Our Peers - Empowerment and Navigational Support

NCT04784611 | Unknown

• 1 other identifier: 2015-1207
• Study Type: interventional
• Target: 101
• Locations: 1 country
• Sites: 1

Brief Summary

People with physical disabilities experience well documented barriers to healthcare access, quality and outcomes. The purpose of this study is to implement and evaluate a 12-month peer health navigator intervention (called Our Peer-Empowerment and Navigational Support) designed to help Medicaid beneficiaries with physical disabilities break down barriers to care through a systematic process of 1) rapport building, 2) identification of healthcare needs and priorities, 3) identification of barriers and supports, 4) co-creation of goal and action plans, and 5) provision of social and informational support. It is hypothesized that people in the interventional trial will experience: improved patient activation, increased social support, increased access to care, increased quality of care, and increased health outcomes compared to people in the control group.

Conditions

Disabled Persons

Keywords

peer health navigator; community health worker

Outcome Measures

Primary Outcomes (4)

• Change in Patient Activation Measure (PAM) scores

  13-item self-report measure of perceived knowledge, skills \&confidence in self-management

  baseline to 6-months

• Change in Health care access and quality using CAHPS - Adult Medicaid Survey 5.0

  Self-report measure of consumer's experiences, Composite scores - access and availability of care, experience of care, special considerations for people with disabilities.

  baseline to 6-months

• Change in Patient Activation Measure (PAM) scores

  13-item self-report measure of perceived knowledge, skills \&confidence in self-management

  baseline to 13-months

• Change in Health care access and quality using CAHPS - Adult Medicaid Survey 5.0

  Self-report measure of consumer's experiences, Composite scores - access and availability of care, experience of care, special considerations for people with disabilities.

  baseline to 13-months

Secondary Outcomes (14)

• Change in Patient Reported Outcomes Measurement Information System (PROMIS) Global Health Score

  baseline to 6-months

• Change in Patient Reported Outcomes Measurement Information System (PROMIS) Pain Interference Score

  baseline to 6-months

• Change in Patient Reported Outcomes Measurement Information Systems (PROMIS) Depression Score

  baseline to 6-months

• Change in Patient Reported Outcomes Measurement Information System (PROMIS) fatigue

  baseline to 6-months

• Change in Patient Reported Outcomes Measurement Information System (PROMIS) Informational Support Score

  baseline to 6-months

Study Arms (2)

Group 1 - OP-ENS Intervention

EXPERIMENTAL

Participants will be matched with a peer health navigator. As part of this complex behavioral intervention, participants and peer health navigators will engage in a systematic process of barrier and strength identification, goal setting and action planning related to issues of healthcare access and quality. Participants and peers will meet at least monthly over the course of the 12-month study period (but frequency is determined by participant need). Given the nature of the disability and healthcare experience, we anticipate the needs and therefore frequency will fluctuate over the duration of the study period. Beginning in month 10, participants and peers will engage in a period of transition planning to ensure that participants have the strategies and supports in place to assume the role of their own health navigator.

Behavioral: Our Peers - Empowerment and Navigational Support (OP-ENS) Peer Health Navigator Intervention

Group 2 - Usual Care

NO INTERVENTION

Participants randomized to the usual care group will continue with their usual health and healthcare routines. Participants in the usual care group will receive a monthly newsletter with general interest information relevant to the disability community.

Interventions

Our Peers - Empowerment and Navigational Support (OP-ENS) Peer Health Navigator Intervention BEHAVIORAL

Disability peer health navigator mentored and manualized process of barriers identification, asset mapping, goal setting, and action planning along with on-going social support and information sharing.

Group 1 - OP-ENS Intervention

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Medicaid beneficiary
• self-identified as person with a disability
• ability to provide legal consent
• ability to communicate in English

You may not qualify if:

• diagnosis of several persistent mental illness, substance abuse, primary diagnosis of pain with narcotic management.

Sponsors & Collaborators

• University of Illinois at Chicago: lead
• Shirley Ryan AbilityLab: collaborator
• Oakland University: collaborator
• Access Living: collaborator

Study Sites (1)

University of Illinois, Chicago

Chicago, Illinois, 60612, United States

Location

Study Officials

• Susan Magasi

  University of Illinois at Chicago

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Given the nature of the intervention it is not possible to mask participants and interventionists to group assignment. Outcome assessors and investigators will be unaware of group assignment.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Participants will be randomly assigned to either the intervention or usual care groups using block randomization with randomly selected blocks of 4, 8 or 12. Randomization sequence will be generated using SAS algorithm.

Study Record Dates

• First Submitted: March 1, 2021
• First Posted: March 5, 2021
• Study Start: April 16, 2018
• Primary Completion: November 17, 2020
• Study Completion: September 30, 2021
• Last Updated: March 5, 2021

Record last verified: 2021-03

Locations

US (1)