A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/CP@Clinic)

Cardiovascular Diseases Clinical Trial

— CHAP-EMS  

Official title:

A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/Renamed to CP@Clinic)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02152891
• Other study ID #: MOP-133563
• Status: Completed
• Phase: N/A
• Start date: November 1, 2015
• Est. completion date: March 31, 2018

Study information

• Verified date: August 2019
• Source: McMaster University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. To decrease the costs of treating heart disease and diabetes through emergency and hospitalization, improved screening and health education is needed. Our program will take place in communal areas within housing buildings of older adults and deliver a heart disease, diabetes, and falls risk check-up with health education. This is expected to improve the health of older adults leading to fewer emergency calls and hospital visits.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 1200
• Est. completion date: March 31, 2018
• Est. primary completion date: November 30, 2016
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 55 Years and older

Eligibility

Inclusion Criteria:

• 55 years and older

• Resides in subsidized apartment building

Exclusion Criteria:

• None

Related Conditions & MeSH terms

• Cardiovascular Diseases
• Diabetes Mellitus

Intervention

Behavioral:
• CHAP-EMS/CP@clinic
Community Paramedicine program to assess cardiovascular, diabetes, and fall risk; discuss lifestyle changes and goals; and refer to appropriate resources.

Locations

Country	Name	City	State
Canada	Guelph-Wellington Emergency Medical Services and County of Wellington Social Services Department - Housing Services	Guelph	Ontario
Canada	Hamilton Paramedic Services	Hamilton	Ontario
Canada	County of Simcoe	Simcoe	Ontario
Canada	City of Greater Sudbury	Sudbury	Ontario
Canada	York Region	York	Ontario

Sponsors (3)

Lead Sponsor	Collaborator
McMaster University	Canadian Institutes of Health Research (CIHR), Hamilton Academic Health Sciences Organization

Country where clinical trial is conducted

Canada, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Canadian Diabetes Risk (CANRISK) Score	The CANRISK tool provides a 10-year risk of diabetes score and will be administered by the paramedic during the CHAP-EMS session.	Baseline and 1 year
Primary	Change in Blood Pressure	Since the participants are invited to attend the intervention weekly, but are not required to attend, the number of assessments and time of assessments will vary. Multilevel analysis will be conducted that accounts for this variance in repeated measures.	Baseline and after each assessment (up to one year)
Primary	Change in health perceptions, behaviours, and knowledge of resources	A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge.	Baseline and 1 year
Primary	Change in Health Care Utilization	Health Care Utilization will be assessed through administrative databases (e.g. hospital visits). Utilization by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.	Baseline and 1 year
Primary	Change in rate of EMS Calls	Rate EMS calls by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.	Baseline and 1 year