PATient Navigator to rEduce Readmissions (PArTNER)
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| ClinicalTrials.gov Identifier: NCT02114515 |
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Recruitment Status :
Completed
First Posted : April 15, 2014
Results First Posted : February 15, 2019
Last Update Posted : February 15, 2019
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| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Chronic Obstructive Pulmonary Disease Heart Failure Sickle Cell Disease Myocardial Infarction Pneumonia | Behavioral: Hospital usual care Behavioral: Navigator intervention Behavioral: Peer-led telephone support line | Not Applicable |
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 1029 participants |
| Allocation: | Randomized |
| Intervention Model: | Parallel Assignment |
| Masking: | Single (Outcomes Assessor) |
| Primary Purpose: | Health Services Research |
| Official Title: | PATient Navigator to rEduce Readmissions |
| Study Start Date : | July 2014 |
| Actual Primary Completion Date : | October 2016 |
| Actual Study Completion Date : | October 2016 |
| Arm | Intervention/treatment |
|---|---|
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Usual Care
Hospital usual care Hospital usual care: Written discharge instructions provided to patients prior to hospital discharge. |
Behavioral: Hospital usual care
Written discharge instructions provided to patients prior to hospital discharge. |
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Experimental: Usual Care + PArTNER
Navigator intervention: (Community health worker, peer-led telephone support line, usual care) Hospital usual care: Written discharge instructions provided to patients prior to hospital discharge. Community health worker: The community health worker provides social support, literacy appropriate education, and acts as a conduit between the patient and the patient's medical team Peer-led telephone support line: The peer-led telephone support line will provide social support, peer-to-peer coaching, and facilitate communication with the patient's medical care team. |
Behavioral: Hospital usual care
Written discharge instructions provided to patients prior to hospital discharge. Behavioral: Navigator intervention A Patient Navigator will provide social support, literacy appropriate education, and act as a conduit between the patient and the patient's medical team Behavioral: Peer-led telephone support line The peer-led telephone support line will provide social support, peer-to-peer coaching, and facilitate communication with the patient's medical care team. |
- PROMIS Emotional Distress-Anxiety (v1.0, SF4a) [ Time Frame: 30 days post discharge ]
Change in T-score from baseline to 30 days post discharge (30 days minus baseline).
A change in t-score <0 indicates improvement. A change equal to 0 indicates no change. A change >0 indicates worsening.
- PROMIS Informational Support (v2.0, SF4a) [ Time Frame: 30 days post discharge ]
Change in T-score from baseline to 30 days post discharge (30 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Emotional Support (v2.0, SF4a) [ Time Frame: 30 days post discharge ]
Change in T-score from baseline to 30 days post discharge (30 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Instrumental Support (v2.0, SF4a) [ Time Frame: 30 days post discharge ]
Change in T-score from baseline to 30 days post discharge (30 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Global Health, Physical (v1.1, SF) [ Time Frame: 30 days post discharge ]
Change in T-score from baseline to 30 days post discharge (30 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Global Health, Mental (v1.1, SF) [ Time Frame: 30 days post discharge ]
Change in T-score from baseline to 30 days post discharge (30 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Emotional Distress-Anxiety (v1.0, SF4a) [ Time Frame: 60 days post discharge ]
Change in T-score from baseline to 60 days post discharge (60 days minus baseline).
A change in t-score <0 indicates improvement. A change equal to 0 indicates no change. A change >0 indicates worsening.
- PROMIS Informational Support (v2.0, SF4a) [ Time Frame: 60 days post discharge ]
Change in T-score from baseline to 60 days post discharge (60 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Emotional Support (v2.0, SF4a) [ Time Frame: 60 days post discharge ]
Change in T-score from baseline to 60 days post discharge (60 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Instrumental Support (v2.0, SF4a) [ Time Frame: 60 days post discharge ]
Change in T-score from baseline to 60 days post discharge (60 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Global Health, Physical (v1.1, SF) [ Time Frame: 60 days post discharge ]
Change in T-score from baseline to 60 days post discharge (60 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- PROMIS Global Health, Mental (v1.1, SF) [ Time Frame: 60 days post discharge ]
Change in T-score from baseline to 60 days post discharge (60 days minus baseline).
A change in t-score <0 indicates worsening. A change equal to 0 indicates no change. A change >0 indicates improvement.
- Death [ Time Frame: 30 days post discharge ]Caregiver-reported and confirmed by EHR review
- Death [ Time Frame: 60 days post discharge ]Caregiver-reported and confirmed by EHR review
- Re-hospitalization or Death [ Time Frame: 30 days post discharge ]Confirmed by EHR review
- Re-hospitalization or Death [ Time Frame: 60 days post discharge ]Confirmed by EHR review
- ED Visit, Re-hospitalization, or Death [ Time Frame: 30 days post discharge ]Confirmed by EHR review
- ED Visit, Re-hospitalization, or Death [ Time Frame: 60 days post discharge ]Confirmed by EHR review
- Outpatient Healthcare Visit [ Time Frame: 14 days post discharge ]Self-reported
- Outpatient Healthcare Visit [ Time Frame: 14 days post discharge ]EHR-reported
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: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age 18 years or older on date of hospital admission
- Hospitalized at the University of Illinois Hospital, Chicago
- Admission diagnosis, per treating physician, of pneumonia, COPD, sickle cell disease, heart failure, or myocardial infarction
- Receive medical care on an inpatient medical service
Exclusion Criteria:
- Unable to understand and speak English
- Unable/decline to give informed consent
- Previous participant in PArTNER
- Planned transfer to another acute care facility
- Planned discharge to facility other than home (e.g. long term care facility)
- Currently on hospice or plans to discharge home to hospice
- Current plans to leave against medical advice
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): NCT02114515
| United States, Illinois | |
| University of Illinois Hospital | |
| Chicago, Illinois, United States, 60612 | |
| Principal Investigator: | Jerry A Krishnan, MD, PhD | University of Illinois at Chicago | |
| Principal Investigator: | Elizabeth Calhoun, PhD | University of Arizona | |
| Principal Investigator: | Mark V. Williams, MD | University of Kentucky |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Jerry Krishnan, Professor of Medicine and Public Health; Associate Vice Chancellor for Population Health Sciences, University of Illinois at Chicago |
| ClinicalTrials.gov Identifier: | NCT02114515 |
| Other Study ID Numbers: |
PCORI-IH 1211-4365 |
| First Posted: | April 15, 2014 Key Record Dates |
| Results First Posted: | February 15, 2019 |
| Last Update Posted: | February 15, 2019 |
| Last Verified: | October 2018 |
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Patient Navigators Readmissions Peer Coaching |
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Lung Diseases, Obstructive Pulmonary Disease, Chronic Obstructive Myocardial Infarction Anemia, Sickle Cell Infarction Heart Diseases Cardiovascular Diseases Lung Diseases Respiratory Tract Diseases Ischemia Pathologic Processes |
Necrosis Myocardial Ischemia Vascular Diseases Chronic Disease Disease Attributes Anemia, Hemolytic, Congenital Anemia, Hemolytic Anemia Hematologic Diseases Hemoglobinopathies Genetic Diseases, Inborn |