Trial Outcomes & Findings for Evaluation of Veteran-Directed Home and Community Based Services (NCT NCT03145818)
NCT ID: NCT03145818
Last Updated: 2020-11-20
Results Overview
Satisfaction Survey Number of Veterans responding to VA-specific program survey questions on Veteran satisfaction, unmet needs, and quality of life. Veterans were asked to respond to a 6 question survey by choosing a number from a scale (either from 1-10 or 1-5; low numbers typically indicating satisfaction; higher numbers indicating dissatisfaction) to indicate their level of overall satisfaction with their current health needs and ability to participate in daily activities.
Recruitment status
COMPLETED
Target enrollment
126 participants
Primary outcome timeframe
12 months
Results posted on
2020-11-20
Participant Flow
Recruitment letters to Veterans, Caregivers and Coordinators were sent inviting them to participate in qualitative interviews.
Participant milestones
| Measure |
Veterans
Veterans will be the primary group for whom the VD-HCBS Program is implemented. Veterans enrolled in VD-HCBS will be functionally impaired. The surveys are given at the onset of the program and quarterly and yearly thereafter.
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
Caregivers
Caregivers support Veterans independence in their home and community
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
VHA Coordinators
VHA VD-HCBS Coordinators allow the program to operate within the VA
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
ADNA Coordinators
ADNA Coordinators engage with the Veteran, Caregivers, and VA Coordinators to ensure the Veteran is able to maintain independence
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
|---|---|---|---|---|
|
Overall Study
STARTED
|
99
|
8
|
10
|
9
|
|
Overall Study
COMPLETED
|
8
|
0
|
10
|
9
|
|
Overall Study
NOT COMPLETED
|
91
|
8
|
0
|
0
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Age information was not collected from coordinators.
Baseline characteristics by cohort
| Measure |
Veterans
n=99 Participants
Veterans will be the primary group for whom the VD-HCBS Program is implemented. Veterans enrolled in VD-HCBS will be functionally impaired
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
Caregivers
n=8 Participants
Caregivers support Veterans independence in their home and community
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
VHA Coordinators
n=10 Participants
VHA VD-HCBS Coordinators allow the program to operate within the VA
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
ADNA Coordinators
n=9 Participants
ADNA Coordinators engage with the Veteran, Caregivers, and VA Coordinators to ensure the Veteran is able to maintain independence
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
Total
n=126 Participants
Total of all reporting groups
|
|---|---|---|---|---|---|
|
Age, Continuous
|
75.4 years
STANDARD_DEVIATION 13.6 • n=99 Participants • Age information was not collected from coordinators.
|
63 years
STANDARD_DEVIATION 12.0 • n=8 Participants • Age information was not collected from coordinators.
|
—
|
—
|
74.4 years
STANDARD_DEVIATION 14.1 • n=107 Participants • Age information was not collected from coordinators.
|
|
Sex: Female, Male
Female
|
0 Participants
Gender information was not collected for coordinators.
|
0 Participants
Gender information was not collected for coordinators.
|
—
|
—
|
0 Participants
Gender information was not collected for coordinators.
|
|
Sex: Female, Male
Male
|
0 Participants
Gender information was not collected for coordinators.
|
0 Participants
Gender information was not collected for coordinators.
|
—
|
—
|
0 Participants
Gender information was not collected for coordinators.
|
|
Ethnicity (NIH/OMB)
Hispanic or Latino
|
0 Participants
n=99 Participants • Ethnicity information was not collected for coordinators.
|
0 Participants
n=8 Participants • Ethnicity information was not collected for coordinators.
|
—
|
—
|
0 Participants
n=107 Participants • Ethnicity information was not collected for coordinators.
|
|
Ethnicity (NIH/OMB)
Not Hispanic or Latino
|
99 Participants
n=99 Participants • Ethnicity information was not collected for coordinators.
|
8 Participants
n=8 Participants • Ethnicity information was not collected for coordinators.
|
—
|
—
|
107 Participants
n=107 Participants • Ethnicity information was not collected for coordinators.
|
|
Ethnicity (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=99 Participants • Ethnicity information was not collected for coordinators.
|
0 Participants
n=8 Participants • Ethnicity information was not collected for coordinators.
|
—
|
—
|
0 Participants
n=107 Participants • Ethnicity information was not collected for coordinators.
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
3 Participants
n=99 Participants • Race information was not collected for coordinators.
|
0 Participants
n=8 Participants • Race information was not collected for coordinators.
|
—
|
—
|
3 Participants
n=107 Participants • Race information was not collected for coordinators.
|
|
Race (NIH/OMB)
Asian
|
0 Participants
n=99 Participants • Race information was not collected for coordinators.
|
0 Participants
n=8 Participants • Race information was not collected for coordinators.
|
—
|
—
|
0 Participants
n=107 Participants • Race information was not collected for coordinators.
