The Health Outcomes Management and Evaluation (HOME) Study (HOME)
Improving Primary Care of Patients With Mental Disorders
調査の概要
詳細な説明
Findings of excess cardiometabolic morbidity and mortality in persons with severe mental illness (SMI) have led to a growing interest by Community Mental Health Centers (CMHCs) in improving the medical care of the populations they treat. However, these organizations face a number of financial and organizational barriers to implementing and sustaining such programs. In previous and ongoing work, the study team has documented the promise of team-based models in improving health and health care in this population. This study will test a novel approach for improving mental health consumers based on a partnership model between a CMHC and a Community Health Center (CHC). This partnership will capitalize on collocation of services, the primary care expertise of the CHC, and favorable reimbursement conditions, to develop a program that is both clinically robust and financially and organizationally sustainable A total of 300 CMHC clients with a severe mental illness and one or more active cardiometabolic problem (diabetes, hypertension, hyperlipidemia) will be randomized to either onsite Integrated Community Care (ICC) (n=150) or to a referral to the partner community health center (CHC) (n=150) for their medical problems. For those in the ICC, the CHC will establish a satellite clinic at the CMHC staffed by a physician assistant and care manager. The ICC will provide care for both the index cardiometabolic conditions and common acute and chronic comorbidities.
The study will use standardized, validated instruments to assess the impact of integrated community care on quality and outcomes of cardiometabolic and general medical care. A budget impact analysis will be used to assess the program's financial and organizational sustainability. When this study is completed, it will provide a model for CMHCs to provide a medical home for the populations they serve.
研究の種類
入学 (実際)
段階
- フェーズ 3
連絡先と場所
研究場所
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Georgia
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Marietta、Georgia、アメリカ、30008
- Cobb County Community Service Board
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Patient at Cobb County CSB
- one or more of the following conditions: hyperlipidemia, high blood pressure, heart failure, diabetes
- able to give consent
Exclusion Criteria:
- unable to give consent
- does not have a cardiometabolic condition
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:処理
- 割り当て:ランダム化
- 介入モデル:並列代入
- マスキング:独身
武器と介入
参加者グループ / アーム |
介入・治療 |
---|---|
実験的:介入
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The ICC will provide care for both the index cardiometabolic conditions and common acute and chronic comorbidities.
他の名前:
|
介入なし:Control
referral only
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
時間枠 |
---|---|
Quality of healthcare services received
時間枠:1 year
|
1 year
|
協力者と研究者
スポンサー
捜査官
- 主任研究者:Benjamin G Druss, MD MPH、Emory University
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Care teamの臨床試験
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University of ManitobaJuvenile Diabetes Research Foundation; Canadian Institutes of Health Research (CIHR)まだ募集していません身体活動 | 1型糖尿病
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The Hospital for Sick ChildrenEhave; Ontario Brain Institute完了
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University of North Carolina, Chapel HillNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); Splendor-NC募集肥満 | 太りすぎ | 体重 | 減量 | 体重の変化 | 慢性疾患 | 太りすぎと肥満 | 運動不足 | 行動、食べる | 減量アメリカ
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University of Wisconsin, MadisonNational Institutes of Health (NIH)完了
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Munich Municipal HospitalTechnical University of Munich; University of Regensburgわからない
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Case Western Reserve UniversityNational Institute of Nursing Research (NINR)募集
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University of RochesterUniversity at Buffalo; University of Arkansas募集
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New York UniversitySt. Luke's-Roosevelt Hospital Center完了
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New York UniversityIndiana University; Moi University完了