Community Health Worker Care Transitions Study

NCT03085264 | Completed

• 1 other identifier: 2017A050810
• Study Type: interventional
• Target: 600
• Locations: 1 country
• Sites: 1

Brief Summary

This study focuses on pairing community health workers (CHWs) with patients that are high risk for readmission prior to hospital discharge in order to assess differences in hospital readmission rates, ED visits, patient satisfaction and provider satisfaction as compared to patients without community health worker pairings at discharge.

Conditions

Hospitalism

Outcome Measures

Primary Outcomes (1)

• 30 day readmission rate

  The number of patients readmitted within 30 days of being discharged from studied medical units during a given month/ the number of patients discharged from studied medical units during a given month

  1 month ( for 24 months)

Secondary Outcomes (5)

• Emergency Department Visit Rate

  Monthly for 24 months

• Show Rate for Primary Care Provider/ Specialist Appointments

  Monthly for 24 months

• Patient Satisfaction Post-CHW Intervention

  Monthly for 24 months

• Primary Care Provider Satisfaction Post CHW Intervention

  Monthly for 24 months

• Rates of patient depression/isolation

  Monthly for 24 months

Study Arms (2)

Community Health Worker

EXPERIMENTAL

Patients are paired with community health workers for 30 days after hospital discharge to assist with patient care

Behavioral: Community Health Worker

Usual Care

NO INTERVENTION

Patients are not paired with community health workers for 30 days after hospital discharge to assist with patient care

Interventions

Community Health Worker BEHAVIORAL

Community Health Workers calls, texts and visits patient to support them in pre-established care plans as well as medication compliance/appointment attendance

Community Health Worker

Eligibility Criteria

• Age: 18 Years - 109 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Massachusetts General Hospital: lead

Study Sites (1)

Massachusetts General Hospital

Boston, Massachusetts, 02114, United States

Location

Related Publications (3)

• Kangovi S, Mitra N, Grande D, White ML, McCollum S, Sellman J, Shannon RP, Long JA. Patient-centered community health worker intervention to improve posthospital outcomes: a randomized clinical trial. JAMA Intern Med. 2014 Apr;174(4):535-43. doi: 10.1001/jamainternmed.2013.14327.

  PMID: 24515422 BACKGROUND

• Carter J, Hassan S, Walton A, Yu L, Donelan K, Thorndike AN. Effect of Community Health Workers on 30-Day Hospital Readmissions in an Accountable Care Organization Population: A Randomized Clinical Trial. JAMA Netw Open. 2021 May 3;4(5):e2110936. doi: 10.1001/jamanetworkopen.2021.10936.

  PMID: 34014324 DERIVED

• Carter J, Walton A, Donelan K, Thorndike A. Implementing community health worker-patient pairings at the time of hospital discharge: A randomized control trial. Contemp Clin Trials. 2018 Nov;74:32-37. doi: 10.1016/j.cct.2018.09.013. Epub 2018 Oct 4.

  PMID: 30291997 DERIVED

MeSH Terms

Interventions

Community Health Workers

Intervention Hierarchy (Ancestors)

Allied Health Personnel; Health Personnel; Health Care Facilities Workforce and Services

Study Officials

• Jocelyn A Carter, M.D.

  Massachusetts General Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principle Investigator

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: March 14, 2017
• First Posted: March 21, 2017
• Study Start: April 7, 2017
• Primary Completion: May 30, 2019
• Study Completion: October 30, 2019
• Last Updated: February 24, 2020

Record last verified: 2020-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)