A Helping Hand Among Low-Income Patients
Completed · Not applicable
Conditions studied: Depression, Diabetes, Heart Disease
In brief
Study Hypotheses (Ho) and Research Questions (RQ): * Ho1. AHH will significantly improve patient depression treatment acceptance/adherence and depression symptoms vs UC at 6 and 12 months post-baseline. * Ho2. A Helping Hand (AHH) will significantly improve and sustain patient self-care management in Self-Efficacy for Managing Chronic Disease (SEMCD) and Quality of Life vs UC at 6 and 12 months post-baseline. * RQ1. What is the association between depression symptoms and concurrent chronic illness self-care management over time by group? * RQ2. Will AHH reduce hospitalizations and Emergency Room visits and improve clinic appointment-keeping? * RQ3. Will patient care satisfaction and reported barriers to self-care management vary by study group? * RQ4. What factors are identified via qualitative assessments of patients, promotoras, Department of Health Services (DHS) medical and social work providers, and DHS clinic/organizational leadership regarding satisfaction with, sustainable uptake of, and suggested modifications of the AHH promotora delivery model? * RQ5. What potential technology applications would enhance promotoras delivering patient-centered self-care training and resource navigation, communicating and integrating care with DHS, and disseminating AHH?
Key facts
- Study ID
- NCT02147522
- Run by
- University of Southern California
- People needed
- 348
- Starts
- 2013-10-01
- Expected to finish
- 2016-09-01
- Last updated by the study team
- 2017-08-02
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- age >=18 years, have a phone, meet PHQ-9 score of 10 or more, and have concurrent diabetes, CHD, or HF.
You may not qualify if…
- current suicidal ideation,inability to speak either English or Spanish fluently, a score of 2 or greater on the CAGE 4M alcohol assessment,recent use of lithium or antipsychotic medication, and cognitive impairment precluding informed consent.
Where it is running
- El Monte Comprehensive Health Center — El Monte, California, United States
- H. Claude Hudson Comprehensive Health Center — Los Angeles, California, United States
- Edward R. Roybal Comprehensive Health Center — Los Angeles, California, United States
Full record on ClinicalTrials.gov
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