Health Coach Program to Improve Chronic Disease Outcomes Following an Emergency Department Visit
NCT ID: NCT02386540
Last Updated: 2018-12-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
295 participants
INTERVENTIONAL
2015-02-06
2018-12-10
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Health Coaching
Patients randomized to the experimental arm receive six months of post-ED health coaching from the Alameda County Health Coach Program (ACHCP) in addition to usual care in the emergency department at enrollment.
Health Coaching
The Alameda County Health Coach program pairs patients with a language-concordant health coach for six months following an ED visit. Health coaches are young adults from the local community employed through Alameda County and trained for three months in topics such as self-management support and motivational interviewing. Health coaches work one-on-one with participants in order to develop an action plan in order to achieve patient-identified health goals. Communication between the health coach and participant includes text messages (weekly), phone calls (twice a month), face-to-face visits (at least once), and accompaniment to a primary care visit (at least once). Health coaches may also assist participants in accessing community resources as related to the individualized action plan.
Usual Care
Patients randomized to the control arm receive usual care in the emergency department at enrollment.
No interventions assigned to this group
Interventions
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Health Coaching
The Alameda County Health Coach program pairs patients with a language-concordant health coach for six months following an ED visit. Health coaches are young adults from the local community employed through Alameda County and trained for three months in topics such as self-management support and motivational interviewing. Health coaches work one-on-one with participants in order to develop an action plan in order to achieve patient-identified health goals. Communication between the health coach and participant includes text messages (weekly), phone calls (twice a month), face-to-face visits (at least once), and accompaniment to a primary care visit (at least once). Health coaches may also assist participants in accessing community resources as related to the individualized action plan.
Eligibility Criteria
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Inclusion Criteria
* Plans to reside in Alameda County for the next year
* Has a reliable phone number
* Speaks English or Spanish
* 18 years of age or older
* Meets at least one of the following three criteria: (1) Low medication adherence defined as a continuous medication gap of at least 1 month in the past year OR a new diagnosis of diabetes and/or hypertension; (2) No patient-identified primary care provider (PCP) or no visit to PCP in 1 year; (3) One or more visits to the ED in the last 6 months.
Exclusion Criteria
* Poorly controlled psychiatric illness
* Homeless
* Active and frequent use of illicit substances
* Currently incarcerated
* Already enrolled in a program for patients with high rates of hospitalization and/or emergency department visits
* Unable to consent due to an unstable condition or serious emotional or neurologic condition
* Admitted or anticipated to be admitted to the hospital from the ED
18 Years
ALL
No
Sponsors
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University of California, Berkeley
OTHER
Robert Wood Johnson Foundation
OTHER
Alameda County Medical Center
OTHER
Responsible Party
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Harrison J. Alter
Associate Chair for Research, Department of Emergency Medicine, Highland Hospital
Principal Investigators
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Jocelyn Freeman-Garrick, MD
Role: PRINCIPAL_INVESTIGATOR
Highland Hospital - Alameda Health System
Berenice Perez, MD
Role: PRINCIPAL_INVESTIGATOR
Highland Hospital - Alameda Health System
Harrison Alter, MD
Role: PRINCIPAL_INVESTIGATOR
Highland Hospital - Alameda Health System
Locations
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Highland Hospital - Alameda Health System
Oakland, California, United States
Countries
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Other Identifiers
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IRB 14-08123E
Identifier Type: -
Identifier Source: org_study_id