Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial
Previous work indicates the potential for community health workers and peer coaches serving as patient navigators to improve processes of care and health outcomes during care transitions, but have not been sufficiently tested to determine if such programs improve measures of patient experience in mi...
Main Authors: | , , , , , , , , , , , , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Elsevier
2019-09-01
|
Series: | Contemporary Clinical Trials Communications |
Online Access: | http://www.sciencedirect.com/science/article/pii/S2451865419300407 |
id |
doaj-5ca3dbda32d04c10b4a5b3403fed5bff |
---|---|
record_format |
Article |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Valentin Prieto-Centurion Sanjib Basu Nina Bracken Elizabeth Calhoun Carolyn Dickens Robert J. DiDomenico Richard Gallardo Victor Gordeuk Melissa Gutierrez-Kapheim Lewis L. Hsu Sai Illendula Min Joo Uzma Kazmi Amelia Mutso A. Simon Pickard Barry Pittendrigh Jamie L. Sullivan Mark Williams Jerry A. Krishnan |
spellingShingle |
Valentin Prieto-Centurion Sanjib Basu Nina Bracken Elizabeth Calhoun Carolyn Dickens Robert J. DiDomenico Richard Gallardo Victor Gordeuk Melissa Gutierrez-Kapheim Lewis L. Hsu Sai Illendula Min Joo Uzma Kazmi Amelia Mutso A. Simon Pickard Barry Pittendrigh Jamie L. Sullivan Mark Williams Jerry A. Krishnan Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial Contemporary Clinical Trials Communications |
author_facet |
Valentin Prieto-Centurion Sanjib Basu Nina Bracken Elizabeth Calhoun Carolyn Dickens Robert J. DiDomenico Richard Gallardo Victor Gordeuk Melissa Gutierrez-Kapheim Lewis L. Hsu Sai Illendula Min Joo Uzma Kazmi Amelia Mutso A. Simon Pickard Barry Pittendrigh Jamie L. Sullivan Mark Williams Jerry A. Krishnan |
author_sort |
Valentin Prieto-Centurion |
title |
Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial |
title_short |
Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial |
title_full |
Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial |
title_fullStr |
Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial |
title_full_unstemmed |
Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial |
title_sort |
design of the patient navigator to reduce readmissions (partner) study: a pragmatic clinical effectiveness trial |
publisher |
Elsevier |
series |
Contemporary Clinical Trials Communications |
issn |
2451-8654 |
publishDate |
2019-09-01 |
description |
Previous work indicates the potential for community health workers and peer coaches serving as patient navigators to improve processes of care and health outcomes during care transitions, but have not been sufficiently tested to determine if such programs improve measures of patient experience in minority serving institutions. The objectives of the Patient Navigator to Reduce Readmissions (PArTNER) study was to: 1) conduct a pragmatic clinical effectiveness trial comparing a multi-faceted, stakeholder-supported Navigator intervention (in-person CHW visits in the hospital and after hospital discharge, plus telephone-based peer coaching) versus usual care on the experience of hospital-to-home care transitions in patients hospitalized with heart failure, pneumonia, chronic obstructive pulmonary disease, myocardial infarction, or sickle cell disease; 2) examine the effectiveness of the Navigator intervention in patient subgroups; and 3) understand the barriers and facilitators of successfully implementing the Navigator intervention across patient populations. The co-primary outcomes are the 30-day changes in: 1) Patient Reported Outcomes Measurement Information System (PROMIS) emotional distress-anxiety, and 2) PROMIS informational support. Secondary outcomes at 30 and 60 days include other PROMIS health measures and hospital readmissions. Innovative features of the PArTNER study include early and continuous engagement of patients, their caregivers, clinicians, health system administrators, and other stakeholders to inform the design and implementation of the Navigator intervention. In this report, we describe the design of the PArTNER study. Keywords: Pragmatic clinical trial, Hospital-to-home transition, Hospital readmissions, Community health worker, Peer coaching |
url |
http://www.sciencedirect.com/science/article/pii/S2451865419300407 |
work_keys_str_mv |
