ClinicalTrials.gov
ClinicalTrials.gov Menu

A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/CP@Clinic) (CHAP-EMS)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
ClinicalTrials.gov Identifier: NCT02152891
Recruitment Status : Active, not recruiting
First Posted : June 2, 2014
Last Update Posted : August 16, 2018
Sponsor:
Collaborators:
Canadian Institutes of Health Research (CIHR)
Hamilton Academic Health Sciences Organization
Information provided by (Responsible Party):
McMaster University

Brief Summary:
Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. To decrease the costs of treating heart disease and diabetes through emergency and hospitalization, improved screening and health education is needed. Our program will take place in communal areas within housing buildings of older adults and deliver a heart disease, diabetes, and falls risk check-up with health education. This is expected to improve the health of older adults leading to fewer emergency calls and hospital visits.

Condition or disease Intervention/treatment Phase
Cardiovascular Diseases Diabetes Mellitus Behavioral: CHAP-EMS/CP@clinic Not Applicable

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1200 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/Renamed to CP@Clinic)
Actual Study Start Date : November 1, 2015
Actual Primary Completion Date : November 30, 2016
Estimated Study Completion Date : November 2018

Arm Intervention/treatment
Experimental: CHAP-EMS/CP@clinic Program Intervention
12 month implementation of the intervention
Behavioral: CHAP-EMS/CP@clinic
Community Paramedicine program to assess cardiovascular, diabetes, and fall risk; discuss lifestyle changes and goals; and refer to appropriate resources.

No Intervention: Control
Will complete a survey at baseline and at 1 year, no program or intervention provided



Primary Outcome Measures :
  1. Change in Canadian Diabetes Risk (CANRISK) Score [ Time Frame: Baseline and 1 year ]
    The CANRISK tool provides a 10-year risk of diabetes score and will be administered by the paramedic during the CHAP-EMS session.

  2. Change in Blood Pressure [ Time Frame: Baseline and after each assessment (up to one year) ]
    Since the participants are invited to attend the intervention weekly, but are not required to attend, the number of assessments and time of assessments will vary. Multilevel analysis will be conducted that accounts for this variance in repeated measures.

  3. Change in health perceptions, behaviours, and knowledge of resources [ Time Frame: Baseline and 1 year ]
    A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge.

  4. Change in Health Care Utilization [ Time Frame: Baseline and 1 year ]
    Health Care Utilization will be assessed through administrative databases (e.g. hospital visits). Utilization by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.

  5. Change in rate of EMS Calls [ Time Frame: Baseline and 1 year ]
    Rate EMS calls by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.



Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   55 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • 55 years and older
  • Resides in subsidized apartment building

Exclusion Criteria:

- None


Information from the National Library of Medicine

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): NCT02152891


Locations
Canada, Ontario
Guelph-Wellington Emergency Medical Services and County of Wellington Social Services Department - Housing Services
Guelph, Ontario, Canada, N1H 3A1
Hamilton Paramedic Services
Hamilton, Ontario, Canada, L8P 4Y5
County of Simcoe
Simcoe, Ontario, Canada, L0L 1X0
City of Greater Sudbury
Sudbury, Ontario, Canada, P3A 5P3
York Region
York Region, Ontario, Canada, L3Y 6Z1
Sponsors and Collaborators
McMaster University
Canadian Institutes of Health Research (CIHR)
Hamilton Academic Health Sciences Organization
Investigators
Principal Investigator: Gina Agarawal McMaster University