N/A
N=1,089
A Virtual Navigation Intervention to Reduce Behavioral Health Admissions From Rural Emergency Departments
Depression · Anxiety · Substance Use Disorders
Bottom Line
View on ClinicalTrials.gov: NCT04148521 ↗Enrolled (actual)
1,089
Serious AEs
0.0%
Results posted
Apr 2022
Primary outcome: Primary: Assessing Hospital Admissions — 332; 326 Participants — p=0.27
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Behavioral Health - Virtual Patient Navigation (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Wake Forest University Health Sciences
- Primary completion
- Oct 2021
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Assessing Hospital Admissions |
332; 326 | 0.27 |
| SECONDARY 45-day Post Discharge Utilization Rate |
88; 89 | 0.83 |
| SECONDARY 45-day Post Discharge Utilization Rate With a Self-harm Diagnosis |
47; 35 | 0.12 |
| SECONDARY 45-day Post Discharge ED Utilization Rate With a Behavioral Health Crisis |
40; 36 | 0.51 |
Summary
This research project is a pragmatic, randomized evaluation of a quality improvement initiative which seeks to evaluate the effects of standardizing the use of a BH-VPN program among patients with a telepsychiatric consult. The outcomes evaluation of this intervention has been designed to integrate with routine care and minimize frontline staff burden by deploying an evaluation in a real-world setting.
Eligibility Criteria
Inclusion Criteria
Eligible patients must meet each of the following criteria:
- Present to an ED at participating sites
- Complete a telepsychiatric consult as captured in the electronic medical record
- Complete a telepsychiatric consult during the navigator's hours of operation
- ≥ 18 years of age at time of ED admission
Exclusion Criteria:• Patients currently enrolled in the BH-VPN program upon their index ED encounter
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Data sourced from ClinicalTrials.gov (NCT04148521). 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.