Cerebral Palsy Clinical Trial
Official title:
The Impact of Community-based Wellness Programs on The Triple Aim
People with disabilities experience a staggering incidence of secondary conditions that can result in death or negatively impact their health, participation in the community, and quality of life. Many of these chronic secondary conditions are preventable. The Institute for Healthcare Improvement has advocated for optimizing care through programs that simultaneously improve health and the patient experience of care, while reducing cost, called the "Triple Aim." Studies have shown that the Triple Aim can be achieved through programs that facilitate community integration; however the U.S. healthcare system lacks a paradigm of care for individuals with disabilities that promotes community integration. In order to identify potential models of healthcare delivery for individuals with disabilities that are effective in achieving the Triple Aim, we will conduct a rigorous research project to evaluate the impact of two different models of care on the Triple Aim: 1) a community-based care management program delivered by a non-profit organization through waiver funds, and 2) the Program for All-inclusive Care for the Elderly (PACE) applied to younger individuals with disabilities between ages 55-64.
Status | Recruiting |
Enrollment | 350 |
Est. completion date | September 2025 |
Est. primary completion date | September 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 7 Years and older |
Eligibility | Inclusion Criteria: - Individuals who are eligible for the Community Partners program - Individuals who are eligible for the Community LIFE program between the age of 55-64. Exclusion Criteria: - Individuals who are eligible for the Community LIFE program under the age of 55 or older than 64 years old. |
Country | Name | City | State |
---|---|---|---|
United States | University of Pittsburgh | Pittsburgh | Pennsylvania |
Lead Sponsor | Collaborator |
---|---|
University of Pittsburgh | Community LIFE, Community Living And Support Services |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Health Outcomes: function, measured by CHART-SF. | Change in function as a result of enrollment into community program | At baseline, and approximately every 3-6 months up to 24 months | |
Primary | Change in Health Outcomes: mood, measured by PHQ9. | Change in mood ratings as a result of enrollment into community program | At baseline, and approximately every 3-6 months up to 24 months | |
Primary | Change in Health Outcomes: quality of life, measured by WHOQOL-BREF | Change in quality of life rating as a result of enrollment into community program | At baseline, and approximately every 3-6 months up to 24 months | |
Primary | Change in Health Outcomes: self rating of health, measured by a likert-type scale of self rating of health. | Change in health rating as a result of enrollment into community program | At baseline, and approximately every 3-6 months up to 24 months | |
Primary | Change in Health Outcomes: community integration, measured by Social Capital from CQL-POMS. | Change in community integration as a result of enrollment into community program | At baseline, and approximately every 3-6 months up to 24 months | |
Primary | Change in Experience of Care Outcome as measured by PACIC | Change in experience of care as a result of enrollment into community program | At baseline, and approximately every 3-6 months up to 24 months | |
Primary | Cost: Program Cost | Program Cost: will be assessed by the salary and benefit cost of the clinical staff needed to support enrollees, educational material provided to the enrollees, and other program costs per participant over the period of enrollment, which is up to 24 months. | Accumulation of costs and Utilization throughout the duration of participation, measured at the end of the study, up to 24 months since enrollment. | |
Primary | Cost: Total Medical Cost assessed by the medical and pharmacy costs. | Total Medical Cost: will be assessed by the medical and pharmacy costs which will be calculated by using claims data for each participant enrolled in UPMC Health Plan by summing cost over a period of 1 year prior to enrollment (baseline), then over each year of enrollment. Total medical cost will be defined as the amount that the insurance company paid to the provider for all services provided, including medications and emergent, urgent, inpatient and outpatient care. | Accumulation of costs and Utilization throughout the duration of participation, measured at the end of the study, up to 24 months since enrollment. | |
Primary | Health Care Service Utilization | Utilization: will be assessed by the frequency of emergency room visits and hospital admissions for unplanned care. | Accumulation of costs and Utilization throughout the duration of participation, measured at the end of the study, up to 24 months since enrollment. |
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