NCT04195880

Brief Summary

The goal of the project was to implement and evaluate the intervention, Interventions to Reduce Acute Care Transfers (INTERACT) in VHA CLCs, which is designed to improve the care of Veterans using CLCs who experience acute changes in their condition and at the same time reduce their rate of hospitalization.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
6,543

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2016

Completed
1.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2017

Completed
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2018

Completed
1.5 years until next milestone

First Submitted

Initial submission to the registry

December 10, 2019

Completed
2 days until next milestone

First Posted

Study publicly available on registry

December 12, 2019

Completed
5 months until next milestone

Results Posted

Study results publicly available

May 11, 2020

Completed
Last Updated

July 27, 2023

Status Verified

July 1, 2023

Enrollment Period

1.9 years

First QC Date

December 10, 2019

Results QC Date

February 24, 2020

Last Update Submit

July 19, 2023

Conditions

Quality Improvement

Outcome Measures

Primary Outcomes (1)

  • Hospital Admissions Per Person Year Alive Measured at the Facility Month Level

    hospital admissions from nursing home per person year at risk of being hospitalized calculated for each of the 16 facilities per month of observation during the 18 months of the active study and 18 months preceding introduction of the intervention in the experimental facilities. This measure is constructed from EMR data and not from a scale.

    36 months

Secondary Outcomes (1)

  • Potentially Avoidable Hospitalizations

    18 months followup during observation period.

Study Arms (2)

Experimental VA Community Living Centers

EXPERIMENTAL

Eight VA CLCs selected to receive the INTERACT intervention

Other: Interventions to Reduce Acute Care Transfers

Control VA Community Living Centers

NO INTERVENTION

Eight CLCs, matched to experiment CLCs, based on size, location to VAMC, and hospitalization rates, did not receive the intervention and continued care as usual

Interventions

Interventions to Reduce Acute Care TransfersOTHER

Experimental CLCs were trained in INTERACT QI Intervention, containing tools, strategies and educational resources designed to catch and manage acute changes in conditions early that a Veteran may be experiencing, leading to a potential reduction in preventable hospital transfers from CLCs.

Also known as: INTERACT
Experimental VA Community Living Centers

Eligibility Criteria

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

You may qualify if:

  • Veterans in experimental and control CLCs during 18 months during which the INTERAC intervention was implemented.

You may not qualify if:

  • Veterans not in participating CLCs

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Providence VA Medical Center, Providence, RI

Providence, Rhode Island, 02908-4734, United States

Location

Related Publications (2)

  • Mochel AL, Henry ND, Saliba D, Phibbs CS, Ouslander JG, Mor V. INTERACT in VA Community Living Centers (CLCs): Training and Implementation Strategies. Geriatr Nurs. 2018 Mar-Apr;39(2):212-218. doi: 10.1016/j.gerinurse.2017.09.002. Epub 2017 Oct 5.

    PMID: 28988835RESULT

  • Mochel AL, Holle CL, Rudolph JL, Ouslander JG, Saliba D, Mor V, Mittman BS. Influencing Factors Associated with Implementation of INTERACT (Interventions to Reduce Acute Care Transfers) in VA Community Living Centers (CLCs) Using the Consolidated Framework. J Aging Soc Policy. 2022 Sep 3;34(5):673-689. doi: 10.1080/08959420.2021.1926862. Epub 2021 Jun 4.

    PMID: 34085597RESULT

Related Links

Limitations and Caveats

Our intervention and control CLCs were not perfectly matched. Due to incomplete implementation of INTERACT in all intervention sites, we acknowledge that this was an incomplete test of the efficacy of the program when properly implemented

Results Point of Contact

Title
Vincent Mor, Principal Investigator
Organization
Providence VAMC
vincent_mor@brown.edu
4012737100

Study Officials

  • Vincent Mor, PhD

    Providence VA Medical Center, Providence, RI

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Masking Details
Intervention implemented in providers assigned to experimental condition, so all knew they were in a study. Control facilities did not know there was a study underway.
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: Pair matched cluster randomized trial; randomization at the provider level.
Sponsor Type
FED
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 10, 2019

First Posted

December 12, 2019

Study Start

January 1, 2016

Primary Completion

December 1, 2017

Study Completion

June 1, 2018

Last Updated

July 27, 2023

Results First Posted

May 11, 2020

Record last verified: 2023-07

Data Sharing

IPD Sharing
Will not share

Locations

US(1)