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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02835989
Other study ID # 2153
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date October 25, 2018
Est. completion date December 31, 2021

Study information

Verified date September 2022
Source McMaster University
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Community Paramedicine @Home (CP@Home) is a novel community paramedicine health assessment program for high users of Emergency Medical Services (EMS). Individuals who have been identified as active callers to EMS, individuals who have called EMS for lift-assists, and direct paramedic referrals are referred into the community paramedicine home visit program. The program will focus on in-home chronic disease management, community health service connections, and EMS usage education. Aside from chronic disease management, aspects of the program include health-related quality of life, social isolation and other social determinants of health. Participants in the program will have up to 3 one-on-one home visits from a community paramedic to ultimately reduce repeat EMS calls and improve their overall health.


Recruitment information / eligibility

Status Completed
Enrollment 2826
Est. completion date December 31, 2021
Est. primary completion date July 20, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - 3 or more EMS calls in the last 6 months from intervention start date AND active caller in the last 30 days OR - Any call for a lift assist to EMS in the past 30 days OR - Paramedic referral into program (identified by paramedic through usual practice) Exclusion Criteria: - Individuals living in long term care facilities - Individuals currently involved in a home visit or social navigator program

Study Design


Intervention

Other:
CP@Home
Community paramedics (CPs) will be assigned to visiting the participants for a first time the week following the initial EMS call. Participants will complete the informed consent process with a CP on their first visit. This visit will also include a full assessment and risk analysis that will take approximately 90 minutes and will be located in the participant's home. As a result of the initial visit, the CP will make all relevant clinical referrals and decisions based on predetermined @Home algorithms. A second visit will be made to the participant 2-4 weeks following the initial call for a streamlined follow-up and reassessment during a 30 minute period. A final visit will be made 6-8 weeks following the initial call for a final evaluation of their situation. It is anticipated the patient will be discharged from the CP@Home program at this point. If the patient calls EMS following the third visit, if they meet the inclusion criteria, they will be re-entered into the CP@Home program.

Locations

Country Name City State
Canada McMaster University Hamilton Ontario

Sponsors (1)

Lead Sponsor Collaborator
McMaster University

Country where clinical trial is conducted

Canada, 

Outcome

Type Measure Description Time frame Safety issue
Primary Change in number of repeat EMS calls Individual-level change in EMS call rate resulting in ambulance dispatch (pre-post intervention) Baseline and 1 year
Secondary Change in number of ED presentations Individual-level change in number of ED presentations (pre-post) Baseline and 1 year
Secondary Change in number of hospital admissions Individual-level change in number of hospital admissions (pre-post) Baseline and 1 year
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