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Completed

NCT Number: NCT02152891

A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/CP@Clinic)

Older adults living in subsidized housing report poorer health. Their age and low income make it harder for them to use community services. Many older adults have heart disease and diabetes, which lead to frequent emergency calls and hospital admissions. To decrease the costs of treating heart disease and diabetes through emergency and hospitalization, improved screening and health education is needed. Our program will take place in communal areas within housing buildings of older adults and deliver a heart disease, diabetes, and falls risk check-up with health education. This is expected to improve the health of older adults leading to fewer emergency calls and hospital visits.

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Key information

Conditions

Cardiovascular Diseases Diabetes Mellitus Endocrine System Diseases Glucose Metabolism Disorders Metabolic Diseases Nutritional and Metabolic Diseases

Age range

55 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

City of Greater Sudbury, Greater Sudbury, Ontario, Canada

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 55 years and older
  • Resides in subsidized apartment building

Exclusion criteria

  • None

Treatment and study plan

CHAP-EMS/CP@clinic

Behavioral

Community Paramedicine program to assess cardiovascular, diabetes, and fall risk; discuss lifestyle changes and goals; and refer to appropriate resources.

Primary outcomes

  1. Change in Canadian Diabetes Risk (CANRISK) Score

    Time frame: Baseline and 1 year

    The CANRISK tool provides a 10-year risk of diabetes score and will be administered by the paramedic during the CHAP-EMS session.

  2. Change in Blood Pressure

    Time frame: Baseline and after each assessment (up to one year)

    Since the participants are invited to attend the intervention weekly, but are not required to attend, the number of assessments and time of assessments will vary. Multilevel analysis will be conducted that accounts for this variance in repeated measures.

  3. Change in health perceptions, behaviours, and knowledge of resources

    Time frame: Baseline and 1 year

    A face-to-face survey will be administered to determine participant health perceptions, behaviours, and knowledge.

  4. Change in Health Care Utilization

    Time frame: Baseline and 1 year

    Health Care Utilization will be assessed through administrative databases (e.g. hospital visits). Utilization by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.

  5. Change in rate of EMS Calls

    Time frame: Baseline and 1 year

    Rate EMS calls by residents in the intervention apartment buildings will be compared to baseline and compared to the control apartment buildings.

Sponsors and collaborators

Lead sponsor

McMaster University

Other

Collaborators

  • Canadian Institutes of Health Research (CIHR)
  • Hamilton Academic Health Sciences Organization

Registry information

Official study title

A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/Renamed to CP@Clinic)

Acronym: CHAP-EMS

Important dates

Study start
2015
Primary completion
2016
Study completion
2018
First posted
Jun 2, 2014
Registry last updated
Aug 13, 2019

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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