N/A
N=1,029
PATient Navigator to rEduce Readmissions
Chronic Obstructive Pulmonary Disease · Heart Failure · Sickle Cell Disease · Myocardial Infarction · Pneumonia
Bottom Line
View on ClinicalTrials.gov: NCT02114515 ↗Enrolled (actual)
1,029
Serious AEs
2.3%
Results posted
Feb 2019
Primary outcome: Primary: PROMIS Emotional Distress-Anxiety (v1.0, SF4a) — -0.2; -1.7 T-score
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Hospital usual care (Behavioral); Navigator intervention (Behavioral); Peer-led telephone support line (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Illinois at Chicago
- Primary completion
- Oct 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY PROMIS Emotional Distress-Anxiety (v1.0, SF4a) |
0.3; -1.1 | — |
| PRIMARY PROMIS Informational Support (v2.0, SF4a) |
1.7; 2.0 | — |
| SECONDARY PROMIS Emotional Support (v2.0, SF4a) |
0.1; -0.2 | — |
| SECONDARY PROMIS Instrumental Support (v2.0, SF4a) |
0.8; 1.0 | — |
| SECONDARY PROMIS Global Health, Physical (v1.1, SF) |
3.4; 3.6 | — |
| SECONDARY PROMIS Global Health, Mental (v1.1, SF) |
-1.3; 01.1 | — |
| SECONDARY PROMIS Emotional Distress-Anxiety (v1.0, SF4a) |
0.3; -1.1 | — |
| SECONDARY PROMIS Informational Support (v2.0, SF4a) |
1.7; 2.0 | — |
| SECONDARY PROMIS Emotional Support (v2.0, SF4a) |
0.1; -0.2 | — |
| SECONDARY PROMIS Instrumental Support (v2.0, SF4a) |
0.8; 1.0 | — |
| SECONDARY PROMIS Global Health, Physical (v1.1, SF) |
3.4; 3.6 | — |
| SECONDARY PROMIS Global Health, Mental (v1.1, SF) |
-1.3; 01.1 | — |
| SECONDARY Death |
9; 9 | — |
| SECONDARY Death |
9; 9 | — |
| SECONDARY Re-hospitalization or Death |
147; 159 | — |
| SECONDARY Re-hospitalization or Death |
147; 159 | — |
| SECONDARY ED Visit, Re-hospitalization, or Death |
210; 216 | — |
| SECONDARY ED Visit, Re-hospitalization, or Death |
210; 216 | — |
| SECONDARY Outpatient Healthcare Visit |
236; 232 | — |
| SECONDARY Outpatient Healthcare Visit |
236; 232 | — |
Summary
Staying out of the hospital is valued by patients and their caregivers. Their interests converge with those of hospitals now that high 30-day readmission rates for some conditions place hospitals at risk for financial penalties from the Centers for Medicare and Medicaid Services. This study focuses on developing and testing a program that combines a community health worker (lay patient advocate, acting as a "Patient Navigator") and a peer-led telephone support line to improve patient experience during hospital to home transition.
Eligibility Criteria
Inclusion Criteria
- Age 18 years or older on date of hospital admission
- Hospitalized at the University of Illinois Hospital, Chicago
- Admission diagnosis, per treating physician, of pneumonia, COPD, sickle cell disease, heart failure, or myocardial infarction
- Receive medical care on an inpatient medical service
Exclusion Criteria
- Unable to understand and speak English
- Unable/decline to give informed consent
- Previous participant in PArTNER
- Planned transfer to another acute care facility
- Planned discharge to facility other than home (e.g. long term care facility)
- Currently on hospice or plans to discharge home to hospice
- Current plans to leave against medical advice
Data sourced from ClinicalTrials.gov (NCT02114515). 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.