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| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
| Hamilton Academic Health Sciences Organization | OTHER |
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Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. To decrease the costs of treating heart disease and diabetes through emergency and hospitalization, improved screening and health education is needed. Our program will take place in communal areas within housing buildings of older adults and deliver a heart disease, diabetes, and falls risk check-up with health education. This is expected to improve the health of older adults leading to fewer emergency calls and hospital visits.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CHAP-EMS/CP@clinic Program Intervention | Experimental | 12 month implementation of the intervention |
|
| Control | No Intervention | Will complete a survey at baseline and at 1 year, no program or intervention provided |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CHAP-EMS/CP@clinic | Behavioral | Community Paramedicine program to assess cardiovascular, diabetes, and fall risk; discuss lifestyle changes and goals; and refer to appropriate resources. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Canadian Diabetes Risk (CANRISK) Score | The CANRISK tool provides a 10-year risk of diabetes score and will be administered by the paramedic during the CHAP-EMS session. | Baseline and 1 year |
| Change in Blood Pressure | Since the participants are invited to attend the intervention weekly, but are not required to attend, the number of assessments and time of assessments will vary. Multilevel analysis will be conducted that accounts for this variance in repeated measures. | Baseline and after each assessment (up to one year) |
| Change in health perceptions, behaviours, and knowledge of resources | A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge. | Baseline and 1 year |
| Change in Health Care Utilization | Health Care Utilization will be assessed through administrative databases (e.g. hospital visits). Utilization by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings. | Baseline and 1 year |
| Change in rate of EMS Calls | Rate EMS calls by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings. | Baseline and 1 year |
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Inclusion Criteria:
Exclusion Criteria:
- None
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| Name | Affiliation | Role |
|---|---|---|
| Gina Agarawal | McMaster University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Greater Sudbury | Greater Sudbury | Ontario | P3A 5P3 | Canada | ||
| Guelph-Wellington Emergency Medical Services and County of Wellington Social Services Department - Housing Services |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40050836 | Derived | Brar J, AlShenaiber L, Dzerounian J, Pirrie M, Angeles R, Marzanek F, Agarwal G. Effects of the Community Paramedicine at Clinic (CP@clinic) program on the health behaviours of older adults residing in social housing: secondary outcomes of a cluster-randomized trial. BMC Public Health. 2025 Mar 6;25(1):887. doi: 10.1186/s12889-025-21997-w. | |
| 39466243 |
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| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
| D003920 | Diabetes Mellitus |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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| Guelph |
| Ontario |
| N1H 3A1 |
| Canada |
| Hamilton Paramedic Services | Hamilton | Ontario | L8P 4Y5 | Canada |
| County of Simcoe | Simcoe | Ontario | L0L 1X0 | Canada |
| York Region | York | Ontario | L3Y 6Z1 | Canada |
| Agarwal G, Pirrie M, Angeles R, Marzanek F, Paterson JM, Nguyen F, Thabane L. Community Paramedicine Program in Social Housing and Health Service Utilization: A Cluster Randomized Clinical Trial. JAMA Netw Open. 2024 Oct 1;7(10):e2441288. doi: 10.1001/jamanetworkopen.2024.41288. |
| 37989376 | Derived | Marzanek F, Nair K, Ziesmann A, Paramalingam A, Pirrie M, Angeles R, Agarwal G. Perceived value and benefits of the Community Paramedicine at Clinic (CP@clinic) programme: a descriptive qualitative study. BMJ Open. 2023 Nov 21;13(11):e076066. doi: 10.1136/bmjopen-2023-076066. |
| 33109643 | Derived | Agarwal G, Pirrie M, Angeles R, Marzanek F, Thabane L, O'Reilly D. Cost-effectiveness analysis of a community paramedicine programme for low-income seniors living in subsidised housing: the community paramedicine at clinic programme (CP@clinic). BMJ Open. 2020 Oct 27;10(10):e037386. doi: 10.1136/bmjopen-2020-037386. |
| 30624150 | Derived | Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Reducing 9-1-1 Emergency Medical Service Calls By Implementing A Community Paramedicine Program For Vulnerable Older Adults In Public Housing In Canada: A Multi-Site Cluster Randomized Controlled Trial. Prehosp Emerg Care. 2019 Sep-Oct;23(5):718-729. doi: 10.1080/10903127.2019.1566421. Epub 2019 Feb 4. |
| 29807936 | Derived | Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Evaluation of a community paramedicine health promotion and lifestyle risk assessment program for older adults who live in social housing: a cluster randomized trial. CMAJ. 2018 May 28;190(21):E638-E647. doi: 10.1503/cmaj.170740. |
| 26068514 | Derived | Agarwal G, McDonough B, Angeles R, Pirrie M, Marzanek F, McLeod B, Dolovich L. Rationale and methods of a multicentre randomised controlled trial of the effectiveness of a Community Health Assessment Programme with Emergency Medical Services (CHAP-EMS) implemented on residents aged 55 years and older in subsidised seniors' housing buildings in Ontario, Canada. BMJ Open. 2015 Jun 11;5(6):e008110. doi: 10.1136/bmjopen-2015-008110. |