efficacy - Finding Places and Services in Community to Manage Health as Measured by Questionnaire

  Assessed at baseline, 1 week, 1 month and 3 months; score at 3 months reported

Other Outcomes (10)

• Access to Resources - Weight Loss Class or Support Group as Measured by Questionnaire Developed for This Study

  Baseline, 1 week, 1 month and 3 months

• Access to Resources - Healthy Eating Classes as Measured by Questionnaire Developed for This Study

  Baseline, 1 week, 1 month and 3 months

• Access to Resources - Counseling as Measured by Questionnaire Developed for This Study

  Baseline, 1 week, 1 month and 3 months

Study Arms (2)

Control arm

NO INTERVENTION

The control group will receive usual care, no HealtheRx.

Intervention arm

EXPERIMENTAL

The intervention arm will receive the intervention, a HealtheRx, which includes a list of resources in their community tailored to their health needs.

Other: HealtheRx

Interventions

HealtheRx OTHER

The HealtheRx is an informational intervention. The HealtheRx is generated and administered at the point of care. It includes a list of community resources, tailored to a patient's needs based on diagnoses, that are located near the patient's home. A health care provider and/or administrative staff administers and reviews the HealtheRx with the patient.

Intervention arm

Eligibility Criteria

• Age: 45 Years - 74 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• years old
• Medicaid and/or Medicare beneficiary
• Living in 1 of the 16 zip codes served by CommunityRx
• Seen at University of Chicago primary care or emergency department

You may not qualify if:

• Recollection of previous receipt of a HealtheRx

Sponsors & Collaborators

• University of Chicago: lead

Study Sites (1)

University of Chicago Medicine - Adult Emergency Department and Primary Care Group clinic

Chicago, Illinois, 60637, United States

Location

Related Publications (2)

• Tung EL, Abramsohn EM, Boyd K, Makelarski JA, Beiser DG, Chou C, Huang ES, Ozik J, Kaligotla C, Lindau ST. Impact of a Low-Intensity Resource Referral Intervention on Patients' Knowledge, Beliefs, and Use of Community Resources: Results from the CommunityRx Trial. J Gen Intern Med. 2020 Mar;35(3):815-823. doi: 10.1007/s11606-019-05530-5. Epub 2019 Nov 20.

  PMID: 31749028 DERIVED

• Lindau ST, Makelarski JA, Abramsohn EM, Beiser DG, Boyd K, Chou C, Giurcanu M, Huang ES, Liao C, Schumm LP, Tung EL. CommunityRx: A Real-World Controlled Clinical Trial of a Scalable, Low-Intensity Community Resource Referral Intervention. Am J Public Health. 2019 Apr;109(4):600-606. doi: 10.2105/AJPH.2018.304905. Epub 2019 Feb 21.

  PMID: 30789775 DERIVED

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Results Point of Contact

• Title: Dr. Stacy Lindau
• Organization: University of Chicago

slindau@bsd.uchicago.edu

7738348986

Study Officials

• Stacy T Lindau, MD, MAPP

  University of Chicago

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

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

Study Record Dates

• First Submitted: April 17, 2015
• First Posted: May 6, 2015
• Study Start: December 1, 2015
• Primary Completion: December 1, 2016
• Study Completion: December 1, 2017
• Last Updated: May 11, 2022
• Results First Posted: May 15, 2019

Record last verified: 2022-05

Locations

US (1)