Clinical trial NCT02152891: A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/CP@Clinic)
Official title: A Community Paramedicine Initiative for Older Adults Living in Subsidized Housing (CHAP-EMS/Renamed to CP@Clinic)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cardiovascular Diseases
Diabetes Mellitus
Keywords: Emergency Medical Services
Elderly
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
name: Hamilton Academic Health Sciences Organization
First posted: 2014-06-02
Enrollment: 1200
Sex: ALL
Minimum age (years): 55
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: 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.


Eligibility criteria: Inclusion Criteria:

* 55 years and older
* Resides in subsidized apartment building

Exclusion Criteria:

- None

Primary outcomes:
measure: Change in Canadian Diabetes Risk (CANRISK) Score
timeFrame: Baseline and 1 year
measure: Change in Blood Pressure
timeFrame: Baseline and after each assessment (up to one year)
measure: Change in health perceptions, behaviours, and knowledge of resources
timeFrame: Baseline and 1 year
measure: Change in Health Care Utilization
timeFrame: Baseline and 1 year
measure: Change in rate of EMS Calls
timeFrame: Baseline and 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: Guelph
country: Canada
facility: Guelph-Wellington Emergency Medical Services and County of Wellington Social Services Department - Housing Services
state: Ontario
city: Hamilton
country: Canada
facility: Hamilton Paramedic Services
state: Ontario
city: Simcoe
country: Canada
facility: County of Simcoe
state: Ontario
city: Sudbury
country: Canada
facility: City of Greater Sudbury
state: Ontario
city: York
country: Canada
facility: York Region
state: Ontario
Study officials:
affiliation: McMaster University
name: Gina Agarawal
role: PRINCIPAL_INVESTIGATOR
References:
citation: Agarwal G, Pirrie M, Angeles R, Marzanek F, Thabane L, O'Reilly D. Cost-effectiveness analysis of a community paramedicine programme for low-income seniors living in subsidised housing: the community paramedicine at clinic programme (CP@clinic). BMJ Open. 2020 Oct 27;10(10):e037386. doi: 10.1136/bmjopen-2020-037386.
citation: Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Reducing 9-1-1 Emergency Medical Service Calls By Implementing A Community Paramedicine Program For Vulnerable Older Adults In Public Housing In Canada: A Multi-Site Cluster Randomized Controlled Trial. Prehosp Emerg Care. 2019 Sep-Oct;23(5):718-729. doi: 10.1080/10903127.2019.1566421. Epub 2019 Feb 4.
citation: Agarwal G, Angeles R, Pirrie M, McLeod B, Marzanek F, Parascandalo J, Thabane L. Evaluation of a community paramedicine health promotion and lifestyle risk assessment program for older adults who live in social housing: a cluster randomized trial. CMAJ. 2018 May 28;190(21):E638-E647. doi: 10.1503/cmaj.170740.
citation: Agarwal G, McDonough B, Angeles R, Pirrie M, Marzanek F, McLeod B, Dolovich L. Rationale and methods of a multicentre randomised controlled trial of the effectiveness of a Community Health Assessment Programme with Emergency Medical Services (CHAP-EMS) implemented on residents aged 55 years and older in subsidised seniors' housing buildings in Ontario, Canada. BMJ Open. 2015 Jun 11;5(6):e008110. doi: 10.1136/bmjopen-2015-008110.