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Community Health Worker Care Transitions Study (CCAT)

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ClinicalTrials.gov Identifier: NCT03085264
Recruitment Status : Enrolling by invitation
First Posted : March 21, 2017
Last Update Posted : March 8, 2019
Sponsor:
Information provided by (Responsible Party):
Jocelyn Carter, Massachusetts General Hospital

Brief Summary:
This study focuses on pairing community health workers (CHWs) with patients that are high risk for readmission prior to hospital discharge in order to assess differences in hospital readmission rates, ED visits, patient satisfaction and provider satisfaction as compared to patients without community health worker pairings at discharge.

Condition or disease Intervention/treatment Phase
Hospitalism Behavioral: Community Health Worker Not Applicable

  Show Detailed Description

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 600 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Randomized Controlled Trial
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Implementing 30-day Post- Discharge Community Health Worker Pairings for Patients at High-Risk for Readmission (C-CAT Study)
Actual Study Start Date : April 7, 2017
Estimated Primary Completion Date : May 30, 2019
Estimated Study Completion Date : May 30, 2019

Arm Intervention/treatment
Experimental: Community Health Worker
Patients are paired with community health workers for 30 days after hospital discharge to assist with patient care
Behavioral: Community Health Worker
Community Health Workers calls, texts and visits patient to support them in pre-established care plans as well as medication compliance/appointment attendance

No Intervention: Usual Care
Patients are not paired with community health workers for 30 days after hospital discharge to assist with patient care



Primary Outcome Measures :
  1. 30 day readmission rate [ Time Frame: 1 month ( for 24 months) ]
    The number of patients readmitted within 30 days of being discharged from studied medical units during a given month/ the number of patients discharged from studied medical units during a given month


Secondary Outcome Measures :
  1. Emergency Department Visit Rate [ Time Frame: Monthly for 24 months ]
    The number of patient emergency department visits after discharged from studied medical units during a given month/ the number of patient emergency department visits after discharge from studied medical units during a given month

  2. Show Rate for Primary Care Provider/ Specialist Appointments [ Time Frame: Monthly for 24 months ]
    The number of primary care provider/specialist appointments attended by patients discharged from studied medical units during a given month/ The number of primary care provider/specialist appointments expected to be attended by patients discharged from studied medical units during a given month

  3. Patient Satisfaction Post-CHW Intervention [ Time Frame: Monthly for 24 months ]
    The number of patients receiving the community health worker intervention indicating they were very satisfied with CHW-patient pairing experience via questionnare/ The number of patients receiving the community health worker intervention that completed the post-CHW intervention questionnaire

  4. Primary Care Provider Satisfaction Post CHW Intervention [ Time Frame: Monthly for 24 months ]
    The number of primary care providers of patients receiving the community health worker intervention indicating they were very satisfied with CHW-patient pairing experience via questionnare/ The number of primary care providers of patients receiving the community health worker intervention that completed the post-CHW intervention questionnaire

  5. Rates of patient depression/isolation [ Time Frame: Monthly for 24 months ]
    The number of patients receiving the community health worker intervention indicating they were depressed or felt isolated via questionnare/ The number of patients receiving the community health worker intervention that completed the post-CHW intervention questionnaire



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Ages Eligible for Study:   18 Years to 109 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Inclusion criteria will include the following: enrollment in a Partners Risk Contract; agreement to participate in the study with ability to consent to enrollment, working phone number for patient contact and patient address of residence within 15 mile radius on MGH 55 Fruit Street, Boston, MA.

Exclusion Criteria:

  • Exclusion criteria will include a lack of capacity to consent to enrollment ( including prisoner status) or lack of cognitive ability to complete the survey, living outside of a 15 mile radius of the MGH 55 Fruit street location and having a primary care provider outside the MGH system.

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): NCT03085264


Locations
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United States, Massachusetts
Massachusetts General Hospital
Boston, Massachusetts, United States, 02114
Sponsors and Collaborators
Massachusetts General Hospital
Investigators
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Principal Investigator: Jocelyn A Carter, M.D. Massachusetts General Hospital

Publications:
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Responsible Party: Jocelyn Carter, Principle Investigator, Massachusetts General Hospital
ClinicalTrials.gov Identifier: NCT03085264     History of Changes
Other Study ID Numbers: 2017A050810
First Posted: March 21, 2017    Key Record Dates
Last Update Posted: March 8, 2019
Last Verified: March 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No