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Navigator Program for Homeless Adults
N/A
Recruiting
Led By Stephen W Hwang, MD, MPH
Research Sponsored by Unity Health Toronto
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
18 years of age or older
Have an unplanned admission for any medical cause to the General Internal Medicine service, any Medicine subspecialty service, the Cardiac Intensive Care Unit, and the Medical Surgical Intensive Care Unit
Timeline
Screening 3 weeks
Treatment Varies
Follow Up during index admission
Awards & highlights
Study Summary
This trial is looking at whether or not a case management intervention can improve health outcomes for people who are homeless and have been admitted to the hospital.
Who is the study for?
This trial is for adults over 18 who are homeless at the time of an unplanned hospital admission. It includes those without shelter, in emergency shelters, or in temporary housing. Participants must not have used Homeless Outreach services within 90 days and must be able to consent to the study.Check my eligibility
What is being tested?
The Navigator Program is being tested as a case management intervention for homeless individuals after hospital discharge. The trial will track follow-up with primary care, re-hospitalization rates, quality of care transitions, and overall health over six months.See study design
What are the potential side effects?
Since this trial involves a social support program rather than medication, there aren't typical medical side effects; however, participants may experience stress or anxiety from changes in their healthcare routine.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am 18 years old or older.
Select...
I was unexpectedly admitted to the hospital for a medical reason.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ within 30, 90, and 180 days of discharge
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~within 30, 90, and 180 days of discharge
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Follow-Up with Primary Care Provider (PCP)
Secondary outcome measures
Change in Competing Priorities
Change in Health Status
Composite All-Cause Hospital Readmission or Mortality
+3 moreOther outcome measures
Attendance of non-PCP Health Care Appointment
Connection to Case Manager
Leave Against Medical Advice
+2 moreTrial Design
2Treatment groups
Experimental Treatment
Active Control
Group I: Navigator ProgramExperimental Treatment1 Intervention
In addition to receiving Standard Care, participants in the intervention arm will be assigned to a Homeless Outreach Counsellor. The Homeless Outreach Counsellor will connect with the participant as soon as possible during the admission and will provide support during the hospital admission and for approximately 90 days after hospital discharge.
Group II: Standard CareActive Control1 Intervention
Standard Care consists of support from Care Transition Facilitators who work with patients during their hospital stay to arrange discharge plans and make follow-up arrangements. Care Transition Facilitators do not routinely work with patients after hospital discharge. As part of the routine discharge process, the health care team provides patients with medical recommendations, appointments for follow-up care as needed, a written discharge summary, and prescriptions as needed. If the patient has an identified primary care provider, a copy of the discharge summary is sent electronically to the primary care provider.
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Who is running the clinical trial?
Canadian Institutes of Health Research (CIHR)OTHER_GOV
1,340 Previous Clinical Trials
26,452,058 Total Patients Enrolled
Unity Health TorontoLead Sponsor
536 Previous Clinical Trials
446,889 Total Patients Enrolled
2 Trials studying Homelessness
67 Patients Enrolled for Homelessness
Stephen W Hwang, MD, MPHPrincipal InvestigatorUnity Health Toronto
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am 18 years old or older.I have been helped by a Homeless Outreach Counsellor in the last 3 months.I am unable to understand and agree to the study's details on my own.I was unexpectedly admitted to the hospital for a medical reason.
Research Study Groups:
This trial has the following groups:- Group 1: Navigator Program
- Group 2: Standard Care
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Are there any available positions within this experimental procedure?
"The clinical trial, which was first launched on October 18th 2021 and last updated November 2nd 2022, is actively searching for suitable candidates. This information has been reported on the website clinicaltrials.gov."
Answered by AI
How extensive is the participation in this research project?
"Correct. Clinicaltrials.gov indicates that this clinical trial, which was initially advertised on October 18th 2021, is actively recruiting for 640 participants at a single medical facility."
Answered by AI
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