A Virtual Navigation Intervention to Reduce Behavioral Health Admissions From Rural Emergency Departments
VIBRANT
3 other identifiers
interventional
1,089
1 country
9
Brief Summary
This research project is a pragmatic, randomized evaluation of a quality improvement initiative which seeks to evaluate the effects of standardizing the use of a BH-VPN program among patients with a telepsychiatric consult. The outcomes evaluation of this intervention has been designed to integrate with routine care and minimize frontline staff burden by deploying an evaluation in a real-world setting.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable depression
Started Oct 2019
Typical duration for not_applicable depression
9 active sites
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
October 14, 2019
CompletedFirst Submitted
Initial submission to the registry
October 30, 2019
CompletedFirst Posted
Study publicly available on registry
November 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 31, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
January 31, 2022
CompletedResults Posted
Study results publicly available
April 12, 2022
CompletedMarch 21, 2023
February 1, 2022
2 years
October 30, 2019
February 21, 2022
March 17, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Assessing Hospital Admissions
Compare the effectiveness of having the Behavioral Health - Virtual Patient Navigation (BH-VPN) program available compared to usual care, on admission rates among patients in the ED with a telepsychiatric consult
Up to 2 weeks from initial ED admission
Secondary Outcomes (3)
45-day Post Discharge Utilization Rate
45 days
45-day Post Discharge Utilization Rate With a Self-harm Diagnosis
45 days
45-day Post Discharge ED Utilization Rate With a Behavioral Health Crisis
45 days
Study Arms (2)
Behavioral Health - Virtual Patient Navigation
EXPERIMENTALAll patients who meet eligibility criteria at sites where the virtual patient navigation behavioral health program is offered will be considered exposed to the intervention.
Usual care Behavioral Health
NO INTERVENTIONAll patients who meet eligibility criteria at sites where the virtual patient navigator behavioral health program is not offered will be considered exposed to usual care.
Interventions
Patients are identified by a clinician in the ED as needing psychiatric evaluation and a referral is made to a tele-psych provider for a virtual consult. Patients can be enrolled to the intervention arm based on a randomization scheme that randomly allocates days that navigators are available. The psychiatrist will make a recommendation to admit or discharge the patient. For patients that have a discharge recommendation on days that BH-VPN is available, patients will be offered the BH-VPN program. Enrolled patients are followed for up to 45 days. On days where the navigator is available, all patients who meet eligibility criteria will be considered exposed to the intervention.
Eligibility Criteria
You may qualify if:
- Eligible patients must meet each of the following criteria:
- Present to an ED at participating sites
- Complete a telepsychiatric consult as captured in the electronic medical record
- Complete a telepsychiatric consult during the navigator's hours of operation
- ≥ 18 years of age at time of ED admission
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Wake Forest University Health Scienceslead
- The Duke Endowmentcollaborator
Study Sites (9)
Atrium Health - Stanly
Albemarle, North Carolina, 28001, United States
Atrium Health - Kings Mountain
Kings Mountain, North Carolina, 28086, United States
Scotland Memorial Hospital
Laurinburg, North Carolina, 28352, United States
Atrium Health - Lincoln
Lincolnton, North Carolina, 28092, United States
Carolinas HealthCare System - Blue Ridge - Morganton
Morganton, North Carolina, 28655, United States
Atrium Health - Cleveland
Shelby, North Carolina, 28150, United States
Carolinas HealthCare System - Valdese
Valdese, North Carolina, 28690, United States
Atrium Health - Anson
Wadesboro, North Carolina, 28170, United States
Columbus Regional Hospital
Whiteville, North Carolina, 28472, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Jason Roberge
- Organization
- Atrium Health
Study Officials
- PRINCIPAL INVESTIGATOR
Jason Roberge, PhD
Wake Forest University Health Sciences
Publication Agreements
- PI is Sponsor Employee
- No
- Restrictive Agreement
- No
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 30, 2019
First Posted
November 1, 2019
Study Start
October 14, 2019
Primary Completion
October 31, 2021
Study Completion
January 31, 2022
Last Updated
March 21, 2023
Results First Posted
April 12, 2022
Record last verified: 2022-02
Data Sharing
- IPD Sharing
- Will not share