Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial
DiDomenico, Robert J
Hsu, Lewis L
Pickard, A Simon
Sullivan, Jamie L
Krishnan, Jerry A
KeywordsCommunity health worker
Pragmatic clinical trial
MetadataShow full item record
CitationPrieto-Centurion, V., Basu, S., Bracken, N., Calhoun, E., Dickens, C., DiDomenico, R. J., … Krishnan, J. A. (2019). Design of the patient navigator to Reduce Readmissions (PArTNER) study: A pragmatic clinical effectiveness trial. Contemporary Clinical Trials Communications, 15, 100420. https://doi.org/10.1016/j.conctc.2019.100420
RightsCopyright © 2019 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/BY/4.0/).
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AbstractPrevious 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.
NoteOpen access journal
VersionFinal published version
SponsorsPatient Centered Outcomes Research Institute (PCORI) awardPatient-Centered Outcomes Research Institute - PCORI [IH 12-11-4365]
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