Study on the Impact of Patient Navigators on the Health Education and Quality of Life in Formerly Incarcerated Patients
| Status: | Terminated |
|---|---|
| Conditions: | High Blood Pressure (Hypertension), HIV / AIDS, Psychiatric, Diabetes |
| Therapuetic Areas: | Cardiology / Vascular Diseases, Endocrinology, Immunology / Infectious Diseases, Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | June 2014 |
| End Date: | April 2015 |
Impact of Patient Navigators on Health Education and Quality of Life in Formerly Incarcerated Patients
This is a 3-year prospective randomized comparative study of the efficacy of patient
navigation on health education, health related quality of life, healthcare utilization, and
medical outcomes in formerly incarcerated individuals. Individuals will be randomized to the
patient-navigator intervention or to a care-as-usual control condition. A total of 300
recently incarcerated individuals will be enrolled with 150 subjects each in the
intervention and usual care group.
The investigators hypothesize that the intervention will improve health education, health
related quality of life, adherence to clinical appointments, glycemic/blood pressure
control, and virologic suppression in HIV-infected. The results of this study will
demonstrate interventions to eliminate health disparities in a highly marginalized group
going through the transitional phase of re-entry into the community.
navigation on health education, health related quality of life, healthcare utilization, and
medical outcomes in formerly incarcerated individuals. Individuals will be randomized to the
patient-navigator intervention or to a care-as-usual control condition. A total of 300
recently incarcerated individuals will be enrolled with 150 subjects each in the
intervention and usual care group.
The investigators hypothesize that the intervention will improve health education, health
related quality of life, adherence to clinical appointments, glycemic/blood pressure
control, and virologic suppression in HIV-infected. The results of this study will
demonstrate interventions to eliminate health disparities in a highly marginalized group
going through the transitional phase of re-entry into the community.
This is a 3-year prospective randomized comparative trial that will examine the impact of an
intervention that incorporates peer navigators to improve health education (heiQ), health
related quality of life (HRQOL-14), healthcare utilization, and medical outcomes compared to
usual care among formerly incarcerated individuals as they transition from the correctional
system into the community over the course of 18 months. Multiple studies have shown the
efficacy of patient navigators in improving healthcare utilization and outcomes in
marginalized populations, but neither intervention has been studied with the formerly
incarcerated population. A total of 300 formerly incarcerated individuals will be enrolled
into the trial. This intervention is inherently patient-centered, as it facilitates a
process by which patients continuously define and shape their engagement with the health
care system. The potential impact of the study findings include: 1) evidence for or against
the use of patient navigators to enhance linkage and engagement into care; 2) health
outcomes that either support or discourage the use of patient navigators with formerly
incarcerated people; 3) expansion of knowledge to inform the development of targeted
interventions for this vulnerable population; and 4) dissemination of results that may
contribute to larger scale studies that can be implemented widely with the aim at
eliminating health disparities in a highly marginalized group of people. The investigators
specific aim is to conduct a randomized comparative trial that will provide the evidence
base to address two primary research questions:
1. How does the use of patient navigators impact health education and health related
quality of life of individuals as they transition from the correctional system into the
community?
2. How does a patient navigator for formerly incarcerated patients improve metrics of
health care utilization (adherence to medical appointments, fewer visits to emergency
rooms) and health outcomes (glycemic index, blood pressure control, and/or virological
suppression in HIV-infected) compared to usual care of automated appointment reminder
phone calls?
intervention that incorporates peer navigators to improve health education (heiQ), health
related quality of life (HRQOL-14), healthcare utilization, and medical outcomes compared to
usual care among formerly incarcerated individuals as they transition from the correctional
system into the community over the course of 18 months. Multiple studies have shown the
efficacy of patient navigators in improving healthcare utilization and outcomes in
marginalized populations, but neither intervention has been studied with the formerly
incarcerated population. A total of 300 formerly incarcerated individuals will be enrolled
into the trial. This intervention is inherently patient-centered, as it facilitates a
process by which patients continuously define and shape their engagement with the health
care system. The potential impact of the study findings include: 1) evidence for or against
the use of patient navigators to enhance linkage and engagement into care; 2) health
outcomes that either support or discourage the use of patient navigators with formerly
incarcerated people; 3) expansion of knowledge to inform the development of targeted
interventions for this vulnerable population; and 4) dissemination of results that may
contribute to larger scale studies that can be implemented widely with the aim at
eliminating health disparities in a highly marginalized group of people. The investigators
specific aim is to conduct a randomized comparative trial that will provide the evidence
base to address two primary research questions:
1. How does the use of patient navigators impact health education and health related
quality of life of individuals as they transition from the correctional system into the
community?
2. How does a patient navigator for formerly incarcerated patients improve metrics of
health care utilization (adherence to medical appointments, fewer visits to emergency
rooms) and health outcomes (glycemic index, blood pressure control, and/or virological
suppression in HIV-infected) compared to usual care of automated appointment reminder
phone calls?
Inclusion Criteria:
- age 18 years or older
- English or Spanish speaking
- release from the correctional system within the previous 6 months
Exclusion Criteria:
- unable to provide informed consent
- report duration of incarceration of less than 5 days
- report history of incarceration more than 6 months ago
We found this trial at
2
sites
Click here to add this to my saved trials
Click here to add this to my saved trials