Clinical trial NCT06205433: Evaluating the Impact of Training for IHSS Workers
Official title: Evaluating the Impact of Training for IHSS Workers
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Home Care for Elderly or Disabled Individuals
Lead sponsor: Abdul Latif Jameel Poverty Action Lab
Sponsor class: OTHER
Collaborators: name: Center for Caregiver Advancement
name: Massachusetts Institute of Technology
name: University of Chicago
First posted: 2024-01-16
Enrollment: 2500
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This trial investigates whether high-quality training for consumer-directed home health workers impacts health outcomes for care consumers and employment outcomes for care workers. The investigators are conducting this study in the context of the In-Home Supportive Services (IHSS) program, a consumer-directed, Medicaid-funded home care program in California serving elderly and disabled Medicaid recipients. The investigators will partner with the Center for Caregiver Advancement (CCA), a training provider based in California, to conduct a randomized evaluation of the impact of training for IHSS workers on labor and health care outcomes. The evaluation will enroll IHSS workers in San Bernardino County, where CCA will be expanding its program.

Participants will be randomized to either a group that receives CCA's training or a control group that does not receive training.

Participants randomized to the training group will complete a 30 hour online course that teaches fundamental caregiving skills. Training includes personal care, infection control, nutrition and body mechanics, medication adherence, and home safety.

Researchers will compare outcomes between IHSS providers in the two groups and between IHSS consumers who receive care from the IHSS providers in the two groups to see if training impacts health, health care, and labor market outcomes.


Eligibility criteria: Inclusion Criteria:

* Current IHSS provider
* Live in San Bernardino County
* IHSS consumer lives in San Bernardino County

Primary outcomes:
measure: Number of emergency department visits (for consumer)
timeFrame: 1 year after training begins
Secondary outcomes:
measure: Any emergency department visits (for consumer)
timeFrame: 1 year after training begins
measure: Estimated annual health care spending (for consumer)
timeFrame: 1 year after training begins
measure: Share of participants with falls resulting in a health care visit (for consumer)
timeFrame: 1 year after training begins
measure: Share of participants with urinary tract infections resulting in a health care visit (for consumer)
timeFrame: 1 year after training begins
measure: Share of participants with pressure ulcers resulting in a health care visit (for consumer)
timeFrame: 1 year after training begins
measure: Share of participants with nursing facility utilization (for consumer)
timeFrame: 1 year after training begins
measure: Share of participants still employed in IHSS (for provider)
timeFrame: 1 year after training begins
measure: Caregiving knowledge (for provider)
timeFrame: 0-3 months after completion of training
measure: Total length of stay in nursing facilities (for consumer)
timeFrame: 1 year after training begins
measure: IHSS earnings (for provider)
timeFrame: 1 year after training begins
measure: IHSS hours worked (for provider)
timeFrame: 1 year after training begins
Other outcomes:
measure: Any hospital admissions (for consumer)
timeFrame: 1 year after training begins
measure: Number of hospital admissions (for consumer)
timeFrame: 1 year after training begins
measure: Total length of stay in hospital (for consumer)
timeFrame: 1 year after training begins
measure: Depression (for provider)
timeFrame: 0-3 months after completion of training
measure: Anxiety (for provider)
timeFrame: 0-3 months after completion of training
measure: Caregiver wellbeing (for provider)
timeFrame: 0-3 months after completion of training
measure: Caregiver job satisfaction (for provider)
timeFrame: 0-3 months after completion of training
measure: Number of consumers served (for provider)
timeFrame: 1 year after training begins
Locations:
city: San Bernardino
country: United States
facility: San Bernardino County
state: California
Study officials:
affiliation: University of Chicago
name: Matthew Notowidigdo, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Massachusetts Institute of Technology
name: David Autor, Phd
role: PRINCIPAL_INVESTIGATOR
affiliation: Massachusetts Institute of Technology
name: Amy Finkelstein, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: Massachusetts Institute of Technology
name: Anna Russo
role: PRINCIPAL_INVESTIGATOR
References: