Pragmatic Clinical Trial to Improve Patient Experience Among Adults During Transitions from Hospital to Home: the PArTNER study

Introduction Minority-serving hospitals (MSHs) need evidence-based strategies tailored to the populations they serve to improve patient-centered outcomes after hospitalization. Methods We conducted a pragmatic randomized clinical trial (RCT) from October 2014 to January 2017 at a MSH comparing the e...

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Bibliographic Details
Published in:Journal of general internal medicine : JGIM 2022-12, Vol.37 (16), p.4103-4111
Main Authors: LaBedz, Stephanie L., Prieto-Centurion, Valentin, Mutso, Amelia, Basu, Sanjib, Bracken, Nina E., Calhoun, Elizabeth A., DiDomenico, Robert J., Joo, Min, Pickard, A. Simon, Pittendrigh, Barry, Williams, Mark V., Illendula, Sai, Krishnan, Jerry A.
Format: Article
Language:English
Subjects:
Adult
Adults
Anxiety
Chronic obstructive pulmonary disease
Clinical trials
Congestive heart failure
Health care
Hospital to Home Transition
Hospitals
Humans
Internal Medicine
Intervention
Medical personnel
Medicine
Medicine & Public Health
Original Research
Patient Discharge
Patient Outcome Assessment
Patients
Primary care
Sickle cell disease
Subgroups
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Summary:Introduction Minority-serving hospitals (MSHs) need evidence-based strategies tailored to the populations they serve to improve patient-centered outcomes after hospitalization. Methods We conducted a pragmatic randomized clinical trial (RCT) from October 2014 to January 2017 at a MSH comparing the effectiveness of a stakeholder-supported Navigator intervention vs. Usual care on post-hospital patient experience, outcomes, and healthcare utilization. Community health workers and peer coaches delivered the intervention which included (1) in-hospital visits to assess barriers to health/healthcare and to develop a personalized Discharge Patient Education Tool (DPET); (2) a home visit to review the DPET; and (3) telephone-based peer coaching. The co-primary outcomes were between-group comparisons of 30-day changes in Patient-Reported Outcomes Measurement Information System (PROMIS) measures of anxiety and informational support (minimum important difference is 2 to 5 units change); a p -value
ISSN:0884-8734
1525-1497
DOI:10.1007/s11606-022-07461-0