Clinical trial NCT05862662: Mobility Opportunities Via Education/Experience (MOVE): Healthcare Impact Assessment
Official title: Mobility Opportunities Via Education/Experience (MOVE): Healthcare Impact Assessment
Study type: OBSERVATIONAL
Overall status: UNKNOWN
Conditions: Quality of Life
Health Care Utilization
Lead sponsor: Center for Disability Services, New York
Sponsor class: OTHER
First posted: 2023-05-17
Enrollment: 130
Sex: ALL
Minimum age (years): 5
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: RETROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Children and adults with developmental disabilities who participated in the MOVE program for at least one year pre-COVID and are participating in the MOVE program post-COVID, but who did not participate in the MOVE program during COVID.

Brief summary: The purpose of this study is to determine whether participation in the Mobility Opportunities Via Education (MOVE) program is associated with reduced use of healthcare for individuals with developmental disabilities.

Detailed description: The purpose of this study is to determine whether participation in the Mobility Opportunities Via Education (MOVE) program is associated with reduced use of healthcare for individuals with developmental disabilities. The investigators will compare healthcare "events" and healthcare expenditures for children and adults during intervals of at least one year when the subjects were participating in the MOVE program versus intervals of at least one year when the same individuals were not participating in the MOVE program based on health insurance records (i.e. Medicaid). Healthcare events are those which required professional medical services (associated with International Classification of Disease (ICD-XX) codes) or prescription medications. Healthcare events and healthcare expenditures will be reviewed from healthcare records obtained by Medicaid, Medicare, or private insurers and data will be compared between intervals.

Eligibility criteria: CHILDREN: Inclusion Criteria

* Males and females 5-21 years old.
* Participated in the MOVE program pre-COVID and post-COVID.
* Did not participate for at least 4 months in the MOVE program during COVID.
* Has a healthcare payor(s) who makes healthcare records available upon request.
* Subjects whose legal guardians are willing to give informed consent to obtain and review healthcare records from the subject's primary (and secondary, if applicable) payors.

CHILDREN: Exclusion Criteria

* Subjects who did not participate in the MOVE program through the duration of Interval #1 and Interval #3.
* Subjects whose legal guardians are unwilling to cooperate with the requests to obtain and review healthcare records and expenditures from the subject's primary (and secondary, if applicable) payors.

ADULTS: Inclusion Criteria

* Males and females 22-65 years old.
* Participated in the MOVE program during Interval #1 and Interval #3.
* Did not participate for at least 4 months in the MOVE program during Interval #2.
* Has a healthcare payor(s) who makes healthcare records available upon request.
* Subjects who are willing to give informed consent and/or subjects' legal guardians who are willing to give informed assent to obtain and review healthcare records from the subject's primary (and secondary, if applicable) payors.

ADULTS: Exclusion Criteria

* Subjects who did not participate in the MOVE program through the duration of Interval #1 and Interval #3.
* Subjects who are unwilling to give informed consent and/or subjects' legal guardians who are unwilling to give informed assent to cooperate with the requests to obtain and review healthcare records and expenditures from the subject's primary (and secondary, if applicable) payors.

Primary outcomes:
measure: Sum of Disability Adjusted Life Years
timeFrame: March 1, 2019 - April 30, 2023
measure: Number of Healthcare Events
timeFrame: March 1, 2019 - April 30, 2023
measure: Cost of Healthcare Events
timeFrame: March 1, 2019 - April 30, 2023
measure: Cost of Medication Use
timeFrame: March 1, 2019 - April 30, 2023
measure: Hip Range of Motion (Degrees)
timeFrame: March 1, 2019 - April 30, 2023
measure: PedsQL Quality of Life Scale Score
timeFrame: March 1, 2019 - April 30, 2023
measure: Top Down Motor Milestone Test Score
timeFrame: March 1, 2019 - April 30, 2023
Secondary outcomes:
Other outcomes:
Locations:
city: Albany
country: United States
facility: Center for Disability Services
state: New York
Study officials:
affiliation: Center for Disability Services
name: Eric H Ledet, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References: