Our Peers - Empowerment and Navigational Support - Community Living: Remote Peer Navigator Intervention for Adults With Newly Acquired Disabilities Transitioning to Community Living (OP-ENS -CL)

NCT06941233 | Not Yet Recruiting

• 2 other identifiers: 2025-039790RTCP0005-01-00
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn if a remote peer navigator intervention (OP-ENS - CL) for people with newly acquired physical disabilities returning to community living after rehabilitation improves self-reported social support, health, and community participation. The main questions it aims to answer are: Do people with acquired physical disabilities who receive the remote peer navigator intervention experience greater social support and self-efficacy than people in the control group? Do people with acquired physical disabilities who receive the remote peer navigator intervention have better self-reported health and social participation outcomes than people in the control group? Is the OP-ENS - CL intervention acceptable to people with newly acquired physical disabilities returning to community living?

Conditions

Disabled Persons

Keywords

peer navigators; community health worker

Outcome Measures

Primary Outcomes (5)

• Patient Activation Measure

  The 13-item self-report measure assesses perceived knowledge, skills, and confidence for self-management

  Baseline, 6 months, 13 months.

• PROMIS Self-Efficacy Short Form

  4-item self-report short form measure assessing confidence in one's ability to perform specific tasks or behaviors

  Baseline, 6 months, 13 months.

• PROMIS Emotional Support, short form

  8-item self-report short forms assessing the availability of 3 types of emotional support

  Baseline, 6 months, 13 months.

• PROMIS informational support, short form

  8-item self-report short forms assessing the availability of informational support

  Baseline, 6 months, 13 months.

• PROMIS Instrumental Support, short form

  8-item self-report short forms assessing the availability of instrumental support

  Baseline, 6 months, 13 months.

Secondary Outcomes (5)

• PROMIS Global Health

  Baseline, 6 months, 13 months.

• PROMIS Depression

  Baseline, 6 months, 13 months.

• PROMIS Ability to Participate in Social Roles and Activities

  Baseline, 6 months, 13 months.

• Community Participation Indicators, Enfranchisement Scale

  Baseline, 6 months, 13 months.

• Canadian Occupational Performance Measure

  Baseline, 6 months, 13 months.

Other Outcomes (1)

• Patient Satisfaction with Logistical Aspects of Navigation Scale

  13-month

Study Arms (2)

OP-ENS - CL Intervention

EXPERIMENTAL

Participants will be matched with a peer navigator. As part of this complex behavioral intervention, participants and peer 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 remotely 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 community living 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 navigator.

Behavioral: Our Peers - Empowerment and Navigational Support - Community Living (OP-ENS - CL)

Usual Care

NO INTERVENTION

Participants randomized to the usual care group will continue with their usual health, healthcare, and community living services 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 - Community Living (OP-ENS - CL) BEHAVIORAL

Op-ENS - CL is a 12-month, remote delivered peer navigator intervention. Participants will meet with a trained peer navigator who mentors nad supports them through a manualized process of collaborative conversations, barrier identification, asset mapping, goal setting, and action planning along with on-going social support and information sharing.

OP-ENS - CL Intervention

Eligibility Criteria

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

Sponsors & Collaborators

• Susan Magasi: lead
• Northwestern University Feinberg School of Medicine: collaborator
• Shirley Ryan AbilityLab: collaborator

Study Sites (1)

University of Illinois Chicago, Department of Occupational Therapy

Chicago, Illinois, 60612, United States

Location

Related Publications (2)

• Magasi S, Papadimitriou C, Panko Reis J, The K, Thomas J, VanPuymbrouck L, Wilson T. Our Peers-Empowerment and Navigational Support (OP-ENS): Development of a Peer Health Navigator Intervention to Support Medicaid Beneficiaries With Physical Disabilities. Rehabil Process Outcome. 2019 Apr 26;8:1179572719844759. doi: 10.1177/1179572719844759. eCollection 2019.

  PMID: 34497460 BACKGROUND

• Magasi S, Angell AM, Papadimitriou C, Ramirez RD, Ferlin A, Reis JP, Wilson T. Inside an Occupational Therapy-Disability Community Partnership to Promote Health Management: Ethnography of a Research Collaboration. Am J Occup Ther. 2021 Jul 1;75(4):7504180050p1-7504180050p12. doi: 10.5014/ajot.2021.045468.

  PMID: 34780614 BACKGROUND

Related Links

• The Program for Healthcare Justice for People with Disabilities is the principal investigator, Susan Magasi, lab website.

Study Officials

• Susan Magasi, PhD

  University of Illinois Chicago

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Susan Magasi, PhD

CONTACT

312-996-4603; smagas1@uic.edu

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 assessor and investigators will be unaware of group assignment.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: 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: April 15, 2025
• First Posted: April 23, 2025
• Study Start: June 1, 2025
• Primary Completion (Estimated): August 1, 2027
• Study Completion (Estimated): August 1, 2027
• Last Updated: April 23, 2025

Record last verified: 2025-04

Locations

US (1)