Community health navigator-assisted transition of care from hospital to community: protocol for a randomised controlled trial
Files
(Published version)
Date
2024
Authors
Parker, S.M.
Aslani, P.
Harris Roxas, B.
Wright, M.C.
Barr, M.
Doolan Noble, F.
Javanparast, S.
Sharma, A.
Osborne, R.H.
Cullen, J.
Editors
Advisors
Journal Title
Journal ISSN
Volume Title
Type:
Journal article
Citation
BMJ Open, 2024; 14(2):1-9
Statement of Responsibility
Conference Name
Abstract
Introduction: The objective of this parallel group, randomised controlled trial is to evaluate a community health navigator (CHN) intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes. Unplanned hospital readmissions are costly for the health system and negatively impact patients.
Methods and analysis: Patients are randomised post hospital discharge to the CHN intervention or usual care. A comparison of outcomes between intervention and control groups will use multivariate regression techniques that adjust for age, sex and any independent variables that are significantly different between the two groups, using multiple imputation for missing values. Time-to-event analysis will examine the relationship between seeing a CHN following discharge from the index hospitalisation and reduced rehospitalisations in the subsequent 60 days and 6 months. Secondary outcomes include medication adherence, health literacy, quality of life, experience of healthcare and health service use (including the cost of care). We will also conduct a qualitative assessment of the implementation of the navigator role from the viewpoint of stakeholders including patients, health professionals and the navigators themselves.
Ethics approval: Ethics approval was obtained from the Research Ethics and Governance Office, Sydney Local Health District, on 21 January 2022 (Protocol no. X21-0438 and 2021/ETH12171). The findings of the trial will be disseminated through peer-reviewed journals and national and international conference presentations. Data will be deposited in an institutional data repository at the end of the trial. This is subject to Ethics Committee approval, and the metadata will be made available on request.
Trial registration number: Australian New Zealand Clinical Trials Registry (ACTRN 12622000659707).
Article Summary: The objective of this trial is to evaluate a CHN intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes.
School/Discipline
Dissertation Note
Provenance
Description
Data source: Supplemental material, https://doi.org/10.1136/bmjopen-2023-077877
Access Status
Rights
Copyright 2024 The Author(s) (or their employer(s)). Re- use permitted under CC BY- NC. No commercial re- use. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. (https://creativecommons.org/licenses/by-nc/4.0/.)