AT valentinprietocenturion designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT sanjibbasu designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT ninabracken designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT elizabethcalhoun designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT carolyndickens designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT robertjdidomenico designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT richardgallardo designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT victorgordeuk designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT melissagutierrezkapheim designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT lewislhsu designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT saiillendula designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT minjoo designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT uzmakazmi designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT ameliamutso designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT asimonpickard designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT barrypittendrigh designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT jamielsullivan designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT markwilliams designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial AT jerryakrishnan designofthepatientnavigatortoreducereadmissionspartnerstudyapragmaticclinicaleffectivenesstrial |
_version_ |
1725087798547972096 |
spelling |
doaj-5ca3dbda32d04c10b4a5b3403fed5bff2020-11-25T01:31:15ZengElsevierContemporary Clinical Trials Communications2451-86542019-09-0115Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trialValentin Prieto-Centurion0Sanjib Basu1Nina Bracken2Elizabeth Calhoun3Carolyn Dickens4Robert J. DiDomenico5Richard Gallardo6Victor Gordeuk7Melissa Gutierrez-Kapheim8Lewis L. Hsu9Sai Illendula10Min Joo11Uzma Kazmi12Amelia Mutso13A. Simon Pickard14Barry Pittendrigh15Jamie L. Sullivan16Mark Williams17Jerry A. Krishnan18Breathe Chicago Center, Department of Medicine, College of Medicine, University of Illinois at Chicago, United States; Corresponding author. University of Illinois at Chicago, 1220 S. Wood Street, MC 619, Chicago, IL, 60608, United States.Department of Epidemiology and Biostatistics, School of Public Health, University of Illinois at Chicago, United StatesPopulation Health Sciences Program and Breathe Chicago Center, Department of Medicine, College of Medicine, University of Illinois at Chicago, United StatesUniversity of Arizona, United StatesDepartment of Medicine, College of Medicine, University of Illinois at Chicago, United StatesDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, United StatesPopulation Health Sciences Program, University of Illinois at Chicago, United StatesDepartment of Medicine, College of Medicine, University of Illinois at Chicago, United StatesDepartment of Community Health Sciences, School of Public Health, University of Illinois at Chicago, United StatesDepartment of Pediatrics, College of Medicine, University of Illinois at Chicago, United StatesPopulation Health Sciences Program, University of Illinois at Chicago, United StatesDepartment of Medicine, College of Medicine, University of Illinois at Chicago, United StatesAmerican Academy of Sleep Medicine, United StatesCollege of Medicine, University of Illinois at Chicago, United StatesDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, United StatesMichigan State University, United StatesCOPD Foundation, United StatesUniversity of Kentucky, United StatesPopulation Health Sciences Program, And the Breathe Chicago Center, Department of Medicine, College of Medicine, University of Illinois at Chicago, United StatesPrevious work indicates the potential for community health workers and peer coaches serving as patient navigators to improve processes of care and health outcomes during care transitions, but have not been sufficiently tested to determine if such programs improve measures of patient experience in minority serving institutions. The objectives of the Patient Navigator to Reduce Readmissions (PArTNER) study was to: 1) conduct a pragmatic clinical effectiveness trial comparing a multi-faceted, stakeholder-supported Navigator intervention (in-person CHW visits in the hospital and after hospital discharge, plus telephone-based peer coaching) versus usual care on the experience of hospital-to-home care transitions in patients hospitalized with heart failure, pneumonia, chronic obstructive pulmonary disease, myocardial infarction, or sickle cell disease; 2) examine the effectiveness of the Navigator intervention in patient subgroups; and 3) understand the barriers and facilitators of successfully implementing the Navigator intervention across patient populations. The co-primary outcomes are the 30-day changes in: 1) Patient Reported Outcomes Measurement Information System (PROMIS) emotional distress-anxiety, and 2) PROMIS informational support. Secondary outcomes at 30 and 60 days include other PROMIS health measures and hospital readmissions. Innovative features of the PArTNER study include early and continuous engagement of patients, their caregivers, clinicians, health system administrators, and other stakeholders to inform the design and implementation of the Navigator intervention. In this report, we describe the design of the PArTNER study. Keywords: Pragmatic clinical trial, Hospital-to-home transition, Hospital readmissions, Community health worker, Peer coachinghttp://www.sciencedirect.com/science/article/pii/S2451865419300407 |