Hypertension Clinical Trial
— MICOfficial title:
The Medicaid Innovation Collaborative (MIC) Experience: Transforming Care Through Digital Health: A Mixed Methods Analysis
The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.
Status | Recruiting |
Enrollment | 19331 |
Est. completion date | December 31, 2028 |
Est. primary completion date | December 31, 2028 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Patient of one of four medically qualified health care centers and/or OSF HealthCare as defined by insurance type - Insured by Medicaid or dually eligible for Medicare or Medicaid - Has one or more of the three following conditions: Hypertension, Diabetes Mellitus, or Pregnancy - Able to read and understand English or read translated materials in language provided (e.g. Spanish) - Minors who are pregnant and less 18 years of age who are enrolled in the MIC Program Exclusion Criteria: - Not enrolled in the MIC Program - No one will be excluded on basis of sex or race |
Country | Name | City | State |
---|---|---|---|
United States | OSF HealthCare System | Peoria | Illinois |
Lead Sponsor | Collaborator |
---|---|
OSF Healthcare System |
United States,
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Etminani K, Goransson C, Galozy A, Norell Pejner M, Nowaczyk S. Improving Medication Adherence Through Adaptive Digital Interventions (iMedA) in Patients With Hypertension: Protocol for an Interrupted Time Series Study. JMIR Res Protoc. 2021 May 12;10(5):e24494. doi: 10.2196/24494. — View Citation
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Lopez Bernal J, Cummins S, Gasparrini A. The use of controls in interrupted time series studies of public health interventions. Int J Epidemiol. 2018 Dec 1;47(6):2082-2093. doi: 10.1093/ije/dyy135. — View Citation
Nijagal MA, Wissig S, Stowell C, Olson E, Amer-Wahlin I, Bonsel G, Brooks A, Coleman M, Devi Karalasingam S, Duffy JMN, Flanagan T, Gebhardt S, Greene ME, Groenendaal F, R Jeganathan JR, Kowaliw T, Lamain-de-Ruiter M, Main E, Owens M, Petersen R, Reiss I, Sakala C, Speciale AM, Thompson R, Okunade O, Franx A. Standardized outcome measures for pregnancy and childbirth, an ICHOM proposal. BMC Health Serv Res. 2018 Dec 11;18(1):953. doi: 10.1186/s12913-018-3732-3. — View Citation
Roman LA, Raffo JE, Dertz K, Agee B, Evans D, Penninga K, Pierce T, Cunningham B, VanderMeulen P. Understanding Perspectives of African American Medicaid-Insured Women on the Process of Perinatal Care: An Opportunity for Systems Improvement. Matern Child Health J. 2017 Dec;21(Suppl 1):81-92. doi: 10.1007/s10995-017-2372-2. — View Citation
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Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in participant's blood pressure control at three points in time | Decrease in the average systolic and/or diastolic blood pressure | 3 months, 6 months, 12 months | |
Primary | Change in participant's glycemic control at three points in time | Defined as a reduction >1% in glycosylated hemoglobin (hemoglobin A1C) | 3 months, 6 months, 12 months | |
Primary | Change in Patient Assessment of Chronic Illness Care scale (PACIC) from baseline to exit from program | Measure of patient's perception of care management for chronic disease - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care | baseline, end of program, on average of 1 year | |
Primary | Change in Patient Perception of Health Care Management (adapted form of PACIC to reflect pre/postnatal care) from baseline to exit from program | Measure of patient-centered care and self-management - 20 items on a 5-point scale 1=no or never to 5=Always, with higher score indicating better care | baseline, end of program, on average 6 months | |
Primary | Patient satisfaction, 1-item researcher generated question | Measure of patient's satisfaction, Participant's recommendation of program to others (Yes/No) | at exit from program, on average 1 year |
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