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| Name | Class |
|---|---|
| University of California, Berkeley | OTHER |
| Robert Wood Johnson Foundation | OTHER |
The purpose of this study is to determine whether health coaching initiated in the emergency department (ED) reduces subsequent ED visits, increases primary care visits, and positively impacts health outcomes in patients with diabetes and/or hypertension.
Patients will be recruited by health coaches from the Highland Hospital Emergency Department. Eligible patients who agree to participate will be randomized to the control and experimental groups in a 2:1 ratio respectively because experimental group size is limited by health coach availability and greater loss-to-follow up is expected among the control group. Repeated measures analysis will be used to compare each outcome over the study period. In addition, subgroup analyses will be performed in order to stratify by baseline survey measures or amount of ED visits in the pre-observation period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Health Coaching | Experimental | Patients randomized to the experimental arm receive six months of post-ED health coaching from the Alameda County Health Coach Program (ACHCP) in addition to usual care in the emergency department at enrollment. |
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| Usual Care | No Intervention | Patients randomized to the control arm receive usual care in the emergency department at enrollment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Health Coaching | Behavioral | The Alameda County Health Coach program pairs patients with a language-concordant health coach for six months following an ED visit. Health coaches are young adults from the local community employed through Alameda County and trained for three months in topics such as self-management support and motivational interviewing. Health coaches work one-on-one with participants in order to develop an action plan in order to achieve patient-identified health goals. Communication between the health coach and participant includes text messages (weekly), phone calls (twice a month), face-to-face visits (at least once), and accompaniment to a primary care visit (at least once). Health coaches may also assist participants in accessing community resources as related to the individualized action plan. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of emergency department visits | Self-reported measure collected via follow-up phone surveys at 1, 3, and 6 months. | 6 month period after enrollment |
| Measure | Description | Time Frame |
|---|---|---|
| Number of primary care visits | Self-reported measure collected by follow-up phone surveys at 1,3, and 6 months. | 6 month period after enrollment |
| Physical health and mental health (Validated measure - SF-12v2) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jocelyn Freeman-Garrick, MD | Highland Hospital - Alameda Health System | Principal Investigator |
| Berenice Perez, MD | Highland Hospital - Alameda Health System | Principal Investigator |
| Harrison Alter, MD | Highland Hospital - Alameda Health System | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Highland Hospital - Alameda Health System | Oakland | California | 94602 | United States |
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| Label | URL |
|---|---|
| Please click here for more information about the Alameda County Health Coach Program (ACHCP). | View source |
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| ID | Term |
|---|---|
| D003920 | Diabetes Mellitus |
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D044882 | Glucose Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D004700 | Endocrine System Diseases |
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Validated measure (SF-12v2) collected at baseline and follow-up phone surveys.
| Baseline, 1 month, 3 months, and 6 months after enrollment |
| Medication adherence (Validated measure - Morisky Medication Adherence Scale, MMAS-8) | Validated measure (Morisky Medication Adherence Scale, MMAS-8) collected at baseline and follow-up phone surveys. | Baseline, 1 month, 3 months, and 6 months after enrollment |
| Patient activation (Validated measure - Patient Activation Measure, PAM) | Validated measure (Patient Activation Measure, PAM) collected at baseline and follow-up phone surveys. | Baseline, 1 month, 3 months, and 6 months after enrollment |
| Type and frequency of health coach contact | Health coach documentation notes will be analyzed to determine the average percent of each type of contact (text, phone, or in-person) and frequency of contact. | 6 months after enrollment |
| Percent of action plan goals achieved (Health coach documentation notes) | Health coach documentation notes will be analyzed to determine the percent of goals achieved during the intervention. | 6 months after enrollment |
| Qualitative analysis of action plans (Health coach documentation notes will be analyzed, data will be coded to identify themes such as type of goals, barriers to care, and resources identified in the action plan) | Health coach documentation notes will be analyzed using a grounded theory approach, where transcribed data will be coded to identify themes such as type of goals, barriers to care, and resources identified in the action plan. | 6 months after enrollment |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |