Trial Outcomes & Findings for Connecting Healthy Women: Examining the Effect of an Intervention From the Effect of Being Reachable (NCT NCT02157168)

NCT ID: NCT02157168

Last Updated: 2019-04-05

Results Overview

The number and percentage of new members who had at least one visit with a primary care provider during their first 6 months of enrollment.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

2267 participants

Primary outcome timeframe

6 months

Results posted on

2019-04-05

Participant Flow

Each month all newly enrolled female health plan members were randomly picked by the health plan (according to a randomization scheme provided by the study team) to be invited to work with a community health worker (CHW). Those not invited constituted the usual care control group. Recruitment began March 2015 and ended May 2016.

Participant milestones

Participant milestones
Measure
Control Group (CG)
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker. Those not invited constituted the usual care control group.
Intervention Group (IG1)
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG1 group is made up of those individuals who accept the invitation to participate in the intervention and receive it.
Intervention Group (IG2)
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG2 group is comprised of those randomized to the intervention group but who reject the opportunity to participate.
Overall Study
STARTED
746
159
1362
Overall Study
COMPLETED
746
159
1362
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Connecting Healthy Women: Examining the Effect of an Intervention From the Effect of Being Reachable

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control Group (CG)
n=746 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker. Those not invited constituted the usual care control group..
Intervention Group (IG1)
n=159 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG1 group is made up of those individuals who accept the invitation to participate in the intervention and receive it.
Intervention Group (IG2)
n=1362 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG2 group is comprised of those randomized to the intervention group but who reject the opportunity to participate.
Total
n=2267 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
746 Participants
n=5 Participants
159 Participants
n=7 Participants
1362 Participants
n=5 Participants
2267 Participants
n=4 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Continuous
27.2 years
STANDARD_DEVIATION 6.0 • n=5 Participants
28.5 years
STANDARD_DEVIATION 5.9 • n=7 Participants
27.0 years
STANDARD_DEVIATION 6.1 • n=5 Participants
27.2 years
STANDARD_DEVIATION 6.1 • n=4 Participants
Sex: Female, Male
Female
746 Participants
n=5 Participants
159 Participants
n=7 Participants
1362 Participants
n=5 Participants
2267 Participants
n=4 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
218 Participants
n=5 Participants
70 Participants
n=7 Participants
431 Participants
n=5 Participants
719 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
423 Participants
n=5 Participants
62 Participants
n=7 Participants
736 Participants
n=5 Participants
1221 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
105 Participants
n=5 Participants
27 Participants
n=7 Participants
195 Participants
n=5 Participants
327 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
41 Participants
n=5 Participants
1 Participants
n=7 Participants
60 Participants
n=5 Participants
102 Participants
n=4 Participants
Race (NIH/OMB)
Asian
15 Participants
n=5 Participants
0 Participants
n=7 Participants
23 Participants
n=5 Participants
38 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
61 Participants
n=5 Participants
9 Participants
n=7 Participants
123 Participants
n=5 Participants
193 Participants
n=4 Participants
Race (NIH/OMB)
White
523 Participants
n=5 Participants
122 Participants
n=7 Participants
961 Participants
n=5 Participants
1606 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
105 Participants
n=5 Participants
27 Participants
n=7 Participants
195 Participants
n=5 Participants
327 Participants
n=4 Participants
Region of Enrollment
United States
746 participants
n=5 Participants
159 participants
n=7 Participants
1362 participants
n=5 Participants
2267 participants
n=4 Participants

PRIMARY outcome

Timeframe: 6 months

The number and percentage of new members who had at least one visit with a primary care provider during their first 6 months of enrollment.

Outcome measures

Outcome measures
Measure
Control Group (CG)
n=746 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker. Those not invited constituted the usual care control group.
Intervention Group (IG1)
n=159 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG1 group is made up of those individuals who accept the invitation to participate in the intervention and receive it.
Intervention Group (IG2)
n=1362 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG2 group is comprised of those randomized to the intervention group but who reject the opportunity to participate.
Identify and Utilization of Primary Care Provider (PCP)
426 Participants
114 Participants
771 Participants

SECONDARY outcome

Timeframe: 6 months

The number and percentage of new members who had at least one preventive visit (i.e., well woman visit, cervical cancer screening, sexually transmitted infection (STI) screening, STI counseling, contraception counseling or immunizations) during their first 6 months of enrollment.

Outcome measures

Outcome measures
Measure
Control Group (CG)
n=746 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker. Those not invited constituted the usual care control group.
Intervention Group (IG1)
n=159 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG1 group is made up of those individuals who accept the invitation to participate in the intervention and receive it.
Intervention Group (IG2)
n=1362 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG2 group is comprised of those randomized to the intervention group but who reject the opportunity to participate.
The Impact of the Intervention on the Utilization of Women's Preventive Services and Other Preventive Services
189 Participants
52 Participants
366 Participants

SECONDARY outcome

Timeframe: 6 months

Population: Members who had an ED visit during the first 6 months of their enrollment.

The number and percentage of new members who had avoidable emergency department (ED) visits during their first 6 months of enrollment.

Outcome measures

Outcome measures
Measure
Control Group (CG)
n=467 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker. Those not invited constituted the usual care control group.
Intervention Group (IG1)
n=88 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG1 group is made up of those individuals who accept the invitation to participate in the intervention and receive it.
Intervention Group (IG2)
n=767 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG2 group is comprised of those randomized to the intervention group but who reject the opportunity to participate.
The Impact of the Intervention on the Utilization of Avoidable Emergency Department (ED) Visits
135 Participants
23 Participants
220 Participants

SECONDARY outcome

Timeframe: 6 months

Population: Members who had a hospital visit during the first 6 months of enrollment.

The number and percentage of new members who had avoidable hospitalizations during their first 6 months of enrollment.

Outcome measures

Outcome measures
Measure
Control Group (CG)
n=76 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker. Those not invited constituted the usual care control group.
Intervention Group (IG1)
n=24 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG1 group is made up of those individuals who accept the invitation to participate in the intervention and receive it.
Intervention Group (IG2)
n=167 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG2 group is comprised of those randomized to the intervention group but who reject the opportunity to participate.
The Impact of the Intervention on Preventable Hospital Stays
13 Participants
4 Participants
25 Participants

OTHER_PRE_SPECIFIED outcome

Timeframe: Baseline and 6 months

Population: IG1 group members that completed the baseline and 6-month survey and CG and IG2 group members that complete the 6-month survey.

The short form of the Patient Activation Measure (PAM), a measure of patient engagement in their healthcare. PAM levels of engagement with Level 4 being the highest level.

Outcome measures

Outcome measures
Measure
Control Group (CG)
n=101 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker. Those not invited constituted the usual care control group.
Intervention Group (IG1)
n=101 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG1 group is made up of those individuals who accept the invitation to participate in the intervention and receive it.
Intervention Group (IG2)
n=111 Participants
Each month all newly enrolled female health plan members had an equal chance of being randomly picked by the health plan to be invited to contact and work with a community health worker in the intervention group. The intervention group was made up of two sub groups. The IG2 group is comprised of those randomized to the intervention group but who reject the opportunity to participate.
Informed Decision Making Regarding the Healthcare System and Their Health
1: Believes active role important
8 Participants
1 Participants
2 Participants
Informed Decision Making Regarding the Healthcare System and Their Health
2: Confidence and knowledge to take action
7 Participants
6 Participants
8 Participants
Informed Decision Making Regarding the Healthcare System and Their Health
3: Taking action
38 Participants
41 Participants
36 Participants
Informed Decision Making Regarding the Healthcare System and Their Health
4: Staying the course under stress
48 Participants
53 Participants
65 Participants

Adverse Events

Control Group (CG)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention Group (IG1)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Intervention Group (IG2)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Ada Wilkinson-Lee, Co-Investigator

University of Arizona

Phone: (520) 626-7766

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place