Trial Review

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Trial registered on ANZCTR


Registration number
ACTRN12609000562279
Ethics application status
Approved
Date submitted
9/07/2009
Date registered
9/07/2009
Date last updated
9/07/2012
Type of registration
Prospectively registered

Titles & IDs
Public title
Evaluation of Blacktown Australian Better Health Initiative Integration Project in Improving Continuity of Care in Chronic Cardiac, Respiratory and Aged Care Patients
Scientific title
Evaluation of Blacktown Australian Better Health Initiative (ABHI) Integration Project in Improving Continuity of Care in Chronic Cardiac, Respiratory and Aged Care Patients
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
The study aims to achieve continuity of care for chronic cardiac, chronic respiratory and aged patients in the areas of Blacktown, by integrating the services of the hospital, general practitioners and community health services. 237191 0
Condition category
Condition code
Public Health 237514 237514 0 0
Health service research

Intervention/exposure
Study type
Observational
Patient registry
Target follow-up duration
Target follow-up type
Description of intervention(s) / exposure
Observational study. We will compare patient presentations and admissions to the emergency department at Blacktown hospital 12 months prior to enrollment into the ABHI Integration project and 6 months following. In particular we will evaluate the date of admission, duration of admission (i.e., bed-days) and discharge diagnoses. We will also investigate the impact on health care in the community. The date of death of any patient participant who dies during the six months following enrollment will be recorded. At recruitment into the evaluation, and again one and six months later, each patient participant will be asked to complete the EQ-5D health status measure1. This is a generic measure of health status that is applicable to a wide range of chronic diseases.
Intervention code [1] 236897 0
Not applicable
Comparator / control treatment
n/a
Control group
Uncontrolled

Outcomes
Primary outcome [1] 238324 0
To measure the rates of emergency department presentation and hospital admission amongst patients enrolled in the Blacktown ABHI Integration Project, prior to and following enrollment
Timepoint [1] 238324 0
12 months prior to enrollment into the ABHI Integration project and 6 months following.
Secondary outcome [1] 244722 0
To explore patients', carers' and health professionals' accounts of how the Blacktown ABHI Integration project has influenced the care of enrolled patients, and develop a detailed, quantified account of the effect of the Blacktown ABHI Integration Project on the processes of care of enrolled patients, and in consequence on their rates of emergency department presentation and hospital admission.
Timepoint [1] 244722 0
We will conduct qualitative interviews once at approximately 6 months following enrollment

Eligibility
Key inclusion criteria
Patients who present to Blacktown hospital with chronic cardiac, chronic respiratory or aged care and are classed high-risk of re-presentation to hospital and have had some form of care co-ordination from a care navigator in the emergency department or ward during their admission. Patients must also reside in the greater Blacktown area.
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
Patients under 18 years of age that are not chronically ill or not requiring aged care.

Study design
Purpose
Duration
Longitudinal
Selection
Defined population
Timing
Prospective
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Date of first participant enrolment
Anticipated
28/07/2009
Actual
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
Actual
Sample size
Target
100
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)

Funding & Sponsors
Funding source category [1] 237295 0
Charities/Societies/Foundations
Name [1] 237295 0
WentWest Ltd
Country [1] 237295 0
Australia
Primary sponsor type
Charities/Societies/Foundations
Name
WentWest Ltd
Address
20 Wentworth Street
Parramatta NSW 2150
Country
Australia
Secondary sponsor category [1] 236778 0
None
Name [1] 236778 0
Address [1] 236778 0
Country [1] 236778 0

Ethics approval
Ethics application status
Approved
Ethics committee name [1] 239395 0
Sydney West Area Health Service Human Research Ethics Committee, Westmead Campus
Ethics committee address [1] 239395 0
Research Office
Westmead Hospital
Rm 2020, Clinical Sciences, 2nd Floor
WESTMEAD NSW 2145
Ethics committee country [1] 239395 0
Australia
Date submitted for ethics approval [1] 239395 0
17/06/2009
Approval date [1] 239395 0
Ethics approval number [1] 239395 0
HREC/09/WMEAD/157

Summary
Brief summary
The aim of the outcome evaluation will be to describe changes in the rates of emergency department presentations and hospital admissions associated with the Blacktown ABHI Integration Project, and to explore changes in the processes of patient care in the community that may explain these. The specific objectives will be: 1. To measure the rates of emergency department presentation and hospital admission amongst patients enrolled in the Blacktown ABHI Integration Project, prior to and following enrollment; also to measure contacts with SWAHS Community Health Services durign this time; 2. To explore patients’, carers’ and health professionals’ accounts of how the Blacktown ABHI Integration Project has influenced the care of enrolled patients; and, 3. To develop a detailed, quantified account of the effect of the Blacktown ABHI Integration Project on the processes of care of enrolled patients, and in consequence on their rates of emergency department presentation and hospital admission.
Trial website
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 29868 0
Address 29868 0
Country 29868 0
Phone 29868 0
Fax 29868 0
Email 29868 0
Contact person for public queries
Name 13115 0
Joy Tripovich
Address 13115 0
Joy Tripovich PhD
Research Evaluation Officer
Australian Better Health Initiative
WentWest Ltd

Department of General Practice
University of Sydney
PO Box 154
Westmead NSW 2145
Country 13115 0
Australia
Phone 13115 0
+612 9845 9215
Fax 13115 0
+612 9845 8166
Email 13115 0
[email protected]
Contact person for scientific queries
Name 4043 0
Joy Tripovich
Address 4043 0
Joy Tripovich PhD
Research Evaluation Officer
Australian Better Health Initiative
WentWest Ltd

Department of General Practice
University of Sydney
PO Box 154
Westmead NSW 2145
Country 4043 0
Australia
Phone 4043 0
+612 9845 9215
Fax 4043 0
+612 9845 8166
Email 4043 0
[email protected]

No information has been provided regarding IPD availability


What supporting documents are/will be available?

No Supporting Document Provided



Results publications and other study-related documents

Documents added manually
No documents have been uploaded by study researchers.

Documents added automatically
No additional documents have been identified.