TY - JOUR
T1 - Design of the patient navigator to Reduce Readmissions (PArTNER) study
T2 - A pragmatic clinical effectiveness trial
AU - Prieto-Centurion, Valentin
AU - Basu, Sanjib
AU - Bracken, Nina
AU - Calhoun, Elizabeth
AU - Dickens, Carolyn
AU - DiDomenico, Robert J.
AU - Gallardo, Richard
AU - Gordeuk, Victor
AU - Gutierrez-Kapheim, Melissa
AU - Hsu, Lewis L.
AU - Illendula, Sai
AU - Joo, Min
AU - Kazmi, Uzma
AU - Mutso, Amelia
AU - Pickard, A. Simon
AU - Pittendrigh, B.
AU - Sullivan, Jamie L.
AU - Williams, Mark
AU - Krishnan, Jerry A.
N1 - Publisher Copyright:
© 2019 The Authors
PY - 2019/9
Y1 - 2019/9
N2 - Previous 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.
AB - Previous 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.
KW - Community health worker
KW - Hospital readmissions
KW - Hospital-to-home transition
KW - Peer coaching
KW - Pragmatic clinical trial
UR - http://www.scopus.com/inward/record.url?scp=85070309072&partnerID=8YFLogxK
U2 - 10.1016/j.conctc.2019.100420
DO - 10.1016/j.conctc.2019.100420
M3 - Article
AN - SCOPUS:85070309072
SN - 2451-8654
VL - 15
JO - Contemporary Clinical Trials Communications
JF - Contemporary Clinical Trials Communications
M1 - 100420
ER -