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=99 Participants • Race information was not collected for coordinators.
|
0 Participants
n=8 Participants • Race information was not collected for coordinators.
|
—
|
—
|
0 Participants
n=107 Participants • Race information was not collected for coordinators.
|
|
Race (NIH/OMB)
Black or African American
|
37 Participants
n=99 Participants • Race information was not collected for coordinators.
|
1 Participants
n=8 Participants • Race information was not collected for coordinators.
|
—
|
—
|
38 Participants
n=107 Participants • Race information was not collected for coordinators.
|
|
Race (NIH/OMB)
White
|
52 Participants
n=99 Participants • Race information was not collected for coordinators.
|
6 Participants
n=8 Participants • Race information was not collected for coordinators.
|
—
|
—
|
58 Participants
n=107 Participants • Race information was not collected for coordinators.
|
|
Race (NIH/OMB)
More than one race
|
1 Participants
n=99 Participants • Race information was not collected for coordinators.
|
0 Participants
n=8 Participants • Race information was not collected for coordinators.
|
—
|
—
|
1 Participants
n=107 Participants • Race information was not collected for coordinators.
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
6 Participants
n=99 Participants • Race information was not collected for coordinators.
|
1 Participants
n=8 Participants • Race information was not collected for coordinators.
|
—
|
—
|
7 Participants
n=107 Participants • Race information was not collected for coordinators.
|
|
Region of Enrollment
United States
|
99 Participants
n=99 Participants
|
8 Participants
n=8 Participants
|
10 Participants
n=10 Participants
|
9 Participants
n=9 Participants
|
126 Participants
n=126 Participants
|
PRIMARY outcome
Timeframe: 12 monthsPopulation: Veterans enrolled in the Veteran Directed Home and Community Based Services program. Six Veterans did not participate in the survey.
Satisfaction Survey Number of Veterans responding to VA-specific program survey questions on Veteran satisfaction, unmet needs, and quality of life. Veterans were asked to respond to a 6 question survey by choosing a number from a scale (either from 1-10 or 1-5; low numbers typically indicating satisfaction; higher numbers indicating dissatisfaction) to indicate their level of overall satisfaction with their current health needs and ability to participate in daily activities.
Outcome measures
| Measure |
Veterans
n=93 Participants
Veterans will be the primary group for whom the VD-HCBS Program is implemented. Veterans enrolled in VD-HCBS will be functionally impaired
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
|---|---|
|
Veteran's Unmet Need for Services, Satisfaction, Unmet Needs, and Quality of Life.
1. Satisfaction of VA home services
|
71 Participants
|
|
Veteran's Unmet Need for Services, Satisfaction, Unmet Needs, and Quality of Life.
2. Need additional help with everyday activities
|
63 Participants
|
|
Veteran's Unmet Need for Services, Satisfaction, Unmet Needs, and Quality of Life.
3. Able to attend recreational/social activities
|
35 Participants
|
|
Veteran's Unmet Need for Services, Satisfaction, Unmet Needs, and Quality of Life.
4. Worry about being able to remain in home
|
39 Participants
|
|
Veteran's Unmet Need for Services, Satisfaction, Unmet Needs, and Quality of Life.
5. Enough choice for services and products
|
66 Participants
|
|
Veteran's Unmet Need for Services, Satisfaction, Unmet Needs, and Quality of Life.
6. General life satisfaction
|
60 Participants
|
PRIMARY outcome
Timeframe: 9 monthsPopulation: Caregivers who participated in a caregiver well-being survey.
Number of caregivers who responded to a VA specific Caregiver survey on financial strain, depressive symptoms, caregiving stress, and health status and positive caregiver experiences. Caregivers were asked to choose the best answer from a scale that reflected the level of intensity (low numbers typically indicating less intensity than the higher numbers) of common caregiving stressors.
Outcome measures
| Measure |
Veterans
n=8 Participants
Veterans will be the primary group for whom the VD-HCBS Program is implemented. Veterans enrolled in VD-HCBS will be functionally impaired
VD-HCBS: Like the participant-directed programs developed for Medicaid programs,VD-HCBS maximizes Veteran-centered care and independence. VD-HCBS provides Veterans with a monthly financial allotment based on an assessment of the extent of their need for assistance with personal care due to injury or the impact of disease
|
|---|---|
|
Caregiver Well-being Survey
Stressed between caregiving and other responsibili
|
3 Participants
|
|
Caregiver Well-being Survey
Reported Poor Health
|
0 Participants
|
|
Caregiver Well-being Survey
Felt lonely or isolated
|
5 Participants
|
|
Caregiver Well-being Survey
Serious Economic Situation
|
4 Participants
|
Adverse Events
Veterans
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
Caregivers
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
VA Coordinators
Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths
VHA Coordinators
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
James Rudolph, MD, Principal Investigator
Providence VA Medical Center
Phone: 401-273-7100
Email: [email protected]
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place