Community health navigator-assisted transition of care from hospital to community: protocol for a randomised controlled trial.

Parker, SM; Aslani, P; Harris-Roxas, B; Wright, MC; Barr, M; Doolan-Noble, F; Javanparast, S; Sharma, A; Osborne, RH; Cullen, J; Harris, E; Haigh, F; Harris, M

Community health navigator-assisted transition of care from hospital to community: protocol for a randomised controlled trial.

Parker, SM Aslani, P Harris-Roxas, B

Wright, MC Barr, M Doolan-Noble, F Javanparast, S Sharma, A Osborne, RH Cullen, J Harris, E Haigh, F Harris, M

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Publisher:: BMJ PUBLISHING GROUP
Publication Type:: Journal Article
Citation:: BMJ Open, 2024, 14, (2), pp. e077877
Issue Date:: 2024-02-02

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Field	Value	Language
dc.contributor.author	Parker, SM
dc.contributor.author	Aslani, P
dc.contributor.author	Harris-Roxas, B https://orcid.org/0000-0003-1716-2009
dc.contributor.author	Wright, MC
dc.contributor.author	Barr, M
dc.contributor.author	Doolan-Noble, F
dc.contributor.author	Javanparast, S
dc.contributor.author	Sharma, A
dc.contributor.author	Osborne, RH
dc.contributor.author	Cullen, J
dc.contributor.author	Harris, E
dc.contributor.author	Haigh, F
dc.contributor.author	Harris, M
dc.date.accessioned	2024-08-06T03:04:21Z
dc.date.available	2024-08-06T03:04:21Z
dc.date.issued	2024-02-02
dc.identifier.citation	BMJ Open, 2024, 14, (2), pp. e077877
dc.identifier.issn	2044-6055
dc.identifier.issn	2044-6055
dc.identifier.uri	http://hdl.handle.net/10453/180080
dc.description.abstract	INTRODUCTION: The objective of this parallel group, randomised controlled trial is to evaluate a community health navigator (CHN) intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes. Unplanned hospital readmissions are costly for the health system and negatively impact patients. METHODS AND ANALYSIS: Patients are randomised post hospital discharge to the CHN intervention or usual care. A comparison of outcomes between intervention and control groups will use multivariate regression techniques that adjust for age, sex and any independent variables that are significantly different between the two groups, using multiple imputation for missing values. Time-to-event analysis will examine the relationship between seeing a CHN following discharge from the index hospitalisation and reduced rehospitalisations in the subsequent 60 days and 6 months. Secondary outcomes include medication adherence, health literacy, quality of life, experience of healthcare and health service use (including the cost of care). We will also conduct a qualitative assessment of the implementation of the navigator role from the viewpoint of stakeholders including patients, health professionals and the navigators themselves. ETHICS APPROVAL: Ethics approval was obtained from the Research Ethics and Governance Office, Sydney Local Health District, on 21 January 2022 (Protocol no. X21-0438 and 2021/ETH12171). The findings of the trial will be disseminated through peer-reviewed journals and national and international conference presentations. Data will be deposited in an institutional data repository at the end of the trial. This is subject to Ethics Committee approval, and the metadata will be made available on request. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN 12622000659707). ARTICLE SUMMARY: The objective of this trial is to evaluate a CHN intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes.
dc.format	Electronic
dc.language	eng
dc.publisher	BMJ PUBLISHING GROUP
dc.relation.ispartof	BMJ Open
dc.relation.isbasedon	10.1136/bmjopen-2023-077877
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1199 Other Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.classification	52 Psychology
dc.subject.mesh	Humans
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Australia
dc.subject.mesh	Public Health
dc.subject.mesh	Quality of Life
dc.subject.mesh	Patient Transfer
dc.subject.mesh	Hospitals
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Humans
dc.subject.mesh	Patient Transfer
dc.subject.mesh	Public Health
dc.subject.mesh	Quality of Life
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Hospitals
dc.subject.mesh	Australia
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.subject.mesh	Humans
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Australia
dc.subject.mesh	Public Health
dc.subject.mesh	Quality of Life
dc.subject.mesh	Patient Transfer
dc.subject.mesh	Hospitals
dc.subject.mesh	Randomized Controlled Trials as Topic
dc.title	Community health navigator-assisted transition of care from hospital to community: protocol for a randomised controlled trial.
dc.type	Journal Article
utslib.citation.volume	14
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1199 Other Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
pubs.organisational-group	University of Technology Sydney/Faculty of Health/Public Health
utslib.copyright.status	open_access	*
dc.rights.license	This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated	2024-08-06T03:04:20Z
pubs.issue	2
pubs.publication-status	Published online
pubs.volume	14
utslib.citation.issue	2

Abstract:

INTRODUCTION: The objective of this parallel group, randomised controlled trial is to evaluate a community health navigator (CHN) intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes. Unplanned hospital readmissions are costly for the health system and negatively impact patients. METHODS AND ANALYSIS: Patients are randomised post hospital discharge to the CHN intervention or usual care. A comparison of outcomes between intervention and control groups will use multivariate regression techniques that adjust for age, sex and any independent variables that are significantly different between the two groups, using multiple imputation for missing values. Time-to-event analysis will examine the relationship between seeing a CHN following discharge from the index hospitalisation and reduced rehospitalisations in the subsequent 60 days and 6 months. Secondary outcomes include medication adherence, health literacy, quality of life, experience of healthcare and health service use (including the cost of care). We will also conduct a qualitative assessment of the implementation of the navigator role from the viewpoint of stakeholders including patients, health professionals and the navigators themselves. ETHICS APPROVAL: Ethics approval was obtained from the Research Ethics and Governance Office, Sydney Local Health District, on 21 January 2022 (Protocol no. X21-0438 and 2021/ETH12171). The findings of the trial will be disseminated through peer-reviewed journals and national and international conference presentations. Data will be deposited in an institutional data repository at the end of the trial. This is subject to Ethics Committee approval, and the metadata will be made available on request. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry (ACTRN 12622000659707). ARTICLE SUMMARY: The objective of this trial is to evaluate a CHN intervention provided to patients aged over 40 years and living with chronic health conditions to transition from hospital inpatient care to their homes.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/180080