IMPaCT (Individualized Management Towards Patient-Centered Targets) (PaCT)
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|ClinicalTrials.gov Identifier: NCT01346462|
Recruitment Status : Completed
First Posted : May 3, 2011
Last Update Posted : May 1, 2014
|Condition or disease||Intervention/treatment||Phase|
|General Medical Inpatient Conditions||Behavioral: Patient-Centered Transition Intervention||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||513 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||Single (Outcomes Assessor)|
|Primary Purpose:||Health Services Research|
|Official Title:||A Randomized Controlled Trial of a Novel Community Health Worker Care Transitions Intervention.|
|Study Start Date :||May 2011|
|Actual Primary Completion Date :||December 2012|
|Actual Study Completion Date :||December 2012|
The Patient-Centered Transition Arm
Behavioral: Patient-Centered Transition Intervention
Community Health Workers will act as PaCT Partners for uninsured/Medicaid patients who are being discharged from the Hospital of the University of Pennsylvania and Presbyterian Hospital. PaCT Partners will help patients to overcome the challenges of transition, including arranging primary care provider (PCP) follow-up, filling medication prescriptions and obtaining referrals to community-based social services.
No Intervention: Control
Control group patients will receive routine care from the admitting hospital, including routine patient management, and discharge planning.
- Completion of Follow-up Appointment with PCP [ Time Frame: 14 days post discharge ]We hypothesize that compared to patients who receive usual discharge planning, PaCT patients will have a higher proportion of follow-up to PCP within two weeks post-discharge, compared with usual discharge planning.
- Morisky Medication Adherence scale. [ Time Frame: 14 days post-discharge ]We hypothesize that compared to patients with usual discharge planning, PaCT patients will have higher medication adherence as measured by the Morisky Medication Adherence scale.
- Patient Activation Measure [ Time Frame: 14 days post discharge ]We hypothesize that compared to patients with usual discharge planning, PaCT patients will exhibit a higher level of patient activation as measured by the Patient Activation Measure.
- Self-rated Health [ Time Frame: 14 days post-discharge ]We hypothesize that compared with usual discharge planning, PaCT patients will report better health as measured by the Short Form Health Survey (SF-12) at 14 days post-discharge.
- Patient Satisfaction Questionnaire [ Time Frame: 14 days post discharge ]We hypothesize that compared with usual discharge planning, PaCT patients will report higher satisfaction as measured by the Patient Satisfaction Questionnaire (PSQ) at 14 days post-discharge.
- Acute Care Reutilization [ Time Frame: 30 days post-discharge ]We hypothesize that compared with usual discharge planning, PaCT patients will have lower combined rates of unplanned readmissions at 30 days post-discharge
- Quality of Discharge Planning [ Time Frame: 14 days post-discharge ]Hospital Consumer Assessment of Healthcare Providers and Systems Survey item pertaining to quality of verbal discharge communication
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01346462
|United States, Pennsylvania|
|University of Pennsylvania|
|Philadelphia, Pennsylvania, United States, 19103|