N/A
N=9,925
Supporting Decision Making for Musculoskeletal Preference-Sensitive Care
Knee Pain Chronic · Arthritis (Hip) · Arthritis (Knee) · Back Pain
Bottom Line
View on ClinicalTrials.gov: NCT01345123 ↗Enrolled (actual)
9,925
Serious AEs
—
Results posted
Oct 2013
Primary outcome: Primary: Total Medical Costs Per Member Per Month — 965.63; 1000.22; 965.78 Total dollars / member months — p=0.9602
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Provision of condition specific shared decision making (SDM) aids only (Behavioral); Telephonic outreach and support by Health Coach (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Health Dialog
- Primary completion
- Nov 2011
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Total Medical Costs Per Member Per Month |
965.63; 1000.22; 965.78 | 0.9602 |
| PRIMARY Total Medical Costs That Can be Impacted Per Member Per Month |
679.13; 735.96; 726.88 | 0.8454 |
| SECONDARY Rate of Targeted Conditions Surgeries |
5.42; 6.66; 6.54 | 0.0511 |
| SECONDARY Concordance |
— | — |
| SECONDARY Quality of Decision Making Process |
— | — |
| SECONDARY Knowledge |
1.99; 2.14; 1.83 | 0.0106 sig |
| SECONDARY Decision Conflict |
2.2206790; 2.1876218; 2.2006866 | — |
| SECONDARY Decision Satisfaction |
— | — |
Summary
The purpose of this study is to compare condition oriented whole person Health Coaching along with the provision of decision aids to decision aids without condition oriented Health Coaching to neither condition oriented health coaching nor decision aids on medical cost, preference sensitive surgeries and measures of subject knowledge, decision process and decision quality.
Eligibility Criteria
Inclusion Criteria
- Participants in two large, commercial Blue Cross and/or Blue Shield branded insurance products with eligibility for Health Dialog services
- Identified by distinct Health Dialog proprietary models for risk of lumbar back, knee or hip surgeries
- Selected by simple randomization for inclusion in an interactive voice response (IVR) administered screening survey
- Participated in an IVR-administered screener survey and responded affirmatively to questions on pain for any one of the three conditions, any current or planned treatment for the conditions, and responded negatively to having had a condition specific surgery within the past six months
Exclusion Criteria
- People under 18 years of age at time of identification for the IVR filtering survey, approximately 6 weeks prior to the start of the study
- People with invalid phone numbers or invalid mailing addresses based on automated review of those fields
- People for whom Health Dialog has information of a request for no IVR, no Health Coach outreach, or mailings prior to the start of the study
- People with claims based indication of spinal stenosis prior to the start of the study
- People who have been targeted for any IVR outreach within 180 days of the initiation of the IVR filtering survey
- People who have a Health Coach communication record, as documented in the Health Coaching application within 90 days of the start of the study
- Any members of households who have a household member already selected for inclusion in the study
- People for whom there is claims evidence of any one of the targeted surgeries prior the start of the study
- People with no eligibility for services through insurer after the start of the study
Data sourced from ClinicalTrials.gov (NCT01345123). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.