Care Coordination Clinical Trial
Official title:
Implementing a Randomized Care Coordination Intervention for Minority Youth With Special Health Care Needs During Health Care Transition From Pediatric to Adult Health Care.
Verified date | October 2017 |
Source | Children's Research Institute |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Special opportunities exist in vulnerable populations with chronic conditions to better understand what life course factors can facilitate attainment of optimal health and development. One such opportunity arises in the life of an adolescent or young adult when they transition their care from pediatric to adult health providers and systems, referred to as "health care transition". Experts generally agree that health care transition is often unsuccessful and associated with a variety of adverse outcomes. Adverse outcomes of unsuccessful health care transition include foregone or delayed medical care and having no identified adult medical home after leaving pediatrics. This foregone and delayed care can result in potentially preventable costly utilization of hospital emergency and inpatient services. Particularly concerning is increasing evidence that for some youth, transition from pediatric to adult medical care is a high-risk period for mortality. In addition to the adverse effects on individuals, unsuccessful health care transition also likely has economic consequences, particularly given that the majority of health care spending is already allotted to individuals with chronic conditions. These problems are even greater for low income and minority youth, with the District of Columbia having the highest level of unmet transition needs in the U.S.
Status | Completed |
Enrollment | 209 |
Est. completion date | March 31, 2015 |
Est. primary completion date | March 31, 2015 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 16 Years to 22 Years |
Eligibility |
Inclusion Criteria: - African-American, 16-22 years old at enrollment, receiving primary care at Adolescent Health Center, Recipient of Health Services for Children with Special Needs, Inc. insurance. Exclusion Criteria: - Exclusion criteria include individuals who have already been transferred from the adolescent health center to another practice and those with insufficient knowledge of English to participate in the telephone interviews. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Lisa Tuchman | Health Resources and Services Administration (HRSA) |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Care Coordination | Mean score of Client Perceptions of Coordination Questionnaire (CPCQ) | 2 years | |
Secondary | Patient-level experiences of care | Mean score of Patient Assessment of Chronic Illness Care Questionnaire (PACIC) | 2 years | |
Secondary | Healthcare utilization | Summary statistics of healthcare utilization | 2 years | |
Secondary | Healthcare cost | Summary statistics of healthcare cost | 2 years |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02906215 -
Mobile Application to Improve Care Coordination Among HIV Clinic and Substance Use Treatment Providers
|
N/A | |
Completed |
NCT01587105 -
Improving Care for Children With Complex Needs
|
N/A | |
Completed |
NCT05056480 -
Learning Health for Pediatric Complex Care Integration (PCCI)
|
||
Active, not recruiting |
NCT04298905 -
Leveraging mHealth to Enable and Adapt CHW Strategies to Improve TB/HIV Patient Outcomes in SA
|
N/A | |
Completed |
NCT04957979 -
Minnesota Care Coordination Effectiveness Study
|
||
Active, not recruiting |
NCT04545489 -
A Nurse-led Intervention to Extend the Veteran HIV Treatment Cascade for Cardiovascular Disease Prevention
|
N/A |