Alabama Veterans Rural Health Initiative (AVRHI)
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|ClinicalTrials.gov Identifier: NCT01394081|
Recruitment Status : Completed
First Posted : July 14, 2011
Results First Posted : April 23, 2018
Last Update Posted : April 23, 2018
The purpose of the Alabama Veterans Rural Health Initiative is to better understand access and barriers to health care and to enhance veteran enrollment or engagement in health care services of veterans residing in rural areas. It describes an intervention that is adaptable for use by other VA facilities that serve veterans in rural settings, and importantly, this study will improve our understanding of barriers to care and evaluate a method for enhancing access to care. The anticipated impact is that more veterans in rural areas who were previously under-utilizing VA services will receive and attend a health care appointment. This gain may improve preventative and primary care health care and reduce long term health care morbidity, expense and burden. This study may also identify previously unknown barriers to care that can be surmounted by innovative access and health care delivery approaches.
The primary objective is to evaluate an innovative approach for enhanced enrollment and engagement outreach intervention (EEE intervention) for rural veterans in VA health care services. This study entails a two-cell design, addressing this objective with a prospective, randomized controlled multi-site clinical trial that evaluates an active intervention compared to administrative outreach (AO, control condition) on whether or not a rurally-residing veteran obtains and attends a VA appointment.
|Condition or disease||Intervention/treatment||Phase|
|Problems With Access to Health Care Health Behavior||Other: Enhanced Engagement and Enrollment (EEE) Other: Administrative Outreach (AO)||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||203 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||Prospective randomized control trial|
|Masking:||None (Open Label)|
|Official Title:||Alabama Veterans Rural Health Initiative|
|Actual Study Start Date :||October 1, 2008|
|Actual Primary Completion Date :||October 1, 2010|
|Actual Study Completion Date :||October 1, 2013|
Experimental: Enhanced Engagement and Enrollment (EEE)
Enhanced Engagement and Enrollment (EEE) consists of the outreach worker (interventionalist) engaging the participant in education (about VA resources and medical care), navigating the patient through the VA eligibility, enrollment, and scheduling processes, and using motivational interview to focus on ambivalence about attending a VA appointment.
Other: Enhanced Engagement and Enrollment (EEE)
Consists of motivational interviewing, educational outreach, and patient navigation.
Other Name: Enhanced Engagement and Enrollment
Active Comparator: Administrative Outreach (AO)
Administrative Outreach (AO) consists of the outreach worker giving the participants an application package to VA enrollment or phone number for the scheduling clerk. This intervention does not involve education, patient navigation (guidance through VA eligibility, enrollment, and scheduling processes) or motivational interviews (interviews focused on ambivalence about attending a VA appointment).
Other: Administrative Outreach (AO)
Consists of giving information about enrolling for VA medical care or scheduling an appointment
Other Name: Treatment-as-usual
- Attendance at a VA Appointment [ Time Frame: 6 months ]Attendance at a VA appointment was derived from VA clinical records, defined as the participant attending a scheduled VA clinic appointment. Participants who did not attend a VA clinic appointment be the end of 6-month observation period were classified as censored at 6 months.
- Days Until VA Clinic Appointment [ Time Frame: 6 months ]The number of days from day of randomization to day that the participant attended the VA clinic appointment (derived from the VA medical records). Participants who did not attend a VA clinic appointment be the end of 6-month observation period were classified as censored at 6 months.
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): NCT01394081
|United States, Alabama|
|Birmingham, Alabama, United States, 35233|
|Tuscaloosa, Alabama, United States, 35404|
|Principal Investigator:||Lori Davis, M.D.||Tuscaloosa VAMC|