Improving Transportation Assets and the Effects on Wellness Metrics
NCT ID: NCT05510765
Last Updated: 2022-08-22
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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UNKNOWN
NA
50 participants
INTERVENTIONAL
2022-10-31
2024-01-31
Brief Summary
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2. Evaluation of effectiveness in improving transportation assets for clients of a community-based nonprofit specializing in addressing social determinants of health (Lighthouse Community Health Services in Lynchburg, VA).
3. Simultaneous evaluation of wellness metrics based on the standards of the CMS Annual Wellness Visit and metrics associated with common chronic diseases.
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Detailed Description
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* The solution requires implementation of four separate transportation "networks"
* Public / Contracted / For-Hire Transportation
* Workforce Transportation Network
* Community Rideshare Network
* Volunteer Transportation Network
2. Assessment of Personal Transportation Assets
* Subjects asked to complete a survey upon intake, at six months, and at one year
* Digital survey:
* Can be completed by individual using provided smartphone app or at onsite desktop kiosk
* Can be facilitated by a caregiver or other provider not involved in data analysis
3. Assessment of health and wellness metrics and chronic disease metrics if applicable
* Dataset based on metrics assessed in the Center for Medicare and Medicaid Services (CMS) Annual Wellness Visit
* All metrics quantified via either binary (yes/no) or through use of a validated scale (see below)
* Data collected electronically at onsite or in-home provider visits at intake, six months, and one year
Conditions
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Study Design
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NA
SINGLE_GROUP
OTHER
NONE
Study Groups
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Study arm
Low resource, high risk individuals with limited transportation options as a social determinant of health.
Transportation service
Improved transportation assets applied to all aspects of subjects life
Interventions
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Transportation service
Improved transportation assets applied to all aspects of subjects life
Eligibility Criteria
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Inclusion Criteria
* Under-resourced at trial entry as defined by meeting eligibility for welfare, food stamps/SNAP, Medicaid, Housing Choice Voucher program, or income at or below 200% of the Federal Poverty Threshold.
Exclusion Criteria
18 Years
ALL
Yes
Sponsors
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John M. Salmon IV, MD
OTHER
Responsible Party
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John M. Salmon IV, MD
Medical Director, Lighthouse Community Health Center
Principal Investigators
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John Salmon, MD
Role: STUDY_DIRECTOR
Medical Director, Lighthouse Community Health Center
Locations
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Lighthouse Community Health Center
Lynchburg, Virginia, United States
Countries
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Central Contacts
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References
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Bradley EH, Elkins BR, Herrin J, Elbel B. Health and social services expenditures: associations with health outcomes. BMJ Qual Saf. 2011 Oct;20(10):826-31. doi: 10.1136/bmjqs.2010.048363. Epub 2011 Mar 29.
Solberg LI. Theory vs Practice: Should Primary Care Practice Take on Social Determinants of Health Now? No. Ann Fam Med. 2016 Mar;14(2):102-3. doi: 10.1370/afm.1918. No abstract available.
Hood CM, Gennuso KP, Swain GR, Catlin BB. County Health Rankings: Relationships Between Determinant Factors and Health Outcomes. Am J Prev Med. 2016 Feb;50(2):129-35. doi: 10.1016/j.amepre.2015.08.024. Epub 2015 Oct 31.
Other Identifiers
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4212.081022
Identifier Type: -
Identifier Source: org_study_id
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