- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT00793260
Deep Dive Randomized Control Trial
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Maine
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Portland, Maine, Forenede Stater, 04101
- Health Dialog Analytic Solutions, Inc
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- All employees, dependents and retirees in one of seven large employer groups, including a state university system, a state employee group, two manufacturing companies, a natural resource extraction company, a public educational service agency, and a nonprofit multiple employer association for independent colleges were eligible for inclusion.
Exclusion Criteria:
- no financial information was available from their facility and professional claims;
- they were in an employer sub-group ineligible for care support services;
- they asked not be to contacted or were deceased;
- gender information was missing from their eligibility files;
- their claims data from the year prior to the start of the study indicated diagnoses of HIV, AIDS, end-stage renal disease (ESRD), organ transplants, or necrotizing fasciitis (intended to improve the likelihood of a balanced distribution of costs and conditions); OR
- they were in an employer sub-group with less than four months of enrollment prior to the study start date (resulting in too little information for stratification).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Aktiv komparator: Usual Support Group
Predictive models in the Usual-Support Group were aimed at identifying individuals through medical claims and administrative data (such as hospitalization notification).
The output of the predictive models is a rank-ordered, or stratified, list of individuals who have support needs.
These lists were then used to generate outbound mail, interactive voice response (IVR) calls or calls by health coaches.
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Predictive models in the Usual-Support Group were aimed at identifying individuals through medical claims and administrative data (such as hospitalization notification).
The output of the predictive models is a rank-ordered, or stratified, list of individuals who have support needs.
These lists were then used to generate outbound mail, interactive voice response (IVR) calls or calls by health coaches.
|
Eksperimentel: Enhanced Support Group
The Enhanced-Support Group intervention used more sophisticated predictive models, more extensive outreach to engage individuals, and provided tighter feedback loops to inform the care support process.
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The Enhanced-Support Group program used lower risk thresholds for targeted outreach of individuals with chronic illness and for those likely to face discrete surgical interventions. Individuals at high financial risk but without one of the five chronic conditions were included in the Enhanced-Support Group. The Enhanced-Support Group received up to five initial reach attempts while the Usual-Support Group received up to three attempts. The Enhanced-Support Group used a 'tight loop' management structure including detailed, timely coach level feedback reports on efficiency and effectiveness. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
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The primary outcome measure was total medical costs (capped at $200,000 per individual per year) and pharmacy costs.
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Sekundære resultatmål
Resultatmål |
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Secondary measures included utilization of selected services.
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Samarbejdspartnere og efterforskere
Sponsor
Efterforskere
- Ledende efterforsker: David E Wennberg, MD, MPH, Health Dialog
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- DeepDive
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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Ain Shams UniversityAfsluttetIntra-uterin enhedskomplikationEgypten
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