Study of the Conditions of the Effects of Health Mediation on Underserved Population

NCT ID: NCT06180746

Last Updated: 2023-12-22

Study Results

Results pending

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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Recruitment Status

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

1041 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-12-15

Study Completion Date

2024-09-15

Brief Summary

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The investigators are conducting a longitudinal mixed-method intervention study with a multi-center, multi-case explanatory sequential design. The ECEMSo study aims to identify the impact of health mediation on fostering healthcare utilization, in particular organized cancer screening uptake, by underserved populations living in informal housing in France.

Detailed Description

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Health mediation may foster underserved populations' healthcare utilization. No study to date has demonstrated its effectiveness in an experimental context. The ECEMSo case study aims to identify the impact of health mediation on fostering healthcare utilization - in particular organized cancer screening uptake - by underserved populations living in informal housing in France.

Grounded in a theory-based framework, the ECEMSo case study is a longitudinal mixed-method intervention study with a multi-center, multi-case explanatory sequential design. The study population comprises various participant profiles including health mediators, health workers, social workers, people living in informal housing whom these professionals support, and other stakeholders concerned with underserved populations' health issues. Participants will be recruited in several French regions and divided into three mixed participant profile groups. In group 1, health mediation and the ECEMSo intervention will be implemented. This intervention comprises knowledge mobilization to facilitate the structuring of health mediation throughout France, and the development of an action plan to facilitate cancer screening uptake by people living in informal housing. In group 2, only health mediation will be implemented (i.e., no ECEMSo intervention). In group 3, neither health mediation nor the ECEMSo intervention will be implemented, but health and social workers will implement other health system navigation interventions.

Quantitative and qualitative data will be collected by interviewers through face-to-face questionnaires, interviews, observations, focus groups, and tracking tables of health mediation activities over six months. Data collection will be based on the health mediation conceptual framework.

Conditions

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Mediation

Keywords

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Healthcare utilization Health mediation Cancer screening Complex intervention realist evaluation study protocol underserved populations

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

longitudinal mixed-method intervention study with a multi-center, multi-case explanatory sequential design
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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ECEMSo intervention

This group is composed of health mediators, the people living in informal housing they support and stakeholders. The ECEMSo intervention will be implemented in this group

Group Type EXPERIMENTAL

Knowledge mobilization to facilitate the structuring of health mediation

Intervention Type BEHAVIORAL

The ECEMSo intervention involves knowledge mobilization to facilitate the structuring of health mediation throughout French territory, and the development of a co-designed effective action plan to facilitate cancer screening uptake by people living in informal housing.

The action plan will, consider territorial specificities at the regional level. The ECEMSo project team will organize a seminar and three workshops. The aim of the seminar and workshops is to mobilize knowledge to facilitate i) the structuring of health mediation in the regions, and ii) the development of an action plan with health mediators and other stakeholders to foster organized cancer screenings uptake by underserved people. This action plan must match with the needs of people living in informal housing, and must be coordinated, suitable and feasible to implement, in terms of knowledge about people living in informal housing specificities and specific local collaborations

Group 2 : No intervention

This group is composed of health mediators, the people living in informal housing they support and stakeholders. The ECEMSo intervention will not be implemented in this group.

Group Type NO_INTERVENTION

No interventions assigned to this group

Group 3 : No intervention

This group is composed of health workers, social workers, the people living in informal housing they support and stakeholders. The ECEMSo intervention will be implemented in this group.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Knowledge mobilization to facilitate the structuring of health mediation

The ECEMSo intervention involves knowledge mobilization to facilitate the structuring of health mediation throughout French territory, and the development of a co-designed effective action plan to facilitate cancer screening uptake by people living in informal housing.

The action plan will, consider territorial specificities at the regional level. The ECEMSo project team will organize a seminar and three workshops. The aim of the seminar and workshops is to mobilize knowledge to facilitate i) the structuring of health mediation in the regions, and ii) the development of an action plan with health mediators and other stakeholders to foster organized cancer screenings uptake by underserved people. This action plan must match with the needs of people living in informal housing, and must be coordinated, suitable and feasible to implement, in terms of knowledge about people living in informal housing specificities and specific local collaborations

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Living on the streets, in a shanty house, squat or caravan
* Living in an area covered by one of care structures participating in the ECEMSo study
* Being over 18 years old
* Being able to understand the detailed information provided about the ECEMso study


* Being a health mediator, a health worker or a social worker belonging to one of the study's participation care structures
* Providing support to people living in informal housing

Exclusion Criteria

* Suffering from cognitive and/or psychiatric disorders
* Being under guardianship or curatorship

Health mediators, heal workers, socials workers


Stakeholder:
Minimum Eligible Age

18 Years

Maximum Eligible Age

99 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University Hospital, Bordeaux

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Judith Martin-Fernandez, PhD

Role: PRINCIPAL_INVESTIGATOR

Equipe Mérisp/PHARES, INSERM, BPH, U1219, University Hospital, Bordeaux

Central Contacts

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Judith Martin-Fernandez, PhD

Role: CONTACT

Phone: +33557822871

Email: [email protected]

Garance Perret

Role: CONTACT

Email: [email protected]

Other Identifiers

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CHUBX 2020/70

Identifier Type: -

Identifier Source: org_study_id