Study Results
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View full resultsBasic Information
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COMPLETED
NA
221 participants
INTERVENTIONAL
2009-10-31
2014-03-31
Brief Summary
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Detailed Description
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The investigators' working hypothesis is that a targeted outreach to homeless persons that capitalizes on either established or newly realized physical health concerns to affect both health seeking behavior and sustained behavior change. It is grounded in two complementary behavioral models: the Behavioral Model for Vulnerable Populations and the body of research describing intrinsic versus extrinsic motivators for sustained behavior change.
Two hundred and eighty homeless Veterans will be randomized to receive either a personalized health assessment based outreach or usual care (social work/housing focused) outreach. Baseline assessments will include demographics, medical, mental health and substance use co-morbidities, pre-intervention health seeking behavior, readiness for behavior change (URICA), motivation for health care. Serial assessments at months 1, and 6 will assess evolving readiness and motivation as well as changes in their homeless status (sheltering, employment/income, etc.) Actual utilization of services will be assessed using the CPRS electronic medical records.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Personal Health Assessment/RN Brief Intervention
RN-based medical outreach, administration of a personal health assessment and brief intervention
RN Brief Intervention
RN administered personal health assessment along with a brief intervention for behavior change administered to homeless veterans in the community
Social Work-Administered Outreach
Social work based outreach (usual care)
Social Worker Outreach
Social worker will encounter homeless veteran in the community and encourage to come to the VA for care
Interventions
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RN Brief Intervention
RN administered personal health assessment along with a brief intervention for behavior change administered to homeless veterans in the community
Social Worker Outreach
Social worker will encounter homeless veteran in the community and encourage to come to the VA for care
Eligibility Criteria
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Inclusion Criteria
* currently homeless
Exclusion Criteria
* not planning on staying in area for next 6 months
* currently enrolled in VA primary care
18 Years
ALL
Yes
Sponsors
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VA Office of Research and Development
FED
Responsible Party
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Principal Investigators
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Thomas P O'Toole, MD
Role: PRINCIPAL_INVESTIGATOR
VA Medical Center, Providence
Locations
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VA Medical Center, Providence
Providence, Rhode Island, United States
Countries
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References
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O'Toole TP, Buckel L, Bourgault C, Blumen J, Redihan SG, Jiang L, Friedmann P. Applying the chronic care model to homeless veterans: effect of a population approach to primary care on utilization and clinical outcomes. Am J Public Health. 2010 Dec;100(12):2493-9. doi: 10.2105/AJPH.2009.179416. Epub 2010 Oct 21.
O'Toole TP, Pirraglia PA, Dosa D, Bourgault C, Redihan S, O'Toole MB, Blumen J; Primary Care-Special Populations Treatment Team. Building care systems to improve access for high-risk and vulnerable veteran populations. J Gen Intern Med. 2011 Nov;26 Suppl 2(Suppl 2):683-8. doi: 10.1007/s11606-011-1818-2.
O'Toole TP, Johnson EE, Borgia ML, Rose J. Tailoring Outreach Efforts to Increase Primary Care Use Among Homeless Veterans: Results of a Randomized Controlled Trial. J Gen Intern Med. 2015 Jul;30(7):886-98. doi: 10.1007/s11606-015-3193-x. Epub 2015 Feb 12.
O'Toole TP, Pape L. Innovative Efforts to Address Homelessness Among Veterans. N C Med J. 2015 Nov-Dec;76(5):311-4. doi: 10.18043/ncm.76.5.311.
Other Identifiers
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IIR 07-184
Identifier Type: -
Identifier Source: org_study_id
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